|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$10,756.20
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$10,244.00 |
| Max. Negotiated Rate |
$10,756.20 |
| Rate for Payer: BCBS Complete |
$10,756.20
|
| Rate for Payer: Mclaren Medicaid |
$10,244.00
|
| Rate for Payer: Meridian Medicaid |
$10,756.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,244.00
|
| Rate for Payer: UHCCP Medicaid |
$10,244.00
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$21,926.10
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$20,882.00 |
| Max. Negotiated Rate |
$21,926.10 |
| Rate for Payer: BCBS Complete |
$21,926.10
|
| Rate for Payer: Mclaren Medicaid |
$20,882.00
|
| Rate for Payer: Meridian Medicaid |
$21,926.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,882.00
|
| Rate for Payer: UHCCP Medicaid |
$20,882.00
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$32,372.03
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$30,830.50 |
| Max. Negotiated Rate |
$32,372.03 |
| Rate for Payer: BCBS Complete |
$32,372.03
|
| Rate for Payer: Mclaren Medicaid |
$30,830.50
|
| Rate for Payer: Meridian Medicaid |
$32,372.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,830.50
|
| Rate for Payer: UHCCP Medicaid |
$30,830.50
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$14,479.50
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$13,790.00 |
| Max. Negotiated Rate |
$14,479.50 |
| Rate for Payer: BCBS Complete |
$14,479.50
|
| Rate for Payer: Mclaren Medicaid |
$13,790.00
|
| Rate for Payer: Meridian Medicaid |
$14,479.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,790.00
|
| Rate for Payer: UHCCP Medicaid |
$13,790.00
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$9,049.69
|
|
|
Service Code
|
APR-DRG 0911
|
| 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 MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$21,615.83
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$20,586.50 |
| Max. Negotiated Rate |
$21,615.83 |
| Rate for Payer: BCBS Complete |
$21,615.83
|
| Rate for Payer: Mclaren Medicaid |
$20,586.50
|
| Rate for Payer: Meridian Medicaid |
$21,615.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,586.50
|
| Rate for Payer: UHCCP Medicaid |
$20,586.50
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$22,701.79
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$21,620.75 |
| Max. Negotiated Rate |
$22,701.79 |
| Rate for Payer: BCBS Complete |
$22,701.79
|
| Rate for Payer: Mclaren Medicaid |
$21,620.75
|
| Rate for Payer: Meridian Medicaid |
$22,701.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,620.75
|
| Rate for Payer: UHCCP Medicaid |
$21,620.75
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,308.93
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.93 |
| Rate for Payer: BCBS Complete |
$6,308.93
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,756.88
|
|
|
Service Code
|
APR-DRG 4842
|
| 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 MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,411.00
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$11,820.00 |
| Max. Negotiated Rate |
$12,411.00 |
| Rate for Payer: BCBS Complete |
$12,411.00
|
| Rate for Payer: Mclaren Medicaid |
$11,820.00
|
| Rate for Payer: Meridian Medicaid |
$12,411.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,820.00
|
| Rate for Payer: UHCCP Medicaid |
$11,820.00
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 7601
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$5,072.75 |
| Max. Negotiated Rate |
$5,326.39 |
| Rate for Payer: BCBS Complete |
$5,326.39
|
| Rate for Payer: Mclaren Medicaid |
$5,072.75
|
| Rate for Payer: Meridian Medicaid |
$5,326.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,072.75
|
| Rate for Payer: UHCCP Medicaid |
$5,072.75
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$10,859.62
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$10,342.50 |
| Max. Negotiated Rate |
$10,859.62 |
| Rate for Payer: BCBS Complete |
$10,859.62
|
| Rate for Payer: Mclaren Medicaid |
$10,342.50
|
| Rate for Payer: Meridian Medicaid |
$10,859.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,342.50
|
| Rate for Payer: UHCCP Medicaid |
$10,342.50
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$3,413.03
|
|
|
Service Code
|
APR-DRG 7602
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.03 |
| Rate for Payer: BCBS Complete |
$3,413.03
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$9,928.80
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$9,456.00 |
| Max. Negotiated Rate |
$9,928.80 |
| Rate for Payer: BCBS Complete |
$9,928.80
|
| Rate for Payer: Mclaren Medicaid |
$9,456.00
|
| Rate for Payer: Meridian Medicaid |
$9,928.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,456.00
|
| Rate for Payer: UHCCP Medicaid |
$9,456.00
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 3513
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,644.50 |
| Max. Negotiated Rate |
$3,826.72 |
| Rate for Payer: BCBS Complete |
$3,826.72
|
| Rate for Payer: Mclaren Medicaid |
$3,644.50
|
| Rate for Payer: Meridian Medicaid |
$3,826.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,644.50
|
| Rate for Payer: UHCCP Medicaid |
$3,644.50
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,905.75 |
| Max. Negotiated Rate |
$3,051.04 |
| Rate for Payer: BCBS Complete |
$3,051.04
|
| Rate for Payer: Mclaren Medicaid |
$2,905.75
|
| Rate for Payer: Meridian Medicaid |
$3,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,905.75
|
| Rate for Payer: UHCCP Medicaid |
$2,905.75
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$12,514.42
|
|
|
Service Code
|
APR-DRG 3203
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$19,081.91
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$18,173.25 |
| Max. Negotiated Rate |
$19,081.91 |
| Rate for Payer: BCBS Complete |
$19,081.91
|
| Rate for Payer: Mclaren Medicaid |
$18,173.25
|
| Rate for Payer: Meridian Medicaid |
$19,081.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,173.25
|
| Rate for Payer: UHCCP Medicaid |
$18,173.25
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$5,910.00 |
| Max. Negotiated Rate |
$6,205.50 |
| Rate for Payer: BCBS Complete |
$6,205.50
|
| Rate for Payer: Mclaren Medicaid |
$5,910.00
|
| Rate for Payer: Meridian Medicaid |
$6,205.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,910.00
|
| Rate for Payer: UHCCP Medicaid |
$5,910.00
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$8,687.70
|
|
|
Service Code
|
APR-DRG 3202
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,859.62
|
|
|
Service Code
|
APR-DRG 0262
|
| Min. Negotiated Rate |
$10,342.50 |
| Max. Negotiated Rate |
$10,859.62 |
| Rate for Payer: BCBS Complete |
$10,859.62
|
| Rate for Payer: Mclaren Medicaid |
$10,342.50
|
| Rate for Payer: Meridian Medicaid |
$10,859.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,342.50
|
| Rate for Payer: UHCCP Medicaid |
$10,342.50
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,427.79
|
|
|
Service Code
|
APR-DRG 0263
|
| Min. Negotiated Rate |
$13,740.75 |
| Max. Negotiated Rate |
$14,427.79 |
| Rate for Payer: BCBS Complete |
$14,427.79
|
| Rate for Payer: Mclaren Medicaid |
$13,740.75
|
| Rate for Payer: Meridian Medicaid |
$14,427.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,740.75
|
| Rate for Payer: UHCCP Medicaid |
$13,740.75
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$22,598.36
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$21,522.25 |
| Max. Negotiated Rate |
$22,598.36 |
| Rate for Payer: BCBS Complete |
$22,598.36
|
| Rate for Payer: Mclaren Medicaid |
$21,522.25
|
| Rate for Payer: Meridian Medicaid |
$22,598.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,522.25
|
| Rate for Payer: UHCCP Medicaid |
$21,522.25
|
|