|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$9,721.95
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$9,259.00 |
| Max. Negotiated Rate |
$9,721.95 |
| Rate for Payer: BCBS Complete |
$9,721.95
|
| Rate for Payer: Mclaren Medicaid |
$9,259.00
|
| Rate for Payer: Meridian Medicaid |
$9,721.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,259.00
|
| Rate for Payer: UHCCP Medicaid |
$9,259.00
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,912.69
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$4,678.75 |
| Max. Negotiated Rate |
$4,912.69 |
| Rate for Payer: BCBS Complete |
$4,912.69
|
| Rate for Payer: Mclaren Medicaid |
$4,678.75
|
| Rate for Payer: Meridian Medicaid |
$4,912.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,678.75
|
| Rate for Payer: UHCCP Medicaid |
$4,678.75
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,877.76
|
|
|
Service Code
|
APR-DRG 1433
|
| 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 RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$3,201.25 |
| Max. Negotiated Rate |
$3,361.31 |
| Rate for Payer: BCBS Complete |
$3,361.31
|
| Rate for Payer: Mclaren Medicaid |
$3,201.25
|
| Rate for Payer: Meridian Medicaid |
$3,361.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,201.25
|
| Rate for Payer: UHCCP Medicaid |
$3,201.25
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$18,151.09
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$17,286.75 |
| Max. Negotiated Rate |
$18,151.09 |
| Rate for Payer: BCBS Complete |
$18,151.09
|
| Rate for Payer: Mclaren Medicaid |
$17,286.75
|
| Rate for Payer: Meridian Medicaid |
$18,151.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,286.75
|
| Rate for Payer: UHCCP Medicaid |
$17,286.75
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$8,584.28
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$8,175.50 |
| Max. Negotiated Rate |
$8,584.28 |
| Rate for Payer: BCBS Complete |
$8,584.28
|
| Rate for Payer: Mclaren Medicaid |
$8,175.50
|
| Rate for Payer: Meridian Medicaid |
$8,584.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,175.50
|
| Rate for Payer: UHCCP Medicaid |
$8,175.50
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$13,652.10
|
|
|
Service Code
|
APR-DRG 3093
|
| Min. Negotiated Rate |
$13,002.00 |
| Max. Negotiated Rate |
$13,652.10 |
| Rate for Payer: BCBS Complete |
$13,652.10
|
| Rate for Payer: Mclaren Medicaid |
$13,002.00
|
| Rate for Payer: Meridian Medicaid |
$13,652.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,002.00
|
| Rate for Payer: UHCCP Medicaid |
$13,002.00
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$11,531.89
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$10,982.75 |
| Max. Negotiated Rate |
$11,531.89 |
| Rate for Payer: BCBS Complete |
$11,531.89
|
| Rate for Payer: Mclaren Medicaid |
$10,982.75
|
| Rate for Payer: Meridian Medicaid |
$11,531.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,982.75
|
| Rate for Payer: UHCCP Medicaid |
$10,982.75
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,413.02
|
|
|
Service Code
|
APR-DRG 3851
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.02 |
| Rate for Payer: BCBS Complete |
$3,413.02
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$8,480.85
|
|
|
Service Code
|
APR-DRG 3854
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 3852
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$6,102.08
|
|
|
Service Code
|
APR-DRG 3853
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,963.05
|
|
|
Service Code
|
APR-DRG 3644
|
| Min. Negotiated Rate |
$10,441.00 |
| Max. Negotiated Rate |
$10,963.05 |
| Rate for Payer: BCBS Complete |
$10,963.05
|
| Rate for Payer: Mclaren Medicaid |
$10,441.00
|
| Rate for Payer: Meridian Medicaid |
$10,963.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,441.00
|
| Rate for Payer: UHCCP Medicaid |
$10,441.00
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 3641
|
| Min. Negotiated Rate |
$4,728.00 |
| Max. Negotiated Rate |
$4,964.40 |
| Rate for Payer: BCBS Complete |
$4,964.40
|
| Rate for Payer: Mclaren Medicaid |
$4,728.00
|
| Rate for Payer: Meridian Medicaid |
$4,964.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,728.00
|
| Rate for Payer: UHCCP Medicaid |
$4,728.00
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,204.82
|
|
|
Service Code
|
APR-DRG 3643
|
| Min. Negotiated Rate |
$8,766.50 |
| Max. Negotiated Rate |
$9,204.82 |
| Rate for Payer: BCBS Complete |
$9,204.82
|
| Rate for Payer: Mclaren Medicaid |
$8,766.50
|
| Rate for Payer: Meridian Medicaid |
$9,204.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,766.50
|
| Rate for Payer: UHCCP Medicaid |
$8,766.50
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$5,895.22
|
|
|
Service Code
|
APR-DRG 3642
|
| Min. Negotiated Rate |
$5,614.50 |
| Max. Negotiated Rate |
$5,895.22 |
| Rate for Payer: BCBS Complete |
$5,895.22
|
| Rate for Payer: Mclaren Medicaid |
$5,614.50
|
| Rate for Payer: Meridian Medicaid |
$5,895.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,614.50
|
| Rate for Payer: UHCCP Medicaid |
$5,614.50
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,342.50
|
|
|
Service Code
|
APR-DRG 2232
|
| Min. Negotiated Rate |
$9,850.00 |
| Max. Negotiated Rate |
$10,342.50 |
| Rate for Payer: BCBS Complete |
$10,342.50
|
| Rate for Payer: Mclaren Medicaid |
$9,850.00
|
| Rate for Payer: Meridian Medicaid |
$10,342.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,850.00
|
| Rate for Payer: UHCCP Medicaid |
$9,850.00
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,652.78
|
|
|
Service Code
|
APR-DRG 2233
|
| 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 SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$7,343.18
|
|
|
Service Code
|
APR-DRG 2231
|
| Min. Negotiated Rate |
$6,993.50 |
| Max. Negotiated Rate |
$7,343.18 |
| Rate for Payer: BCBS Complete |
$7,343.18
|
| Rate for Payer: Mclaren Medicaid |
$6,993.50
|
| Rate for Payer: Meridian Medicaid |
$7,343.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,993.50
|
| Rate for Payer: UHCCP Medicaid |
$6,993.50
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$19,392.19
|
|
|
Service Code
|
APR-DRG 2234
|
| Min. Negotiated Rate |
$18,468.75 |
| Max. Negotiated Rate |
$19,392.19 |
| Rate for Payer: BCBS Complete |
$19,392.19
|
| Rate for Payer: Mclaren Medicaid |
$18,468.75
|
| Rate for Payer: Meridian Medicaid |
$19,392.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,468.75
|
| Rate for Payer: UHCCP Medicaid |
$18,468.75
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 2222
|
| Min. Negotiated Rate |
$7,929.25 |
| Max. Negotiated Rate |
$8,325.71 |
| Rate for Payer: BCBS Complete |
$8,325.71
|
| Rate for Payer: Mclaren Medicaid |
$7,929.25
|
| Rate for Payer: Meridian Medicaid |
$8,325.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,929.25
|
| Rate for Payer: UHCCP Medicaid |
$7,929.25
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$4,809.26
|
|
|
Service Code
|
APR-DRG 2221
|
| Min. Negotiated Rate |
$4,580.25 |
| Max. Negotiated Rate |
$4,809.26 |
| Rate for Payer: BCBS Complete |
$4,809.26
|
| Rate for Payer: Mclaren Medicaid |
$4,580.25
|
| Rate for Payer: Meridian Medicaid |
$4,809.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,580.25
|
| Rate for Payer: UHCCP Medicaid |
$4,580.25
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$22,701.79
|
|
|
Service Code
|
APR-DRG 2224
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$13,341.82
|
|
|
Service Code
|
APR-DRG 2223
|
| Min. Negotiated Rate |
$12,706.50 |
| Max. Negotiated Rate |
$13,341.82 |
| Rate for Payer: BCBS Complete |
$13,341.82
|
| Rate for Payer: Mclaren Medicaid |
$12,706.50
|
| Rate for Payer: Meridian Medicaid |
$13,341.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,706.50
|
| Rate for Payer: UHCCP Medicaid |
$12,706.50
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 8441
|
| 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
|
|