|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$23,580.90
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$22,458.00 |
| Max. Negotiated Rate |
$23,580.90 |
| Rate for Payer: BCBS Complete |
$23,580.90
|
| Rate for Payer: Mclaren Medicaid |
$22,458.00
|
| Rate for Payer: Meridian Medicaid |
$23,580.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,458.00
|
| Rate for Payer: UHCCP Medicaid |
$22,458.00
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 4051
|
| Min. Negotiated Rate |
$6,501.00 |
| Max. Negotiated Rate |
$6,826.05 |
| Rate for Payer: BCBS Complete |
$6,826.05
|
| Rate for Payer: Mclaren Medicaid |
$6,501.00
|
| Rate for Payer: Meridian Medicaid |
$6,826.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,501.00
|
| Rate for Payer: UHCCP Medicaid |
$6,501.00
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 4053
|
| 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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,274.00
|
|
|
Service Code
|
APR-DRG 4052
|
| Min. Negotiated Rate |
$7,880.00 |
| Max. Negotiated Rate |
$8,274.00 |
| Rate for Payer: BCBS Complete |
$8,274.00
|
| Rate for Payer: Mclaren Medicaid |
$7,880.00
|
| Rate for Payer: Meridian Medicaid |
$8,274.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,880.00
|
| Rate for Payer: UHCCP Medicaid |
$7,880.00
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,619.20
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$6,304.00 |
| Max. Negotiated Rate |
$6,619.20 |
| Rate for Payer: BCBS Complete |
$6,619.20
|
| Rate for Payer: Mclaren Medicaid |
$6,304.00
|
| Rate for Payer: Meridian Medicaid |
$6,619.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,304.00
|
| Rate for Payer: UHCCP Medicaid |
$6,304.00
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$24,563.44
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$23,393.75 |
| Max. Negotiated Rate |
$24,563.44 |
| Rate for Payer: BCBS Complete |
$24,563.44
|
| Rate for Payer: Mclaren Medicaid |
$23,393.75
|
| Rate for Payer: Meridian Medicaid |
$24,563.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,393.75
|
| Rate for Payer: UHCCP Medicaid |
$23,393.75
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,359.96
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$8,914.25 |
| Max. Negotiated Rate |
$9,359.96 |
| Rate for Payer: BCBS Complete |
$9,359.96
|
| Rate for Payer: Mclaren Medicaid |
$8,914.25
|
| Rate for Payer: Meridian Medicaid |
$9,359.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,914.25
|
| Rate for Payer: UHCCP Medicaid |
$8,914.25
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$12,721.27
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$12,115.50 |
| Max. Negotiated Rate |
$12,721.27 |
| Rate for Payer: BCBS Complete |
$12,721.27
|
| Rate for Payer: Mclaren Medicaid |
$12,115.50
|
| Rate for Payer: Meridian Medicaid |
$12,721.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,115.50
|
| Rate for Payer: UHCCP Medicaid |
$12,115.50
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$7,498.31
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$7,141.25 |
| Max. Negotiated Rate |
$7,498.31 |
| Rate for Payer: BCBS Complete |
$7,498.31
|
| Rate for Payer: Mclaren Medicaid |
$7,141.25
|
| Rate for Payer: Meridian Medicaid |
$7,498.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,141.25
|
| Rate for Payer: UHCCP Medicaid |
$7,141.25
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$9,825.38
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$9,357.50 |
| Max. Negotiated Rate |
$9,825.38 |
| Rate for Payer: BCBS Complete |
$9,825.38
|
| Rate for Payer: Mclaren Medicaid |
$9,357.50
|
| Rate for Payer: Meridian Medicaid |
$9,825.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,357.50
|
| Rate for Payer: UHCCP Medicaid |
$9,357.50
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,203.48
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$14,479.50 |
| Max. Negotiated Rate |
$15,203.48 |
| Rate for Payer: BCBS Complete |
$15,203.48
|
| Rate for Payer: Mclaren Medicaid |
$14,479.50
|
| Rate for Payer: Meridian Medicaid |
$15,203.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,479.50
|
| Rate for Payer: UHCCP Medicaid |
$14,479.50
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$23,994.60
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$22,852.00 |
| Max. Negotiated Rate |
$23,994.60 |
| Rate for Payer: BCBS Complete |
$23,994.60
|
| Rate for Payer: Mclaren Medicaid |
$22,852.00
|
| Rate for Payer: Meridian Medicaid |
$23,994.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,852.00
|
| Rate for Payer: UHCCP Medicaid |
$22,852.00
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$2,807.25 |
| Max. Negotiated Rate |
$2,947.61 |
| Rate for Payer: BCBS Complete |
$2,947.61
|
| Rate for Payer: Mclaren Medicaid |
$2,807.25
|
| Rate for Payer: Meridian Medicaid |
$2,947.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,807.25
|
| Rate for Payer: UHCCP Medicaid |
$2,807.25
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$3,989.25 |
| Max. Negotiated Rate |
$4,188.71 |
| Rate for Payer: BCBS Complete |
$4,188.71
|
| Rate for Payer: Mclaren Medicaid |
$3,989.25
|
| Rate for Payer: Meridian Medicaid |
$4,188.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,989.25
|
| Rate for Payer: UHCCP Medicaid |
$3,989.25
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$6,156.25 |
| Max. Negotiated Rate |
$6,464.06 |
| Rate for Payer: BCBS Complete |
$6,464.06
|
| Rate for Payer: Mclaren Medicaid |
$6,156.25
|
| Rate for Payer: Meridian Medicaid |
$6,464.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,156.25
|
| Rate for Payer: UHCCP Medicaid |
$6,156.25
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$10,194.75 |
| Max. Negotiated Rate |
$10,704.49 |
| Rate for Payer: BCBS Complete |
$10,704.49
|
| Rate for Payer: Mclaren Medicaid |
$10,194.75
|
| Rate for Payer: Meridian Medicaid |
$10,704.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,194.75
|
| Rate for Payer: UHCCP Medicaid |
$10,194.75
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$14,220.94
|
|
|
Service Code
|
APR-DRG 3093
|
| 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 SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$7,963.73
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$7,584.50 |
| Max. Negotiated Rate |
$7,963.73 |
| Rate for Payer: BCBS Complete |
$7,963.73
|
| Rate for Payer: Mclaren Medicaid |
$7,584.50
|
| Rate for Payer: Meridian Medicaid |
$7,963.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,584.50
|
| Rate for Payer: UHCCP Medicaid |
$7,584.50
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$20,426.44
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$19,453.75 |
| Max. Negotiated Rate |
$20,426.44 |
| Rate for Payer: BCBS Complete |
$20,426.44
|
| Rate for Payer: Mclaren Medicaid |
$19,453.75
|
| Rate for Payer: Meridian Medicaid |
$20,426.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,453.75
|
| Rate for Payer: UHCCP Medicaid |
$19,453.75
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$9,948.50 |
| Max. Negotiated Rate |
$10,445.92 |
| Rate for Payer: BCBS Complete |
$10,445.92
|
| Rate for Payer: Mclaren Medicaid |
$9,948.50
|
| Rate for Payer: Meridian Medicaid |
$10,445.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,948.50
|
| Rate for Payer: UHCCP Medicaid |
$9,948.50
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$9,825.38
|
|
|
Service Code
|
APR-DRG 3854
|
| Min. Negotiated Rate |
$9,357.50 |
| Max. Negotiated Rate |
$9,825.38 |
| Rate for Payer: BCBS Complete |
$9,825.38
|
| Rate for Payer: Mclaren Medicaid |
$9,357.50
|
| Rate for Payer: Meridian Medicaid |
$9,825.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,357.50
|
| Rate for Payer: UHCCP Medicaid |
$9,357.50
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,619.88
|
|
|
Service Code
|
APR-DRG 3852
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$2,792.47
|
|
|
Service Code
|
APR-DRG 3851
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.47 |
| Rate for Payer: BCBS Complete |
$2,792.47
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$5,895.23
|
|
|
Service Code
|
APR-DRG 3853
|
| Min. Negotiated Rate |
$5,614.50 |
| Max. Negotiated Rate |
$5,895.23 |
| Rate for Payer: BCBS Complete |
$5,895.23
|
| Rate for Payer: Mclaren Medicaid |
$5,614.50
|
| Rate for Payer: Meridian Medicaid |
$5,895.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,614.50
|
| Rate for Payer: UHCCP Medicaid |
$5,614.50
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$15,927.45
|
|
|
Service Code
|
APR-DRG 3644
|
| Min. Negotiated Rate |
$15,169.00 |
| Max. Negotiated Rate |
$15,927.45 |
| Rate for Payer: BCBS Complete |
$15,927.45
|
| Rate for Payer: Mclaren Medicaid |
$15,169.00
|
| Rate for Payer: Meridian Medicaid |
$15,927.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,169.00
|
| Rate for Payer: UHCCP Medicaid |
$15,169.00
|
|