|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$24,149.74
|
|
|
Service Code
|
APR-DRG 8503
|
| Min. Negotiated Rate |
$22,999.75 |
| Max. Negotiated Rate |
$24,149.74 |
| Rate for Payer: BCBS Complete |
$24,149.74
|
| Rate for Payer: Mclaren Medicaid |
$22,999.75
|
| Rate for Payer: Meridian Medicaid |
$24,149.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,999.75
|
| Rate for Payer: UHCCP Medicaid |
$22,999.75
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$7,498.31
|
|
|
Service Code
|
APR-DRG 8501
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$14,272.65
|
|
|
Service Code
|
APR-DRG 8502
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$43,593.64
|
|
|
Service Code
|
APR-DRG 8504
|
| Min. Negotiated Rate |
$41,517.75 |
| Max. Negotiated Rate |
$43,593.64 |
| Rate for Payer: BCBS Complete |
$43,593.64
|
| Rate for Payer: Mclaren Medicaid |
$41,517.75
|
| Rate for Payer: Meridian Medicaid |
$43,593.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$41,517.75
|
| Rate for Payer: UHCCP Medicaid |
$41,517.75
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$7,446.60
|
|
|
Service Code
|
APR-DRG 4852
|
| Min. Negotiated Rate |
$7,092.00 |
| Max. Negotiated Rate |
$7,446.60 |
| Rate for Payer: BCBS Complete |
$7,446.60
|
| Rate for Payer: Mclaren Medicaid |
$7,092.00
|
| Rate for Payer: Meridian Medicaid |
$7,446.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,092.00
|
| Rate for Payer: UHCCP Medicaid |
$7,092.00
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$11,893.88
|
|
|
Service Code
|
APR-DRG 4853
|
| 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: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$19,599.04
|
|
|
Service Code
|
APR-DRG 4854
|
| Min. Negotiated Rate |
$18,665.75 |
| Max. Negotiated Rate |
$19,599.04 |
| Rate for Payer: BCBS Complete |
$19,599.04
|
| Rate for Payer: Mclaren Medicaid |
$18,665.75
|
| Rate for Payer: Meridian Medicaid |
$19,599.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,665.75
|
| Rate for Payer: UHCCP Medicaid |
$18,665.75
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 4851
|
| 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: PULMONARY EMBOLISM
|
Facility
|
IP
|
$9,773.66
|
|
|
Service Code
|
APR-DRG 1344
|
| Min. Negotiated Rate |
$9,308.25 |
| Max. Negotiated Rate |
$9,773.66 |
| Rate for Payer: BCBS Complete |
$9,773.66
|
| Rate for Payer: Mclaren Medicaid |
$9,308.25
|
| Rate for Payer: Meridian Medicaid |
$9,773.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,308.25
|
| Rate for Payer: UHCCP Medicaid |
$9,308.25
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,206.18
|
|
|
Service Code
|
APR-DRG 1341
|
| 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: PULMONARY EMBOLISM
|
Facility
|
IP
|
$6,412.35
|
|
|
Service Code
|
APR-DRG 1343
|
| Min. Negotiated Rate |
$6,107.00 |
| Max. Negotiated Rate |
$6,412.35 |
| Rate for Payer: BCBS Complete |
$6,412.35
|
| Rate for Payer: Mclaren Medicaid |
$6,107.00
|
| Rate for Payer: Meridian Medicaid |
$6,412.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,107.00
|
| Rate for Payer: UHCCP Medicaid |
$6,107.00
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 1342
|
| Min. Negotiated Rate |
$3,890.75 |
| Max. Negotiated Rate |
$4,085.29 |
| Rate for Payer: BCBS Complete |
$4,085.29
|
| Rate for Payer: Mclaren Medicaid |
$3,890.75
|
| Rate for Payer: Meridian Medicaid |
$4,085.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,890.75
|
| Rate for Payer: UHCCP Medicaid |
$3,890.75
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$16,289.44
|
|
|
Service Code
|
APR-DRG 6924
|
| Min. Negotiated Rate |
$15,513.75 |
| Max. Negotiated Rate |
$16,289.44 |
| Rate for Payer: BCBS Complete |
$16,289.44
|
| Rate for Payer: Mclaren Medicaid |
$15,513.75
|
| Rate for Payer: Meridian Medicaid |
$16,289.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,513.75
|
| Rate for Payer: UHCCP Medicaid |
$15,513.75
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$10,187.36
|
|
|
Service Code
|
APR-DRG 6922
|
| Min. Negotiated Rate |
$9,702.25 |
| Max. Negotiated Rate |
$10,187.36 |
| Rate for Payer: BCBS Complete |
$10,187.36
|
| Rate for Payer: Mclaren Medicaid |
$9,702.25
|
| Rate for Payer: Meridian Medicaid |
$10,187.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,702.25
|
| Rate for Payer: UHCCP Medicaid |
$9,702.25
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$4,498.99
|
|
|
Service Code
|
APR-DRG 6921
|
| Min. Negotiated Rate |
$4,284.75 |
| Max. Negotiated Rate |
$4,498.99 |
| Rate for Payer: BCBS Complete |
$4,498.99
|
| Rate for Payer: Mclaren Medicaid |
$4,284.75
|
| Rate for Payer: Meridian Medicaid |
$4,498.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,284.75
|
| Rate for Payer: UHCCP Medicaid |
$4,284.75
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$12,979.84
|
|
|
Service Code
|
APR-DRG 6923
|
| Min. Negotiated Rate |
$12,361.75 |
| Max. Negotiated Rate |
$12,979.84 |
| Rate for Payer: BCBS Complete |
$12,979.84
|
| Rate for Payer: Mclaren Medicaid |
$12,361.75
|
| Rate for Payer: Meridian Medicaid |
$12,979.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,361.75
|
| Rate for Payer: UHCCP Medicaid |
$12,361.75
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$13,290.11
|
|
|
Service Code
|
APR-DRG 8604
|
| Min. Negotiated Rate |
$12,657.25 |
| Max. Negotiated Rate |
$13,290.11 |
| Rate for Payer: BCBS Complete |
$13,290.11
|
| Rate for Payer: Mclaren Medicaid |
$12,657.25
|
| Rate for Payer: Meridian Medicaid |
$13,290.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,657.25
|
| Rate for Payer: UHCCP Medicaid |
$12,657.25
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$11,325.04
|
|
|
Service Code
|
APR-DRG 8603
|
| 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: REHABILITATION
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 8601
|
| Min. Negotiated Rate |
$8,323.25 |
| Max. Negotiated Rate |
$8,739.41 |
| Rate for Payer: BCBS Complete |
$8,739.41
|
| Rate for Payer: Mclaren Medicaid |
$8,323.25
|
| Rate for Payer: Meridian Medicaid |
$8,739.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,323.25
|
| Rate for Payer: UHCCP Medicaid |
$8,323.25
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$11,221.61
|
|
|
Service Code
|
APR-DRG 8602
|
| Min. Negotiated Rate |
$10,687.25 |
| Max. Negotiated Rate |
$11,221.61 |
| Rate for Payer: BCBS Complete |
$11,221.61
|
| Rate for Payer: Mclaren Medicaid |
$10,687.25
|
| Rate for Payer: Meridian Medicaid |
$11,221.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,687.25
|
| Rate for Payer: UHCCP Medicaid |
$10,687.25
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$11,376.75
|
|
|
Service Code
|
APR-DRG 4443
|
| Min. Negotiated Rate |
$10,835.00 |
| Max. Negotiated Rate |
$11,376.75 |
| Rate for Payer: BCBS Complete |
$11,376.75
|
| Rate for Payer: Mclaren Medicaid |
$10,835.00
|
| Rate for Payer: Meridian Medicaid |
$11,376.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,835.00
|
| Rate for Payer: UHCCP Medicaid |
$10,835.00
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$6,774.34
|
|
|
Service Code
|
APR-DRG 4441
|
| Min. Negotiated Rate |
$6,451.75 |
| Max. Negotiated Rate |
$6,774.34 |
| Rate for Payer: BCBS Complete |
$6,774.34
|
| Rate for Payer: Mclaren Medicaid |
$6,451.75
|
| Rate for Payer: Meridian Medicaid |
$6,774.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,451.75
|
| Rate for Payer: UHCCP Medicaid |
$6,451.75
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$9,153.11
|
|
|
Service Code
|
APR-DRG 4442
|
| Min. Negotiated Rate |
$8,717.25 |
| Max. Negotiated Rate |
$9,153.11 |
| Rate for Payer: BCBS Complete |
$9,153.11
|
| Rate for Payer: Mclaren Medicaid |
$8,717.25
|
| Rate for Payer: Meridian Medicaid |
$9,153.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,717.25
|
| Rate for Payer: UHCCP Medicaid |
$8,717.25
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$19,495.61
|
|
|
Service Code
|
APR-DRG 4444
|
| Min. Negotiated Rate |
$18,567.25 |
| Max. Negotiated Rate |
$19,495.61 |
| Rate for Payer: BCBS Complete |
$19,495.61
|
| Rate for Payer: Mclaren Medicaid |
$18,567.25
|
| Rate for Payer: Meridian Medicaid |
$19,495.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,567.25
|
| Rate for Payer: UHCCP Medicaid |
$18,567.25
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,705.84
|
|
|
Service Code
|
APR-DRG 1332
|
| 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
|
|