|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$6,567.49
|
|
|
Service Code
|
APR-DRG 8443
|
| Min. Negotiated Rate |
$6,254.75 |
| Max. Negotiated Rate |
$6,567.49 |
| Rate for Payer: BCBS Complete |
$6,567.49
|
| Rate for Payer: Mclaren Medicaid |
$6,254.75
|
| Rate for Payer: Meridian Medicaid |
$6,567.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,254.75
|
| Rate for Payer: UHCCP Medicaid |
$6,254.75
|
|
|
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
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$9,928.80
|
|
|
Service Code
|
APR-DRG 8444
|
| 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: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$12,824.70
|
|
|
Service Code
|
APR-DRG 4833
|
| Min. Negotiated Rate |
$12,214.00 |
| Max. Negotiated Rate |
$12,824.70 |
| Rate for Payer: BCBS Complete |
$12,824.70
|
| Rate for Payer: Mclaren Medicaid |
$12,214.00
|
| Rate for Payer: Meridian Medicaid |
$12,824.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,214.00
|
| Rate for Payer: UHCCP Medicaid |
$12,214.00
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$5,584.95
|
|
|
Service Code
|
APR-DRG 4831
|
| Min. Negotiated Rate |
$5,319.00 |
| Max. Negotiated Rate |
$5,584.95 |
| Rate for Payer: BCBS Complete |
$5,584.95
|
| Rate for Payer: Mclaren Medicaid |
$5,319.00
|
| Rate for Payer: Meridian Medicaid |
$5,584.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,319.00
|
| Rate for Payer: UHCCP Medicaid |
$5,319.00
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$22,391.51
|
|
|
Service Code
|
APR-DRG 4834
|
| Min. Negotiated Rate |
$21,325.25 |
| Max. Negotiated Rate |
$22,391.51 |
| Rate for Payer: BCBS Complete |
$22,391.51
|
| Rate for Payer: Mclaren Medicaid |
$21,325.25
|
| Rate for Payer: Meridian Medicaid |
$22,391.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,325.25
|
| Rate for Payer: UHCCP Medicaid |
$21,325.25
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$8,480.85
|
|
|
Service Code
|
APR-DRG 4832
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$6,619.20
|
|
|
Service Code
|
APR-DRG 2413
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 2411
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 2412
|
| Min. Negotiated Rate |
$4,481.75 |
| Max. Negotiated Rate |
$4,705.84 |
| Rate for Payer: BCBS Complete |
$4,705.84
|
| Rate for Payer: Mclaren Medicaid |
$4,481.75
|
| Rate for Payer: Meridian Medicaid |
$4,705.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,481.75
|
| Rate for Payer: UHCCP Medicaid |
$4,481.75
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$12,462.71
|
|
|
Service Code
|
APR-DRG 2414
|
| Min. Negotiated Rate |
$11,869.25 |
| Max. Negotiated Rate |
$12,462.71 |
| Rate for Payer: BCBS Complete |
$12,462.71
|
| Rate for Payer: Mclaren Medicaid |
$11,869.25
|
| Rate for Payer: Meridian Medicaid |
$12,462.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,869.25
|
| Rate for Payer: UHCCP Medicaid |
$11,869.25
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$20,012.74
|
|
|
Service Code
|
APR-DRG 1744
|
| Min. Negotiated Rate |
$19,059.75 |
| Max. Negotiated Rate |
$20,012.74 |
| Rate for Payer: BCBS Complete |
$20,012.74
|
| Rate for Payer: Mclaren Medicaid |
$19,059.75
|
| Rate for Payer: Meridian Medicaid |
$20,012.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,059.75
|
| Rate for Payer: UHCCP Medicaid |
$19,059.75
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$12,566.14
|
|
|
Service Code
|
APR-DRG 1742
|
| Min. Negotiated Rate |
$11,967.75 |
| Max. Negotiated Rate |
$12,566.14 |
| Rate for Payer: BCBS Complete |
$12,566.14
|
| Rate for Payer: Mclaren Medicaid |
$11,967.75
|
| Rate for Payer: Meridian Medicaid |
$12,566.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,967.75
|
| Rate for Payer: UHCCP Medicaid |
$11,967.75
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$13,910.66
|
|
|
Service Code
|
APR-DRG 1743
|
| Min. Negotiated Rate |
$13,248.25 |
| Max. Negotiated Rate |
$13,910.66 |
| Rate for Payer: BCBS Complete |
$13,910.66
|
| Rate for Payer: Mclaren Medicaid |
$13,248.25
|
| Rate for Payer: Meridian Medicaid |
$13,910.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,248.25
|
| Rate for Payer: UHCCP Medicaid |
$13,248.25
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$10,083.94
|
|
|
Service Code
|
APR-DRG 1741
|
| Min. Negotiated Rate |
$9,603.75 |
| Max. Negotiated Rate |
$10,083.94 |
| Rate for Payer: BCBS Complete |
$10,083.94
|
| Rate for Payer: Mclaren Medicaid |
$9,603.75
|
| Rate for Payer: Meridian Medicaid |
$10,083.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,603.75
|
| Rate for Payer: UHCCP Medicaid |
$9,603.75
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$11,842.16
|
|
|
Service Code
|
APR-DRG 1752
|
| Min. Negotiated Rate |
$11,278.25 |
| Max. Negotiated Rate |
$11,842.16 |
| Rate for Payer: BCBS Complete |
$11,842.16
|
| Rate for Payer: Mclaren Medicaid |
$11,278.25
|
| Rate for Payer: Meridian Medicaid |
$11,842.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,278.25
|
| Rate for Payer: UHCCP Medicaid |
$11,278.25
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$8,791.12
|
|
|
Service Code
|
APR-DRG 1751
|
| Min. Negotiated Rate |
$8,372.50 |
| Max. Negotiated Rate |
$8,791.12 |
| Rate for Payer: BCBS Complete |
$8,791.12
|
| Rate for Payer: Mclaren Medicaid |
$8,372.50
|
| Rate for Payer: Meridian Medicaid |
$8,791.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,372.50
|
| Rate for Payer: UHCCP Medicaid |
$8,372.50
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$22,391.51
|
|
|
Service Code
|
APR-DRG 1754
|
| Min. Negotiated Rate |
$21,325.25 |
| Max. Negotiated Rate |
$22,391.51 |
| Rate for Payer: BCBS Complete |
$22,391.51
|
| Rate for Payer: Mclaren Medicaid |
$21,325.25
|
| Rate for Payer: Meridian Medicaid |
$22,391.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,325.25
|
| Rate for Payer: UHCCP Medicaid |
$21,325.25
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$14,272.65
|
|
|
Service Code
|
APR-DRG 1753
|
| Min. Negotiated Rate |
$13,593.00 |
| Max. Negotiated Rate |
$14,272.65 |
| Rate for Payer: BCBS Complete |
$14,272.65
|
| Rate for Payer: Mclaren Medicaid |
$13,593.00
|
| Rate for Payer: Meridian Medicaid |
$14,272.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,593.00
|
| Rate for Payer: UHCCP Medicaid |
$13,593.00
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,514.42
|
|
|
Service Code
|
APR-DRG 0302
|
| 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: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 0301
|
| Min. Negotiated Rate |
$6,944.25 |
| Max. Negotiated Rate |
$7,291.46 |
| Rate for Payer: BCBS Complete |
$7,291.46
|
| Rate for Payer: Mclaren Medicaid |
$6,944.25
|
| Rate for Payer: Meridian Medicaid |
$7,291.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,944.25
|
| Rate for Payer: UHCCP Medicaid |
$6,944.25
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$21,564.11
|
|
|
Service Code
|
APR-DRG 0304
|
| Min. Negotiated Rate |
$20,537.25 |
| Max. Negotiated Rate |
$21,564.11 |
| Rate for Payer: BCBS Complete |
$21,564.11
|
| Rate for Payer: Mclaren Medicaid |
$20,537.25
|
| Rate for Payer: Meridian Medicaid |
$21,564.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,537.25
|
| Rate for Payer: UHCCP Medicaid |
$20,537.25
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,030.88
|
|
|
Service Code
|
APR-DRG 0303
|
| Min. Negotiated Rate |
$15,267.50 |
| Max. Negotiated Rate |
$16,030.88 |
| Rate for Payer: BCBS Complete |
$16,030.88
|
| Rate for Payer: Mclaren Medicaid |
$15,267.50
|
| Rate for Payer: Meridian Medicaid |
$16,030.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,267.50
|
| Rate for Payer: UHCCP Medicaid |
$15,267.50
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$31,337.78
|
|
|
Service Code
|
APR-DRG 1834
|
| Min. Negotiated Rate |
$29,845.50 |
| Max. Negotiated Rate |
$31,337.78 |
| Rate for Payer: BCBS Complete |
$31,337.78
|
| Rate for Payer: Mclaren Medicaid |
$29,845.50
|
| Rate for Payer: Meridian Medicaid |
$31,337.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,845.50
|
| Rate for Payer: UHCCP Medicaid |
$29,845.50
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$22,753.50
|
|
|
Service Code
|
APR-DRG 1833
|
| Min. Negotiated Rate |
$21,670.00 |
| Max. Negotiated Rate |
$22,753.50 |
| Rate for Payer: BCBS Complete |
$22,753.50
|
| Rate for Payer: Mclaren Medicaid |
$21,670.00
|
| Rate for Payer: Meridian Medicaid |
$22,753.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,670.00
|
| Rate for Payer: UHCCP Medicaid |
$21,670.00
|
|