|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,049.69
|
|
|
Service Code
|
APR-DRG 5202
|
| Min. Negotiated Rate |
$8,618.75 |
| Max. Negotiated Rate |
$9,049.69 |
| Rate for Payer: BCBS Complete |
$9,049.69
|
| Rate for Payer: Mclaren Medicaid |
$8,618.75
|
| Rate for Payer: Meridian Medicaid |
$9,049.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,618.75
|
| Rate for Payer: UHCCP Medicaid |
$8,618.75
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$7,084.61
|
|
|
Service Code
|
APR-DRG 5201
|
| Min. Negotiated Rate |
$6,747.25 |
| Max. Negotiated Rate |
$7,084.61 |
| Rate for Payer: BCBS Complete |
$7,084.61
|
| Rate for Payer: Mclaren Medicaid |
$6,747.25
|
| Rate for Payer: Meridian Medicaid |
$7,084.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,747.25
|
| Rate for Payer: UHCCP Medicaid |
$6,747.25
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$13,910.66
|
|
|
Service Code
|
APR-DRG 5203
|
| Min. Negotiated Rate |
$13,248.25 |
| Max. Negotiated Rate |
$13,910.66 |
| Rate for Payer: BCBS Complete |
$13,910.66
|
| Rate for Payer: Mclaren Medicaid |
$13,248.25
|
| Rate for Payer: Meridian Medicaid |
$13,910.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,248.25
|
| Rate for Payer: UHCCP Medicaid |
$13,248.25
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 2642
|
| 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$23,529.19
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$22,408.75 |
| Max. Negotiated Rate |
$23,529.19 |
| Rate for Payer: BCBS Complete |
$23,529.19
|
| Rate for Payer: Mclaren Medicaid |
$22,408.75
|
| Rate for Payer: Meridian Medicaid |
$23,529.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,408.75
|
| Rate for Payer: UHCCP Medicaid |
$22,408.75
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 2641
|
| 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,083.26
|
|
|
Service Code
|
APR-DRG 2643
|
| Min. Negotiated Rate |
$12,460.25 |
| Max. Negotiated Rate |
$13,083.26 |
| Rate for Payer: BCBS Complete |
$13,083.26
|
| Rate for Payer: Mclaren Medicaid |
$12,460.25
|
| Rate for Payer: Meridian Medicaid |
$13,083.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,460.25
|
| Rate for Payer: UHCCP Medicaid |
$12,460.25
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$12,617.85
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$12,017.00 |
| Max. Negotiated Rate |
$12,617.85 |
| Rate for Payer: BCBS Complete |
$12,617.85
|
| Rate for Payer: Mclaren Medicaid |
$12,017.00
|
| Rate for Payer: Meridian Medicaid |
$12,617.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,017.00
|
| Rate for Payer: UHCCP Medicaid |
$12,017.00
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 7242
|
| Min. Negotiated Rate |
$3,890.75 |
| Max. Negotiated Rate |
$4,085.29 |
| Rate for Payer: BCBS Complete |
$4,085.29
|
| Rate for Payer: Mclaren Medicaid |
$3,890.75
|
| Rate for Payer: Meridian Medicaid |
$4,085.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,890.75
|
| Rate for Payer: UHCCP Medicaid |
$3,890.75
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$6,412.35
|
|
|
Service Code
|
APR-DRG 7243
|
| 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 INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$2,708.75 |
| Max. Negotiated Rate |
$2,844.19 |
| Rate for Payer: BCBS Complete |
$2,844.19
|
| Rate for Payer: Mclaren Medicaid |
$2,708.75
|
| Rate for Payer: Meridian Medicaid |
$2,844.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,708.75
|
| Rate for Payer: UHCCP Medicaid |
$2,708.75
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,378.78
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$2,265.50 |
| Max. Negotiated Rate |
$2,378.78 |
| Rate for Payer: BCBS Complete |
$2,378.78
|
| Rate for Payer: Mclaren Medicaid |
$2,265.50
|
| Rate for Payer: Meridian Medicaid |
$2,378.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,265.50
|
| Rate for Payer: UHCCP Medicaid |
$2,265.50
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$3,619.88
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$3,447.50 |
| Max. Negotiated Rate |
$3,619.88 |
| Rate for Payer: BCBS Complete |
$3,619.88
|
| Rate for Payer: Mclaren Medicaid |
$3,447.50
|
| Rate for Payer: Meridian Medicaid |
$3,619.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,447.50
|
| Rate for Payer: UHCCP Medicaid |
$3,447.50
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$12,824.70
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$12,214.00 |
| Max. Negotiated Rate |
$12,824.70 |
| Rate for Payer: BCBS Complete |
$12,824.70
|
| Rate for Payer: Mclaren Medicaid |
$12,214.00
|
| Rate for Payer: Meridian Medicaid |
$12,824.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,214.00
|
| Rate for Payer: UHCCP Medicaid |
$12,214.00
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$6,050.36
|
|
|
Service Code
|
APR-DRG 8153
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 4681
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 4682
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$5,516.00 |
| Max. Negotiated Rate |
$5,791.80 |
| Rate for Payer: BCBS Complete |
$5,791.80
|
| Rate for Payer: Mclaren Medicaid |
$5,516.00
|
| Rate for Payer: Meridian Medicaid |
$5,791.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,516.00
|
| Rate for Payer: UHCCP Medicaid |
$5,516.00
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$9,751.50 |
| Max. Negotiated Rate |
$10,239.08 |
| Rate for Payer: BCBS Complete |
$10,239.08
|
| Rate for Payer: Mclaren Medicaid |
$9,751.50
|
| Rate for Payer: Meridian Medicaid |
$10,239.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,751.50
|
| Rate for Payer: UHCCP Medicaid |
$9,751.50
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$6,877.76
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$6,550.25 |
| Max. Negotiated Rate |
$6,877.76 |
| Rate for Payer: BCBS Complete |
$6,877.76
|
| Rate for Payer: Mclaren Medicaid |
$6,550.25
|
| Rate for Payer: Meridian Medicaid |
$6,877.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,550.25
|
| Rate for Payer: UHCCP Medicaid |
$6,550.25
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$22,132.95
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$21,079.00 |
| Max. Negotiated Rate |
$22,132.95 |
| Rate for Payer: BCBS Complete |
$22,132.95
|
| Rate for Payer: Mclaren Medicaid |
$21,079.00
|
| Rate for Payer: Meridian Medicaid |
$22,132.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,079.00
|
| Rate for Payer: UHCCP Medicaid |
$21,079.00
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,669.56
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$12,066.25 |
| Max. Negotiated Rate |
$12,669.56 |
| Rate for Payer: BCBS Complete |
$12,669.56
|
| Rate for Payer: Mclaren Medicaid |
$12,066.25
|
| Rate for Payer: Meridian Medicaid |
$12,669.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,066.25
|
| Rate for Payer: UHCCP Medicaid |
$12,066.25
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$8,480.85
|
|
|
Service Code
|
APR-DRG 4472
|
| 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: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,979.84
|
|
|
Service Code
|
APR-DRG 4483
|
| Min. Negotiated Rate |
$12,361.75 |
| Max. Negotiated Rate |
$12,979.84 |
| Rate for Payer: BCBS Complete |
$12,979.84
|
| Rate for Payer: Mclaren Medicaid |
$12,361.75
|
| Rate for Payer: Meridian Medicaid |
$12,979.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,361.75
|
| Rate for Payer: UHCCP Medicaid |
$12,361.75
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 4481
|
| 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
|
|