|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$12,204.15
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$11,623.00 |
| Max. Negotiated Rate |
$12,204.15 |
| Rate for Payer: BCBS Complete |
$12,204.15
|
| Rate for Payer: Mclaren Medicaid |
$11,623.00
|
| Rate for Payer: Meridian Medicaid |
$12,204.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.00
|
| Rate for Payer: UHCCP Medicaid |
$11,623.00
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$7,756.88
|
|
|
Service Code
|
APR-DRG 8153
|
| Min. Negotiated Rate |
$7,387.50 |
| Max. Negotiated Rate |
$7,756.88 |
| Rate for Payer: BCBS Complete |
$7,756.88
|
| Rate for Payer: Mclaren Medicaid |
$7,387.50
|
| Rate for Payer: Meridian Medicaid |
$7,756.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,387.50
|
| Rate for Payer: UHCCP Medicaid |
$7,387.50
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$4,498.99
|
|
|
Service Code
|
APR-DRG 8152
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$8,946.26
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$8,520.25 |
| Max. Negotiated Rate |
$8,946.26 |
| Rate for Payer: BCBS Complete |
$8,946.26
|
| Rate for Payer: Mclaren Medicaid |
$8,520.25
|
| Rate for Payer: Meridian Medicaid |
$8,946.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,520.25
|
| Rate for Payer: UHCCP Medicaid |
$8,520.25
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$5,663.75 |
| Max. Negotiated Rate |
$5,946.94 |
| Rate for Payer: BCBS Complete |
$5,946.94
|
| Rate for Payer: Mclaren Medicaid |
$5,663.75
|
| Rate for Payer: Meridian Medicaid |
$5,946.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,663.75
|
| Rate for Payer: UHCCP Medicaid |
$5,663.75
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 4682
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 4681
|
| 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 KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,446.60
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$7,092.00 |
| Max. Negotiated Rate |
$7,446.60 |
| Rate for Payer: BCBS Complete |
$7,446.60
|
| Rate for Payer: Mclaren Medicaid |
$7,092.00
|
| Rate for Payer: Meridian Medicaid |
$7,446.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,092.00
|
| Rate for Payer: UHCCP Medicaid |
$7,092.00
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,256.54
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$8,815.75 |
| Max. Negotiated Rate |
$9,256.54 |
| Rate for Payer: BCBS Complete |
$9,256.54
|
| Rate for Payer: Mclaren Medicaid |
$8,815.75
|
| Rate for Payer: Meridian Medicaid |
$9,256.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,815.75
|
| Rate for Payer: UHCCP Medicaid |
$8,815.75
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$19,909.31
|
|
|
Service Code
|
APR-DRG 4474
|
| 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 KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 4473
|
| 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
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 4481
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$11,273.32
|
|
|
Service Code
|
APR-DRG 4483
|
| Min. Negotiated Rate |
$10,736.50 |
| Max. Negotiated Rate |
$11,273.32 |
| Rate for Payer: BCBS Complete |
$11,273.32
|
| Rate for Payer: Mclaren Medicaid |
$10,736.50
|
| Rate for Payer: Meridian Medicaid |
$11,273.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,736.50
|
| Rate for Payer: UHCCP Medicaid |
$10,736.50
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,308.25
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$8,865.00 |
| Max. Negotiated Rate |
$9,308.25 |
| Rate for Payer: BCBS Complete |
$9,308.25
|
| Rate for Payer: Mclaren Medicaid |
$8,865.00
|
| Rate for Payer: Meridian Medicaid |
$9,308.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,865.00
|
| Rate for Payer: UHCCP Medicaid |
$8,865.00
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$18,978.49
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$18,074.75 |
| Max. Negotiated Rate |
$18,978.49 |
| Rate for Payer: BCBS Complete |
$18,978.49
|
| Rate for Payer: Mclaren Medicaid |
$18,074.75
|
| Rate for Payer: Meridian Medicaid |
$18,978.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,074.75
|
| Rate for Payer: UHCCP Medicaid |
$18,074.75
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$38,887.80
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$37,036.00 |
| Max. Negotiated Rate |
$38,887.80 |
| Rate for Payer: BCBS Complete |
$38,887.80
|
| Rate for Payer: Mclaren Medicaid |
$37,036.00
|
| Rate for Payer: Meridian Medicaid |
$38,887.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,036.00
|
| Rate for Payer: UHCCP Medicaid |
$37,036.00
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$37,336.42
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$35,558.50 |
| Max. Negotiated Rate |
$37,336.42 |
| Rate for Payer: BCBS Complete |
$37,336.42
|
| Rate for Payer: Mclaren Medicaid |
$35,558.50
|
| Rate for Payer: Meridian Medicaid |
$37,336.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,558.50
|
| Rate for Payer: UHCCP Medicaid |
$35,558.50
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$12,772.99
|
|
|
Service Code
|
APR-DRG 0911
|
| Min. Negotiated Rate |
$12,164.75 |
| Max. Negotiated Rate |
$12,772.99 |
| Rate for Payer: BCBS Complete |
$12,772.99
|
| Rate for Payer: Mclaren Medicaid |
$12,164.75
|
| Rate for Payer: Meridian Medicaid |
$12,772.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,164.75
|
| Rate for Payer: UHCCP Medicaid |
$12,164.75
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$27,717.90
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$26,398.00 |
| Max. Negotiated Rate |
$27,717.90 |
| Rate for Payer: BCBS Complete |
$27,717.90
|
| Rate for Payer: Mclaren Medicaid |
$26,398.00
|
| Rate for Payer: Meridian Medicaid |
$27,717.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,398.00
|
| Rate for Payer: UHCCP Medicaid |
$26,398.00
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$25,235.70
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$24,034.00 |
| Max. Negotiated Rate |
$25,235.70 |
| Rate for Payer: BCBS Complete |
$25,235.70
|
| Rate for Payer: Mclaren Medicaid |
$24,034.00
|
| Rate for Payer: Meridian Medicaid |
$25,235.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,034.00
|
| Rate for Payer: UHCCP Medicaid |
$24,034.00
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,067.15
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$7,683.00 |
| Max. Negotiated Rate |
$8,067.15 |
| Rate for Payer: BCBS Complete |
$8,067.15
|
| Rate for Payer: Mclaren Medicaid |
$7,683.00
|
| Rate for Payer: Meridian Medicaid |
$8,067.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,683.00
|
| Rate for Payer: UHCCP Medicaid |
$7,683.00
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$13,807.24
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$13,149.75 |
| Max. Negotiated Rate |
$13,807.24 |
| Rate for Payer: BCBS Complete |
$13,807.24
|
| Rate for Payer: Mclaren Medicaid |
$13,149.75
|
| Rate for Payer: Meridian Medicaid |
$13,807.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,149.75
|
| Rate for Payer: UHCCP Medicaid |
$13,149.75
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,877.09
|
|
|
Service Code
|
APR-DRG 4842
|
| Min. Negotiated Rate |
$9,406.75 |
| Max. Negotiated Rate |
$9,877.09 |
| Rate for Payer: BCBS Complete |
$9,877.09
|
| Rate for Payer: Mclaren Medicaid |
$9,406.75
|
| Rate for Payer: Meridian Medicaid |
$9,877.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,406.75
|
| Rate for Payer: UHCCP Medicaid |
$9,406.75
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$8,687.70
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$8,274.00 |
| Max. Negotiated Rate |
$8,687.70 |
| Rate for Payer: BCBS Complete |
$8,687.70
|
| Rate for Payer: Mclaren Medicaid |
$8,274.00
|
| Rate for Payer: Meridian Medicaid |
$8,687.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,274.00
|
| Rate for Payer: UHCCP Medicaid |
$8,274.00
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,378.78
|
|
|
Service Code
|
APR-DRG 7601
|
| 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
|
|