|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 2431
|
| 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 ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,102.08
|
|
|
Service Code
|
APR-DRG 2433
|
| Min. Negotiated Rate |
$5,811.50 |
| Max. Negotiated Rate |
$6,102.08 |
| Rate for Payer: BCBS Complete |
$6,102.08
|
| Rate for Payer: Mclaren Medicaid |
$5,811.50
|
| Rate for Payer: Meridian Medicaid |
$6,102.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,811.50
|
| Rate for Payer: UHCCP Medicaid |
$5,811.50
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$9,566.81
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$9,111.25 |
| Max. Negotiated Rate |
$9,566.81 |
| Rate for Payer: BCBS Complete |
$9,566.81
|
| Rate for Payer: Mclaren Medicaid |
$9,111.25
|
| Rate for Payer: Meridian Medicaid |
$9,566.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,111.25
|
| Rate for Payer: UHCCP Medicaid |
$9,111.25
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 2432
|
| Min. Negotiated Rate |
$4,383.25 |
| Max. Negotiated Rate |
$4,602.41 |
| Rate for Payer: BCBS Complete |
$4,602.41
|
| Rate for Payer: Mclaren Medicaid |
$4,383.25
|
| Rate for Payer: Meridian Medicaid |
$4,602.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,383.25
|
| Rate for Payer: UHCCP Medicaid |
$4,383.25
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,652.78
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$10,145.50 |
| Max. Negotiated Rate |
$10,652.78 |
| Rate for Payer: BCBS Complete |
$10,652.78
|
| Rate for Payer: Mclaren Medicaid |
$10,145.50
|
| Rate for Payer: Meridian Medicaid |
$10,652.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,145.50
|
| Rate for Payer: UHCCP Medicaid |
$10,145.50
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$17,530.54
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$16,695.75 |
| Max. Negotiated Rate |
$17,530.54 |
| Rate for Payer: BCBS Complete |
$17,530.54
|
| Rate for Payer: Mclaren Medicaid |
$16,695.75
|
| Rate for Payer: Meridian Medicaid |
$17,530.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,695.75
|
| Rate for Payer: UHCCP Medicaid |
$16,695.75
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,498.31
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$7,141.25 |
| Max. Negotiated Rate |
$7,498.31 |
| Rate for Payer: BCBS Complete |
$7,498.31
|
| Rate for Payer: Mclaren Medicaid |
$7,141.25
|
| Rate for Payer: Meridian Medicaid |
$7,498.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,141.25
|
| Rate for Payer: UHCCP Medicaid |
$7,141.25
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$5,429.81
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$5,171.25 |
| Max. Negotiated Rate |
$5,429.81 |
| Rate for Payer: BCBS Complete |
$5,429.81
|
| Rate for Payer: Mclaren Medicaid |
$5,171.25
|
| Rate for Payer: Meridian Medicaid |
$5,429.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,171.25
|
| Rate for Payer: UHCCP Medicaid |
$5,171.25
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$6,599.50 |
| Max. Negotiated Rate |
$6,929.48 |
| Rate for Payer: BCBS Complete |
$6,929.48
|
| Rate for Payer: Mclaren Medicaid |
$6,599.50
|
| Rate for Payer: Meridian Medicaid |
$6,929.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,599.50
|
| Rate for Payer: UHCCP Medicaid |
$6,599.50
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 2491
|
| 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 GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$5,533.24
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$5,269.75 |
| Max. Negotiated Rate |
$5,533.24 |
| Rate for Payer: BCBS Complete |
$5,533.24
|
| Rate for Payer: Mclaren Medicaid |
$5,269.75
|
| Rate for Payer: Meridian Medicaid |
$5,533.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,269.75
|
| Rate for Payer: UHCCP Medicaid |
$5,269.75
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 2492
|
| 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 GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$12,049.01
|
|
|
Service Code
|
APR-DRG 5203
|
| Min. Negotiated Rate |
$11,475.25 |
| Max. Negotiated Rate |
$12,049.01 |
| Rate for Payer: BCBS Complete |
$12,049.01
|
| Rate for Payer: Mclaren Medicaid |
$11,475.25
|
| Rate for Payer: Meridian Medicaid |
$12,049.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,475.25
|
| Rate for Payer: UHCCP Medicaid |
$11,475.25
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 5201
|
| 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 GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$22,650.08
|
|
|
Service Code
|
APR-DRG 5204
|
| Min. Negotiated Rate |
$21,571.50 |
| Max. Negotiated Rate |
$22,650.08 |
| Rate for Payer: BCBS Complete |
$22,650.08
|
| Rate for Payer: Mclaren Medicaid |
$21,571.50
|
| Rate for Payer: Meridian Medicaid |
$22,650.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,571.50
|
| Rate for Payer: UHCCP Medicaid |
$21,571.50
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$7,808.59
|
|
|
Service Code
|
APR-DRG 5202
|
| Min. Negotiated Rate |
$7,436.75 |
| Max. Negotiated Rate |
$7,808.59 |
| Rate for Payer: BCBS Complete |
$7,808.59
|
| Rate for Payer: Mclaren Medicaid |
$7,436.75
|
| Rate for Payer: Meridian Medicaid |
$7,808.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,436.75
|
| Rate for Payer: UHCCP Medicaid |
$7,436.75
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$6,156.25 |
| Max. Negotiated Rate |
$6,464.06 |
| Rate for Payer: BCBS Complete |
$6,464.06
|
| Rate for Payer: Mclaren Medicaid |
$6,156.25
|
| Rate for Payer: Meridian Medicaid |
$6,464.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,156.25
|
| Rate for Payer: UHCCP Medicaid |
$6,156.25
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$23,736.04
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$22,605.75 |
| Max. Negotiated Rate |
$23,736.04 |
| Rate for Payer: BCBS Complete |
$23,736.04
|
| Rate for Payer: Mclaren Medicaid |
$22,605.75
|
| Rate for Payer: Meridian Medicaid |
$23,736.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,605.75
|
| Rate for Payer: UHCCP Medicaid |
$22,605.75
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$12,514.42
|
|
|
Service Code
|
APR-DRG 2643
|
| 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 2641
|
| 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 INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 7242
|
| 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 INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$2,792.48
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.48 |
| Rate for Payer: BCBS Complete |
$2,792.48
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$9,153.11
|
|
|
Service Code
|
APR-DRG 7243
|
| 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 INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$13,238.40
|
|
|
Service Code
|
APR-DRG 7244
|
| 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 INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,068.50
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$1,970.00 |
| Max. Negotiated Rate |
$2,068.50 |
| Rate for Payer: BCBS Complete |
$2,068.50
|
| Rate for Payer: Mclaren Medicaid |
$1,970.00
|
| Rate for Payer: Meridian Medicaid |
$2,068.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,970.00
|
| Rate for Payer: UHCCP Medicaid |
$1,970.00
|
|