|
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
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,343.85
|
|
|
Service Code
|
APR-DRG 3641
|
| Min. Negotiated Rate |
$4,137.00 |
| Max. Negotiated Rate |
$4,343.85 |
| Rate for Payer: BCBS Complete |
$4,343.85
|
| Rate for Payer: Mclaren Medicaid |
$4,137.00
|
| Rate for Payer: Meridian Medicaid |
$4,343.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,137.00
|
| Rate for Payer: UHCCP Medicaid |
$4,137.00
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,463.39
|
|
|
Service Code
|
APR-DRG 3643
|
| Min. Negotiated Rate |
$9,012.75 |
| Max. Negotiated Rate |
$9,463.39 |
| Rate for Payer: BCBS Complete |
$9,463.39
|
| Rate for Payer: Mclaren Medicaid |
$9,012.75
|
| Rate for Payer: Meridian Medicaid |
$9,463.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,012.75
|
| Rate for Payer: UHCCP Medicaid |
$9,012.75
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$19,961.03
|
|
|
Service Code
|
APR-DRG 2234
|
| Min. Negotiated Rate |
$19,010.50 |
| Max. Negotiated Rate |
$19,961.03 |
| Rate for Payer: BCBS Complete |
$19,961.03
|
| Rate for Payer: Mclaren Medicaid |
$19,010.50
|
| Rate for Payer: Meridian Medicaid |
$19,961.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,010.50
|
| Rate for Payer: UHCCP Medicaid |
$19,010.50
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$7,912.01
|
|
|
Service Code
|
APR-DRG 2232
|
| Min. Negotiated Rate |
$7,535.25 |
| Max. Negotiated Rate |
$7,912.01 |
| Rate for Payer: BCBS Complete |
$7,912.01
|
| Rate for Payer: Mclaren Medicaid |
$7,535.25
|
| Rate for Payer: Meridian Medicaid |
$7,912.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,535.25
|
| Rate for Payer: UHCCP Medicaid |
$7,535.25
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 2231
|
| 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 SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 2233
|
| Min. Negotiated Rate |
$10,588.75 |
| Max. Negotiated Rate |
$11,118.19 |
| Rate for Payer: BCBS Complete |
$11,118.19
|
| Rate for Payer: Mclaren Medicaid |
$10,588.75
|
| Rate for Payer: Meridian Medicaid |
$11,118.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,588.75
|
| Rate for Payer: UHCCP Medicaid |
$10,588.75
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 2221
|
| Min. Negotiated Rate |
$4,186.25 |
| Max. Negotiated Rate |
$4,395.56 |
| Rate for Payer: BCBS Complete |
$4,395.56
|
| Rate for Payer: Mclaren Medicaid |
$4,186.25
|
| Rate for Payer: Meridian Medicaid |
$4,395.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.25
|
| Rate for Payer: UHCCP Medicaid |
$4,186.25
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$7,705.16
|
|
|
Service Code
|
APR-DRG 2222
|
| Min. Negotiated Rate |
$7,338.25 |
| Max. Negotiated Rate |
$7,705.16 |
| Rate for Payer: BCBS Complete |
$7,705.16
|
| Rate for Payer: Mclaren Medicaid |
$7,338.25
|
| Rate for Payer: Meridian Medicaid |
$7,705.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,338.25
|
| Rate for Payer: UHCCP Medicaid |
$7,338.25
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$12,307.58
|
|
|
Service Code
|
APR-DRG 2223
|
| Min. Negotiated Rate |
$11,721.50 |
| Max. Negotiated Rate |
$12,307.58 |
| Rate for Payer: BCBS Complete |
$12,307.58
|
| Rate for Payer: Mclaren Medicaid |
$11,721.50
|
| Rate for Payer: Meridian Medicaid |
$12,307.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,721.50
|
| Rate for Payer: UHCCP Medicaid |
$11,721.50
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$20,891.85
|
|
|
Service Code
|
APR-DRG 2224
|
| Min. Negotiated Rate |
$19,897.00 |
| Max. Negotiated Rate |
$20,891.85 |
| Rate for Payer: BCBS Complete |
$20,891.85
|
| Rate for Payer: Mclaren Medicaid |
$19,897.00
|
| Rate for Payer: Meridian Medicaid |
$20,891.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,897.00
|
| Rate for Payer: UHCCP Medicaid |
$19,897.00
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$39,508.35
|
|
|
Service Code
|
APR-DRG 0062
|
| Min. Negotiated Rate |
$37,627.00 |
| Max. Negotiated Rate |
$39,508.35 |
| Rate for Payer: BCBS Complete |
$39,508.35
|
| Rate for Payer: Mclaren Medicaid |
$37,627.00
|
| Rate for Payer: Meridian Medicaid |
$39,508.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,627.00
|
| Rate for Payer: UHCCP Medicaid |
$37,627.00
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$59,469.38
|
|
|
Service Code
|
APR-DRG 0064
|
| Min. Negotiated Rate |
$56,637.50 |
| Max. Negotiated Rate |
$59,469.38 |
| Rate for Payer: BCBS Complete |
$59,469.38
|
| Rate for Payer: Mclaren Medicaid |
$56,637.50
|
| Rate for Payer: Meridian Medicaid |
$59,469.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$56,637.50
|
| Rate for Payer: UHCCP Medicaid |
$56,637.50
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$45,817.28
|
|
|
Service Code
|
APR-DRG 0063
|
| Min. Negotiated Rate |
$43,635.50 |
| Max. Negotiated Rate |
$45,817.28 |
| Rate for Payer: BCBS Complete |
$45,817.28
|
| Rate for Payer: Mclaren Medicaid |
$43,635.50
|
| Rate for Payer: Meridian Medicaid |
$45,817.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,635.50
|
| Rate for Payer: UHCCP Medicaid |
$43,635.50
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$27,459.34
|
|
|
Service Code
|
APR-DRG 0061
|
| Min. Negotiated Rate |
$26,151.75 |
| Max. Negotiated Rate |
$27,459.34 |
| Rate for Payer: BCBS Complete |
$27,459.34
|
| Rate for Payer: Mclaren Medicaid |
$26,151.75
|
| Rate for Payer: Meridian Medicaid |
$27,459.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,151.75
|
| Rate for Payer: UHCCP Medicaid |
$26,151.75
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 8442
|
| 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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$13,134.98
|
|
|
Service Code
|
APR-DRG 8444
|
| Min. Negotiated Rate |
$12,509.50 |
| Max. Negotiated Rate |
$13,134.98 |
| Rate for Payer: BCBS Complete |
$13,134.98
|
| Rate for Payer: Mclaren Medicaid |
$12,509.50
|
| Rate for Payer: Meridian Medicaid |
$13,134.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,509.50
|
| Rate for Payer: UHCCP Medicaid |
$12,509.50
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$7,343.18
|
|
|
Service Code
|
APR-DRG 8443
|
| 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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$2,792.47
|
|
|
Service Code
|
APR-DRG 8441
|
| 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: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 4831
|
| Min. Negotiated Rate |
$4,875.75 |
| Max. Negotiated Rate |
$5,119.54 |
| Rate for Payer: BCBS Complete |
$5,119.54
|
| Rate for Payer: Mclaren Medicaid |
$4,875.75
|
| Rate for Payer: Meridian Medicaid |
$5,119.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,875.75
|
| Rate for Payer: UHCCP Medicaid |
$4,875.75
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$11,790.45
|
|
|
Service Code
|
APR-DRG 4833
|
| Min. Negotiated Rate |
$11,229.00 |
| Max. Negotiated Rate |
$11,790.45 |
| Rate for Payer: BCBS Complete |
$11,790.45
|
| Rate for Payer: Mclaren Medicaid |
$11,229.00
|
| Rate for Payer: Meridian Medicaid |
$11,790.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,229.00
|
| Rate for Payer: UHCCP Medicaid |
$11,229.00
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$20,633.29
|
|
|
Service Code
|
APR-DRG 4834
|
| Min. Negotiated Rate |
$19,650.75 |
| Max. Negotiated Rate |
$20,633.29 |
| Rate for Payer: BCBS Complete |
$20,633.29
|
| Rate for Payer: Mclaren Medicaid |
$19,650.75
|
| Rate for Payer: Meridian Medicaid |
$20,633.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,650.75
|
| Rate for Payer: UHCCP Medicaid |
$19,650.75
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$7,808.59
|
|
|
Service Code
|
APR-DRG 4832
|
| Min. Negotiated Rate |
$7,436.75 |
| Max. Negotiated Rate |
$7,808.59 |
| Rate for Payer: BCBS Complete |
$7,808.59
|
| Rate for Payer: Mclaren Medicaid |
$7,436.75
|
| Rate for Payer: Meridian Medicaid |
$7,808.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,436.75
|
| Rate for Payer: UHCCP Medicaid |
$7,436.75
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 2414
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$6,515.77
|
|
|
Service Code
|
APR-DRG 2413
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.77 |
| Rate for Payer: BCBS Complete |
$6,515.77
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|