|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$6,515.77
|
|
|
Service Code
|
APR-DRG 0483
|
| 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
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$12,824.70
|
|
|
Service Code
|
APR-DRG 2243
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$19,650.75
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$18,715.00 |
| Max. Negotiated Rate |
$19,650.75 |
| Rate for Payer: BCBS Complete |
$19,650.75
|
| Rate for Payer: Mclaren Medicaid |
$18,715.00
|
| Rate for Payer: Meridian Medicaid |
$19,650.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,715.00
|
| Rate for Payer: UHCCP Medicaid |
$18,715.00
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 2242
|
| Min. Negotiated Rate |
$8,126.25 |
| Max. Negotiated Rate |
$8,532.56 |
| Rate for Payer: BCBS Complete |
$8,532.56
|
| Rate for Payer: Mclaren Medicaid |
$8,126.25
|
| Rate for Payer: Meridian Medicaid |
$8,532.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,126.25
|
| Rate for Payer: UHCCP Medicaid |
$8,126.25
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 2241
|
| 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: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,100.73
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$11,524.50 |
| Max. Negotiated Rate |
$12,100.73 |
| Rate for Payer: BCBS Complete |
$12,100.73
|
| Rate for Payer: Mclaren Medicaid |
$11,524.50
|
| Rate for Payer: Meridian Medicaid |
$12,100.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,524.50
|
| Rate for Payer: UHCCP Medicaid |
$11,524.50
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,325.04
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$10,785.75 |
| Max. Negotiated Rate |
$11,325.04 |
| Rate for Payer: BCBS Complete |
$11,325.04
|
| Rate for Payer: Mclaren Medicaid |
$10,785.75
|
| Rate for Payer: Meridian Medicaid |
$11,325.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,785.75
|
| Rate for Payer: UHCCP Medicaid |
$10,785.75
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$16,444.58
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$15,661.50 |
| Max. Negotiated Rate |
$16,444.58 |
| Rate for Payer: BCBS Complete |
$16,444.58
|
| Rate for Payer: Mclaren Medicaid |
$15,661.50
|
| Rate for Payer: Meridian Medicaid |
$16,444.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,661.50
|
| Rate for Payer: UHCCP Medicaid |
$15,661.50
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$24,253.16
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$23,098.25 |
| Max. Negotiated Rate |
$24,253.16 |
| Rate for Payer: BCBS Complete |
$24,253.16
|
| Rate for Payer: Mclaren Medicaid |
$23,098.25
|
| Rate for Payer: Meridian Medicaid |
$24,253.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,098.25
|
| Rate for Payer: UHCCP Medicaid |
$23,098.25
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$19,754.17
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$18,813.50 |
| Max. Negotiated Rate |
$19,754.17 |
| Rate for Payer: BCBS Complete |
$19,754.17
|
| Rate for Payer: Mclaren Medicaid |
$18,813.50
|
| Rate for Payer: Meridian Medicaid |
$19,754.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,813.50
|
| Rate for Payer: UHCCP Medicaid |
$18,813.50
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$7,860.30
|
|
|
Service Code
|
APR-DRG 1711
|
| Min. Negotiated Rate |
$7,486.00 |
| Max. Negotiated Rate |
$7,860.30 |
| Rate for Payer: BCBS Complete |
$7,860.30
|
| Rate for Payer: Mclaren Medicaid |
$7,486.00
|
| Rate for Payer: Meridian Medicaid |
$7,860.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,486.00
|
| Rate for Payer: UHCCP Medicaid |
$7,486.00
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,876.41
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$12,263.25 |
| Max. Negotiated Rate |
$12,876.41 |
| Rate for Payer: BCBS Complete |
$12,876.41
|
| Rate for Payer: Mclaren Medicaid |
$12,263.25
|
| Rate for Payer: Meridian Medicaid |
$12,876.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,263.25
|
| Rate for Payer: UHCCP Medicaid |
$12,263.25
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,515.10
|
|
|
Service Code
|
APR-DRG 1712
|
| Min. Negotiated Rate |
$9,062.00 |
| Max. Negotiated Rate |
$9,515.10 |
| Rate for Payer: BCBS Complete |
$9,515.10
|
| Rate for Payer: Mclaren Medicaid |
$9,062.00
|
| Rate for Payer: Meridian Medicaid |
$9,515.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,062.00
|
| Rate for Payer: UHCCP Medicaid |
$9,062.00
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$5,895.23
|
|
|
Service Code
|
APR-DRG 7523
|
| 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: PERSONALITY DISORDERS
|
Facility
|
IP
|
$14,014.09
|
|
|
Service Code
|
APR-DRG 7524
|
| Min. Negotiated Rate |
$13,346.75 |
| Max. Negotiated Rate |
$14,014.09 |
| Rate for Payer: BCBS Complete |
$14,014.09
|
| Rate for Payer: Mclaren Medicaid |
$13,346.75
|
| Rate for Payer: Meridian Medicaid |
$14,014.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,346.75
|
| Rate for Payer: UHCCP Medicaid |
$13,346.75
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,637.34
|
|
|
Service Code
|
APR-DRG 7522
|
| Min. Negotiated Rate |
$2,511.75 |
| Max. Negotiated Rate |
$2,637.34 |
| Rate for Payer: BCBS Complete |
$2,637.34
|
| Rate for Payer: Mclaren Medicaid |
$2,511.75
|
| Rate for Payer: Meridian Medicaid |
$2,637.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,511.75
|
| Rate for Payer: UHCCP Medicaid |
$2,511.75
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,016.79
|
|
|
Service Code
|
APR-DRG 7521
|
| Min. Negotiated Rate |
$1,920.75 |
| Max. Negotiated Rate |
$2,016.79 |
| Rate for Payer: BCBS Complete |
$2,016.79
|
| Rate for Payer: Mclaren Medicaid |
$1,920.75
|
| Rate for Payer: Meridian Medicaid |
$2,016.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,920.75
|
| Rate for Payer: UHCCP Medicaid |
$1,920.75
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$10,032.23
|
|
|
Service Code
|
APR-DRG 8124
|
| Min. Negotiated Rate |
$9,554.50 |
| Max. Negotiated Rate |
$10,032.23 |
| Rate for Payer: BCBS Complete |
$10,032.23
|
| Rate for Payer: Mclaren Medicaid |
$9,554.50
|
| Rate for Payer: Meridian Medicaid |
$10,032.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,554.50
|
| Rate for Payer: UHCCP Medicaid |
$9,554.50
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 8123
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$2,171.93
|
|
|
Service Code
|
APR-DRG 8121
|
| Min. Negotiated Rate |
$2,068.50 |
| Max. Negotiated Rate |
$2,171.93 |
| Rate for Payer: BCBS Complete |
$2,171.93
|
| Rate for Payer: Mclaren Medicaid |
$2,068.50
|
| Rate for Payer: Meridian Medicaid |
$2,171.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,068.50
|
| Rate for Payer: UHCCP Medicaid |
$2,068.50
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$3,206.18
|
|
|
Service Code
|
APR-DRG 8122
|
| Min. Negotiated Rate |
$3,053.50 |
| Max. Negotiated Rate |
$3,206.18 |
| Rate for Payer: BCBS Complete |
$3,206.18
|
| Rate for Payer: Mclaren Medicaid |
$3,053.50
|
| Rate for Payer: Meridian Medicaid |
$3,206.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,053.50
|
| Rate for Payer: UHCCP Medicaid |
$3,053.50
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,895.23
|
|
|
Service Code
|
APR-DRG 7111
|
| 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: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$13,600.39
|
|
|
Service Code
|
APR-DRG 7113
|
| Min. Negotiated Rate |
$12,952.75 |
| Max. Negotiated Rate |
$13,600.39 |
| Rate for Payer: BCBS Complete |
$13,600.39
|
| Rate for Payer: Mclaren Medicaid |
$12,952.75
|
| Rate for Payer: Meridian Medicaid |
$13,600.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,952.75
|
| Rate for Payer: UHCCP Medicaid |
$12,952.75
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,429.14
|
|
|
Service Code
|
APR-DRG 7112
|
| Min. Negotiated Rate |
$8,027.75 |
| Max. Negotiated Rate |
$8,429.14 |
| Rate for Payer: BCBS Complete |
$8,429.14
|
| Rate for Payer: Mclaren Medicaid |
$8,027.75
|
| Rate for Payer: Meridian Medicaid |
$8,429.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,027.75
|
| Rate for Payer: UHCCP Medicaid |
$8,027.75
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$22,856.92
|
|
|
Service Code
|
APR-DRG 7114
|
| Min. Negotiated Rate |
$21,768.50 |
| Max. Negotiated Rate |
$22,856.92 |
| Rate for Payer: BCBS Complete |
$22,856.92
|
| Rate for Payer: Mclaren Medicaid |
$21,768.50
|
| Rate for Payer: Meridian Medicaid |
$22,856.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,768.50
|
| Rate for Payer: UHCCP Medicaid |
$21,768.50
|
|