|
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
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$18,254.51
|
|
|
Service Code
|
APR-DRG 1832
|
| Min. Negotiated Rate |
$17,385.25 |
| Max. Negotiated Rate |
$18,254.51 |
| Rate for Payer: BCBS Complete |
$18,254.51
|
| Rate for Payer: Mclaren Medicaid |
$17,385.25
|
| Rate for Payer: Meridian Medicaid |
$18,254.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,385.25
|
| Rate for Payer: UHCCP Medicaid |
$17,385.25
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$4,550.70
|
|
|
Service Code
|
APR-DRG 1972
|
| Min. Negotiated Rate |
$4,334.00 |
| Max. Negotiated Rate |
$4,550.70 |
| Rate for Payer: BCBS Complete |
$4,550.70
|
| Rate for Payer: Mclaren Medicaid |
$4,334.00
|
| Rate for Payer: Meridian Medicaid |
$4,550.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,334.00
|
| Rate for Payer: UHCCP Medicaid |
$4,334.00
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,413.02
|
|
|
Service Code
|
APR-DRG 1971
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$10,083.94
|
|
|
Service Code
|
APR-DRG 1974
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 1973
|
| Min. Negotiated Rate |
$6,599.50 |
| Max. Negotiated Rate |
$6,929.48 |
| Rate for Payer: BCBS Complete |
$6,929.48
|
| Rate for Payer: Mclaren Medicaid |
$6,599.50
|
| Rate for Payer: Meridian Medicaid |
$6,929.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,599.50
|
| Rate for Payer: UHCCP Medicaid |
$6,599.50
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 0481
|
| Min. Negotiated Rate |
$3,595.25 |
| Max. Negotiated Rate |
$3,775.01 |
| Rate for Payer: BCBS Complete |
$3,775.01
|
| Rate for Payer: Mclaren Medicaid |
$3,595.25
|
| Rate for Payer: Meridian Medicaid |
$3,775.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,595.25
|
| Rate for Payer: UHCCP Medicaid |
$3,595.25
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$4,860.98
|
|
|
Service Code
|
APR-DRG 0482
|
| Min. Negotiated Rate |
$4,629.50 |
| Max. Negotiated Rate |
$4,860.98 |
| Rate for Payer: BCBS Complete |
$4,860.98
|
| Rate for Payer: Mclaren Medicaid |
$4,629.50
|
| Rate for Payer: Meridian Medicaid |
$4,860.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,629.50
|
| Rate for Payer: UHCCP Medicaid |
$4,629.50
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$11,893.88
|
|
|
Service Code
|
APR-DRG 0484
|
| Min. Negotiated Rate |
$11,327.50 |
| Max. Negotiated Rate |
$11,893.88 |
| Rate for Payer: BCBS Complete |
$11,893.88
|
| Rate for Payer: Mclaren Medicaid |
$11,327.50
|
| Rate for Payer: Meridian Medicaid |
$11,893.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,327.50
|
| Rate for Payer: UHCCP Medicaid |
$11,327.50
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 0483
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$10,497.64
|
|
|
Service Code
|
APR-DRG 2242
|
| Min. Negotiated Rate |
$9,997.75 |
| Max. Negotiated Rate |
$10,497.64 |
| Rate for Payer: BCBS Complete |
$10,497.64
|
| Rate for Payer: Mclaren Medicaid |
$9,997.75
|
| Rate for Payer: Meridian Medicaid |
$10,497.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,997.75
|
| Rate for Payer: UHCCP Medicaid |
$9,997.75
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$24,718.58
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$23,541.50 |
| Max. Negotiated Rate |
$24,718.58 |
| Rate for Payer: BCBS Complete |
$24,718.58
|
| Rate for Payer: Mclaren Medicaid |
$23,541.50
|
| Rate for Payer: Meridian Medicaid |
$24,718.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,541.50
|
| Rate for Payer: UHCCP Medicaid |
$23,541.50
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,118.86
|
|
|
Service Code
|
APR-DRG 2241
|
| Min. Negotiated Rate |
$7,732.25 |
| Max. Negotiated Rate |
$8,118.86 |
| Rate for Payer: BCBS Complete |
$8,118.86
|
| Rate for Payer: Mclaren Medicaid |
$7,732.25
|
| Rate for Payer: Meridian Medicaid |
$8,118.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,732.25
|
| Rate for Payer: UHCCP Medicaid |
$7,732.25
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$13,807.24
|
|
|
Service Code
|
APR-DRG 2243
|
| Min. Negotiated Rate |
$13,149.75 |
| Max. Negotiated Rate |
$13,807.24 |
| Rate for Payer: BCBS Complete |
$13,807.24
|
| Rate for Payer: Mclaren Medicaid |
$13,149.75
|
| Rate for Payer: Meridian Medicaid |
$13,807.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,149.75
|
| Rate for Payer: UHCCP Medicaid |
$13,149.75
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,306.90
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$14,578.00 |
| Max. Negotiated Rate |
$15,306.90 |
| Rate for Payer: BCBS Complete |
$15,306.90
|
| Rate for Payer: Mclaren Medicaid |
$14,578.00
|
| Rate for Payer: Meridian Medicaid |
$15,306.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,578.00
|
| Rate for Payer: UHCCP Medicaid |
$14,578.00
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$30,562.09
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$29,106.75 |
| Max. Negotiated Rate |
$30,562.09 |
| Rate for Payer: BCBS Complete |
$30,562.09
|
| Rate for Payer: Mclaren Medicaid |
$29,106.75
|
| Rate for Payer: Meridian Medicaid |
$30,562.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,106.75
|
| Rate for Payer: UHCCP Medicaid |
$29,106.75
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,049.01
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$11,475.25 |
| Max. Negotiated Rate |
$12,049.01 |
| Rate for Payer: BCBS Complete |
$12,049.01
|
| Rate for Payer: Mclaren Medicaid |
$11,475.25
|
| Rate for Payer: Meridian Medicaid |
$12,049.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,475.25
|
| Rate for Payer: UHCCP Medicaid |
$11,475.25
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$20,840.14
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$19,847.75 |
| Max. Negotiated Rate |
$20,840.14 |
| Rate for Payer: BCBS Complete |
$20,840.14
|
| Rate for Payer: Mclaren Medicaid |
$19,847.75
|
| Rate for Payer: Meridian Medicaid |
$20,840.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,847.75
|
| Rate for Payer: UHCCP Medicaid |
$19,847.75
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,583.60
|
|
|
Service Code
|
APR-DRG 1712
|
| 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
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,256.54
|
|
|
Service Code
|
APR-DRG 1711
|
| 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: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,824.02
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$15,070.50 |
| Max. Negotiated Rate |
$15,824.02 |
| Rate for Payer: BCBS Complete |
$15,824.02
|
| Rate for Payer: Mclaren Medicaid |
$15,070.50
|
| Rate for Payer: Meridian Medicaid |
$15,824.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,070.50
|
| Rate for Payer: UHCCP Medicaid |
$15,070.50
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$22,081.24
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$21,029.75 |
| Max. Negotiated Rate |
$22,081.24 |
| Rate for Payer: BCBS Complete |
$22,081.24
|
| Rate for Payer: Mclaren Medicaid |
$21,029.75
|
| Rate for Payer: Meridian Medicaid |
$22,081.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,029.75
|
| Rate for Payer: UHCCP Medicaid |
$21,029.75
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$14,841.49
|
|
|
Service Code
|
APR-DRG 7524
|
| Min. Negotiated Rate |
$14,134.75 |
| Max. Negotiated Rate |
$14,841.49 |
| Rate for Payer: BCBS Complete |
$14,841.49
|
| Rate for Payer: Mclaren Medicaid |
$14,134.75
|
| Rate for Payer: Meridian Medicaid |
$14,841.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,134.75
|
| Rate for Payer: UHCCP Medicaid |
$14,134.75
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,223.64
|
|
|
Service Code
|
APR-DRG 7521
|
| Min. Negotiated Rate |
$2,117.75 |
| Max. Negotiated Rate |
$2,223.64 |
| Rate for Payer: BCBS Complete |
$2,223.64
|
| Rate for Payer: Mclaren Medicaid |
$2,117.75
|
| Rate for Payer: Meridian Medicaid |
$2,223.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,117.75
|
| Rate for Payer: UHCCP Medicaid |
$2,117.75
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 7523
|
| 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
|
|