|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,548.68
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$12,903.50 |
| Max. Negotiated Rate |
$13,548.68 |
| Rate for Payer: BCBS Complete |
$13,548.68
|
| Rate for Payer: Mclaren Medicaid |
$12,903.50
|
| Rate for Payer: Meridian Medicaid |
$13,548.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,903.50
|
| Rate for Payer: UHCCP Medicaid |
$12,903.50
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$14,789.78
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$14,085.50 |
| Max. Negotiated Rate |
$14,789.78 |
| Rate for Payer: BCBS Complete |
$14,789.78
|
| Rate for Payer: Mclaren Medicaid |
$14,085.50
|
| Rate for Payer: Meridian Medicaid |
$14,789.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,085.50
|
| Rate for Payer: UHCCP Medicaid |
$14,085.50
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$20,167.88
|
|
|
Service Code
|
APR-DRG 0294
|
| Min. Negotiated Rate |
$19,207.50 |
| Max. Negotiated Rate |
$20,167.88 |
| Rate for Payer: BCBS Complete |
$20,167.88
|
| Rate for Payer: Mclaren Medicaid |
$19,207.50
|
| Rate for Payer: Meridian Medicaid |
$20,167.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,207.50
|
| Rate for Payer: UHCCP Medicaid |
$19,207.50
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$16,599.71
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$15,809.25 |
| Max. Negotiated Rate |
$16,599.71 |
| Rate for Payer: BCBS Complete |
$16,599.71
|
| Rate for Payer: Mclaren Medicaid |
$15,809.25
|
| Rate for Payer: Meridian Medicaid |
$16,599.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,809.25
|
| Rate for Payer: UHCCP Medicaid |
$15,809.25
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$20,064.45
|
|
|
Service Code
|
APR-DRG 0293
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,256.54
|
|
|
Service Code
|
APR-DRG 1821
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$22,701.79
|
|
|
Service Code
|
APR-DRG 1824
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,376.75
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$10,835.00 |
| Max. Negotiated Rate |
$11,376.75 |
| Rate for Payer: BCBS Complete |
$11,376.75
|
| Rate for Payer: Mclaren Medicaid |
$10,835.00
|
| Rate for Payer: Meridian Medicaid |
$11,376.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,835.00
|
| Rate for Payer: UHCCP Medicaid |
$10,835.00
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,582.92
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$13,888.50 |
| Max. Negotiated Rate |
$14,582.92 |
| Rate for Payer: BCBS Complete |
$14,582.92
|
| Rate for Payer: Mclaren Medicaid |
$13,888.50
|
| Rate for Payer: Meridian Medicaid |
$14,582.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,888.50
|
| Rate for Payer: UHCCP Medicaid |
$13,888.50
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 1391
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 1393
|
| Min. Negotiated Rate |
$5,466.75 |
| Max. Negotiated Rate |
$5,740.09 |
| Rate for Payer: BCBS Complete |
$5,740.09
|
| Rate for Payer: Mclaren Medicaid |
$5,466.75
|
| Rate for Payer: Meridian Medicaid |
$5,740.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,466.75
|
| Rate for Payer: UHCCP Medicaid |
$5,466.75
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$8,015.44
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$7,633.75 |
| Max. Negotiated Rate |
$8,015.44 |
| Rate for Payer: BCBS Complete |
$8,015.44
|
| Rate for Payer: Mclaren Medicaid |
$7,633.75
|
| Rate for Payer: Meridian Medicaid |
$8,015.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,633.75
|
| Rate for Payer: UHCCP Medicaid |
$7,633.75
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 1392
|
| 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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 4051
|
| 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
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$25,080.56
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$23,886.25 |
| Max. Negotiated Rate |
$25,080.56 |
| Rate for Payer: BCBS Complete |
$25,080.56
|
| Rate for Payer: Mclaren Medicaid |
$23,886.25
|
| Rate for Payer: Meridian Medicaid |
$25,080.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,886.25
|
| Rate for Payer: UHCCP Medicaid |
$23,886.25
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$13,186.69
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$12,558.75 |
| Max. Negotiated Rate |
$13,186.69 |
| Rate for Payer: BCBS Complete |
$13,186.69
|
| Rate for Payer: Mclaren Medicaid |
$12,558.75
|
| Rate for Payer: Meridian Medicaid |
$13,186.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,558.75
|
| Rate for Payer: UHCCP Medicaid |
$12,558.75
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,687.70
|
|
|
Service Code
|
APR-DRG 4052
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 6512
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$27,821.32
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$26,496.50 |
| Max. Negotiated Rate |
$27,821.32 |
| Rate for Payer: BCBS Complete |
$27,821.32
|
| Rate for Payer: Mclaren Medicaid |
$26,496.50
|
| Rate for Payer: Meridian Medicaid |
$27,821.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,496.50
|
| Rate for Payer: UHCCP Medicaid |
$26,496.50
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$14,479.50
|
|
|
Service Code
|
APR-DRG 6513
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$6,648.75 |
| Max. Negotiated Rate |
$6,981.19 |
| Rate for Payer: BCBS Complete |
$6,981.19
|
| Rate for Payer: Mclaren Medicaid |
$6,648.75
|
| Rate for Payer: Meridian Medicaid |
$6,981.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,648.75
|
| Rate for Payer: UHCCP Medicaid |
$6,648.75
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$8,687.70
|
|
|
Service Code
|
APR-DRG 1211
|
| 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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$22,805.21
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$21,719.25 |
| Max. Negotiated Rate |
$22,805.21 |
| Rate for Payer: BCBS Complete |
$22,805.21
|
| Rate for Payer: Mclaren Medicaid |
$21,719.25
|
| Rate for Payer: Meridian Medicaid |
$22,805.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,719.25
|
| Rate for Payer: UHCCP Medicaid |
$21,719.25
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$14,220.94
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$13,543.75 |
| Max. Negotiated Rate |
$14,220.94 |
| Rate for Payer: BCBS Complete |
$14,220.94
|
| Rate for Payer: Mclaren Medicaid |
$13,543.75
|
| Rate for Payer: Meridian Medicaid |
$14,220.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,543.75
|
| Rate for Payer: UHCCP Medicaid |
$13,543.75
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$11,583.60
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$11,032.00 |
| Max. Negotiated Rate |
$11,583.60 |
| Rate for Payer: BCBS Complete |
$11,583.60
|
| Rate for Payer: Mclaren Medicaid |
$11,032.00
|
| Rate for Payer: Meridian Medicaid |
$11,583.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,032.00
|
| Rate for Payer: UHCCP Medicaid |
$11,032.00
|
|