|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 1152
|
| 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 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$2,792.47
|
|
|
Service Code
|
APR-DRG 1151
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.47 |
| Rate for Payer: BCBS Complete |
$2,792.47
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$11,428.46
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$10,884.25 |
| Max. Negotiated Rate |
$11,428.46 |
| Rate for Payer: BCBS Complete |
$11,428.46
|
| Rate for Payer: Mclaren Medicaid |
$10,884.25
|
| Rate for Payer: Meridian Medicaid |
$11,428.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,884.25
|
| Rate for Payer: UHCCP Medicaid |
$10,884.25
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 1153
|
| Min. Negotiated Rate |
$5,860.75 |
| Max. Negotiated Rate |
$6,153.79 |
| Rate for Payer: BCBS Complete |
$6,153.79
|
| Rate for Payer: Mclaren Medicaid |
$5,860.75
|
| Rate for Payer: Meridian Medicaid |
$6,153.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,860.75
|
| Rate for Payer: UHCCP Medicaid |
$5,860.75
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$8,170.57
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$7,781.50 |
| Max. Negotiated Rate |
$8,170.57 |
| Rate for Payer: BCBS Complete |
$8,170.57
|
| Rate for Payer: Mclaren Medicaid |
$7,781.50
|
| Rate for Payer: Meridian Medicaid |
$8,170.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.50
|
| Rate for Payer: UHCCP Medicaid |
$7,781.50
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$4,912.69
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$4,678.75 |
| Max. Negotiated Rate |
$4,912.69 |
| Rate for Payer: BCBS Complete |
$4,912.69
|
| Rate for Payer: Mclaren Medicaid |
$4,678.75
|
| Rate for Payer: Meridian Medicaid |
$4,912.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,678.75
|
| Rate for Payer: UHCCP Medicaid |
$4,678.75
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$20,064.45
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$19,109.00 |
| Max. Negotiated Rate |
$20,064.45 |
| Rate for Payer: BCBS Complete |
$20,064.45
|
| Rate for Payer: Mclaren Medicaid |
$19,109.00
|
| Rate for Payer: Meridian Medicaid |
$20,064.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,109.00
|
| Rate for Payer: UHCCP Medicaid |
$19,109.00
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$12,514.42
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$11,918.50 |
| Max. Negotiated Rate |
$12,514.42 |
| Rate for Payer: BCBS Complete |
$12,514.42
|
| Rate for Payer: Mclaren Medicaid |
$11,918.50
|
| Rate for Payer: Meridian Medicaid |
$12,514.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,918.50
|
| Rate for Payer: UHCCP Medicaid |
$11,918.50
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$10,963.05
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$10,441.00 |
| Max. Negotiated Rate |
$10,963.05 |
| Rate for Payer: BCBS Complete |
$10,963.05
|
| Rate for Payer: Mclaren Medicaid |
$10,441.00
|
| Rate for Payer: Meridian Medicaid |
$10,963.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,441.00
|
| Rate for Payer: UHCCP Medicaid |
$10,441.00
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,498.99
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$4,284.75 |
| Max. Negotiated Rate |
$4,498.99 |
| Rate for Payer: BCBS Complete |
$4,498.99
|
| Rate for Payer: Mclaren Medicaid |
$4,284.75
|
| Rate for Payer: Meridian Medicaid |
$4,498.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,284.75
|
| Rate for Payer: UHCCP Medicaid |
$4,284.75
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,102.75
|
|
|
Service Code
|
APR-DRG 4241
|
| Min. Negotiated Rate |
$2,955.00 |
| Max. Negotiated Rate |
$3,102.75 |
| Rate for Payer: BCBS Complete |
$3,102.75
|
| Rate for Payer: Mclaren Medicaid |
$2,955.00
|
| Rate for Payer: Meridian Medicaid |
$3,102.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,955.00
|
| Rate for Payer: UHCCP Medicaid |
$2,955.00
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$6,774.34
|
|
|
Service Code
|
APR-DRG 4243
|
| Min. Negotiated Rate |
$6,451.75 |
| Max. Negotiated Rate |
$6,774.34 |
| Rate for Payer: BCBS Complete |
$6,774.34
|
| Rate for Payer: Mclaren Medicaid |
$6,451.75
|
| Rate for Payer: Meridian Medicaid |
$6,774.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,451.75
|
| Rate for Payer: UHCCP Medicaid |
$6,451.75
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$3,152.00 |
| Max. Negotiated Rate |
$3,309.60 |
| Rate for Payer: BCBS Complete |
$3,309.60
|
| Rate for Payer: Mclaren Medicaid |
$3,152.00
|
| Rate for Payer: Meridian Medicaid |
$3,309.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,152.00
|
| Rate for Payer: UHCCP Medicaid |
$3,152.00
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 2432
|
| Min. Negotiated Rate |
$4,087.75 |
| Max. Negotiated Rate |
$4,292.14 |
| Rate for Payer: BCBS Complete |
$4,292.14
|
| Rate for Payer: Mclaren Medicaid |
$4,087.75
|
| Rate for Payer: Meridian Medicaid |
$4,292.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,087.75
|
| Rate for Payer: UHCCP Medicaid |
$4,087.75
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,050.36
|
|
|
Service Code
|
APR-DRG 2433
|
| 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: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$11,169.90
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$10,638.00 |
| Max. Negotiated Rate |
$11,169.90 |
| Rate for Payer: BCBS Complete |
$11,169.90
|
| Rate for Payer: Mclaren Medicaid |
$10,638.00
|
| Rate for Payer: Meridian Medicaid |
$11,169.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,638.00
|
| Rate for Payer: UHCCP Medicaid |
$10,638.00
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,514.42
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$11,918.50 |
| Max. Negotiated Rate |
$12,514.42 |
| Rate for Payer: BCBS Complete |
$12,514.42
|
| Rate for Payer: Mclaren Medicaid |
$11,918.50
|
| Rate for Payer: Meridian Medicaid |
$12,514.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,918.50
|
| Rate for Payer: UHCCP Medicaid |
$11,918.50
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,912.01
|
|
|
Service Code
|
APR-DRG 5182
|
| 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 FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$20,736.71
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$19,749.25 |
| Max. Negotiated Rate |
$20,736.71 |
| Rate for Payer: BCBS Complete |
$20,736.71
|
| Rate for Payer: Mclaren Medicaid |
$19,749.25
|
| Rate for Payer: Meridian Medicaid |
$20,736.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,749.25
|
| Rate for Payer: UHCCP Medicaid |
$19,749.25
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 5181
|
| 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 GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$3,201.25 |
| Max. Negotiated Rate |
$3,361.31 |
| Rate for Payer: BCBS Complete |
$3,361.31
|
| Rate for Payer: Mclaren Medicaid |
$3,201.25
|
| Rate for Payer: Meridian Medicaid |
$3,361.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,201.25
|
| Rate for Payer: UHCCP Medicaid |
$3,201.25
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$4,728.00 |
| Max. Negotiated Rate |
$4,964.40 |
| Rate for Payer: BCBS Complete |
$4,964.40
|
| Rate for Payer: Mclaren Medicaid |
$4,728.00
|
| Rate for Payer: Meridian Medicaid |
$4,964.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,728.00
|
| Rate for Payer: UHCCP Medicaid |
$4,728.00
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 2491
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$9,153.11
|
|
|
Service Code
|
APR-DRG 2494
|
| 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: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$26,166.53
|
|
|
Service Code
|
APR-DRG 5204
|
| Min. Negotiated Rate |
$24,920.50 |
| Max. Negotiated Rate |
$26,166.53 |
| Rate for Payer: BCBS Complete |
$26,166.53
|
| Rate for Payer: Mclaren Medicaid |
$24,920.50
|
| Rate for Payer: Meridian Medicaid |
$26,166.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,920.50
|
| Rate for Payer: UHCCP Medicaid |
$24,920.50
|
|