|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 1344
|
| Min. Negotiated Rate |
$9,751.50 |
| Max. Negotiated Rate |
$10,239.08 |
| Rate for Payer: BCBS Complete |
$10,239.08
|
| Rate for Payer: Mclaren Medicaid |
$9,751.50
|
| Rate for Payer: Meridian Medicaid |
$10,239.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,751.50
|
| Rate for Payer: UHCCP Medicaid |
$9,751.50
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 1341
|
| Min. Negotiated Rate |
$2,807.25 |
| Max. Negotiated Rate |
$2,947.61 |
| Rate for Payer: BCBS Complete |
$2,947.61
|
| Rate for Payer: Mclaren Medicaid |
$2,807.25
|
| Rate for Payer: Meridian Medicaid |
$2,947.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,807.25
|
| Rate for Payer: UHCCP Medicaid |
$2,807.25
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,981.86
|
|
|
Service Code
|
APR-DRG 1342
|
| Min. Negotiated Rate |
$3,792.25 |
| Max. Negotiated Rate |
$3,981.86 |
| Rate for Payer: BCBS Complete |
$3,981.86
|
| Rate for Payer: Mclaren Medicaid |
$3,792.25
|
| Rate for Payer: Meridian Medicaid |
$3,981.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,792.25
|
| Rate for Payer: UHCCP Medicaid |
$3,792.25
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$16,858.28
|
|
|
Service Code
|
APR-DRG 6924
|
| Min. Negotiated Rate |
$16,055.50 |
| Max. Negotiated Rate |
$16,858.28 |
| Rate for Payer: BCBS Complete |
$16,858.28
|
| Rate for Payer: Mclaren Medicaid |
$16,055.50
|
| Rate for Payer: Meridian Medicaid |
$16,858.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,055.50
|
| Rate for Payer: UHCCP Medicaid |
$16,055.50
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$13,445.25
|
|
|
Service Code
|
APR-DRG 6923
|
| Min. Negotiated Rate |
$12,805.00 |
| Max. Negotiated Rate |
$13,445.25 |
| Rate for Payer: BCBS Complete |
$13,445.25
|
| Rate for Payer: Mclaren Medicaid |
$12,805.00
|
| Rate for Payer: Meridian Medicaid |
$13,445.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,805.00
|
| Rate for Payer: UHCCP Medicaid |
$12,805.00
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$6,102.07
|
|
|
Service Code
|
APR-DRG 6921
|
| Min. Negotiated Rate |
$5,811.50 |
| Max. Negotiated Rate |
$6,102.07 |
| Rate for Payer: BCBS Complete |
$6,102.07
|
| Rate for Payer: Mclaren Medicaid |
$5,811.50
|
| Rate for Payer: Meridian Medicaid |
$6,102.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,811.50
|
| Rate for Payer: UHCCP Medicaid |
$5,811.50
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$9,308.25
|
|
|
Service Code
|
APR-DRG 6922
|
| Min. Negotiated Rate |
$8,865.00 |
| Max. Negotiated Rate |
$9,308.25 |
| Rate for Payer: BCBS Complete |
$9,308.25
|
| Rate for Payer: Mclaren Medicaid |
$8,865.00
|
| Rate for Payer: Meridian Medicaid |
$9,308.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,865.00
|
| Rate for Payer: UHCCP Medicaid |
$8,865.00
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$12,462.71
|
|
|
Service Code
|
APR-DRG 8604
|
| 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: REHABILITATION
|
Facility
|
IP
|
$7,601.74
|
|
|
Service Code
|
APR-DRG 8602
|
| Min. Negotiated Rate |
$7,239.75 |
| Max. Negotiated Rate |
$7,601.74 |
| Rate for Payer: BCBS Complete |
$7,601.74
|
| Rate for Payer: Mclaren Medicaid |
$7,239.75
|
| Rate for Payer: Meridian Medicaid |
$7,601.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,239.75
|
| Rate for Payer: UHCCP Medicaid |
$7,239.75
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 8601
|
| Min. Negotiated Rate |
$5,565.25 |
| Max. Negotiated Rate |
$5,843.51 |
| Rate for Payer: BCBS Complete |
$5,843.51
|
| Rate for Payer: Mclaren Medicaid |
$5,565.25
|
| Rate for Payer: Meridian Medicaid |
$5,843.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.25
|
| Rate for Payer: UHCCP Medicaid |
$5,565.25
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$10,032.23
|
|
|
Service Code
|
APR-DRG 8603
|
| 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: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$6,619.20
|
|
|
Service Code
|
APR-DRG 4441
|
| 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: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$20,736.71
|
|
|
Service Code
|
APR-DRG 4444
|
| Min. Negotiated Rate |
$19,749.25 |
| Max. Negotiated Rate |
$20,736.71 |
| Rate for Payer: BCBS Complete |
$20,736.71
|
| Rate for Payer: Mclaren Medicaid |
$19,749.25
|
| Rate for Payer: Meridian Medicaid |
$20,736.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,749.25
|
| Rate for Payer: UHCCP Medicaid |
$19,749.25
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$12,979.84
|
|
|
Service Code
|
APR-DRG 4443
|
| 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: 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: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 1332
|
| Min. Negotiated Rate |
$3,940.00 |
| Max. Negotiated Rate |
$4,137.00 |
| Rate for Payer: BCBS Complete |
$4,137.00
|
| Rate for Payer: Mclaren Medicaid |
$3,940.00
|
| Rate for Payer: Meridian Medicaid |
$4,137.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,940.00
|
| Rate for Payer: UHCCP Medicaid |
$3,940.00
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$6,102.07
|
|
|
Service Code
|
APR-DRG 1333
|
| Min. Negotiated Rate |
$5,811.50 |
| Max. Negotiated Rate |
$6,102.07 |
| Rate for Payer: BCBS Complete |
$6,102.07
|
| Rate for Payer: Mclaren Medicaid |
$5,811.50
|
| Rate for Payer: Meridian Medicaid |
$6,102.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,811.50
|
| Rate for Payer: UHCCP Medicaid |
$5,811.50
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$9,980.51
|
|
|
Service Code
|
APR-DRG 1334
|
| Min. Negotiated Rate |
$9,505.25 |
| Max. Negotiated Rate |
$9,980.51 |
| Rate for Payer: BCBS Complete |
$9,980.51
|
| Rate for Payer: Mclaren Medicaid |
$9,505.25
|
| Rate for Payer: Meridian Medicaid |
$9,980.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,505.25
|
| Rate for Payer: UHCCP Medicaid |
$9,505.25
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$3,102.75
|
|
|
Service Code
|
APR-DRG 1331
|
| Min. Negotiated Rate |
$2,955.00 |
| Max. Negotiated Rate |
$3,102.75 |
| Rate for Payer: BCBS Complete |
$3,102.75
|
| Rate for Payer: Mclaren Medicaid |
$2,955.00
|
| Rate for Payer: Meridian Medicaid |
$3,102.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,955.00
|
| Rate for Payer: UHCCP Medicaid |
$2,955.00
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 1364
|
| Min. Negotiated Rate |
$10,194.75 |
| Max. Negotiated Rate |
$10,704.49 |
| Rate for Payer: BCBS Complete |
$10,704.49
|
| Rate for Payer: Mclaren Medicaid |
$10,194.75
|
| Rate for Payer: Meridian Medicaid |
$10,704.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,194.75
|
| Rate for Payer: UHCCP Medicaid |
$10,194.75
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 1361
|
| Min. Negotiated Rate |
$3,989.25 |
| Max. Negotiated Rate |
$4,188.71 |
| Rate for Payer: BCBS Complete |
$4,188.71
|
| Rate for Payer: Mclaren Medicaid |
$3,989.25
|
| Rate for Payer: Meridian Medicaid |
$4,188.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,989.25
|
| Rate for Payer: UHCCP Medicaid |
$3,989.25
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,016.11
|
|
|
Service Code
|
APR-DRG 1362
|
| Min. Negotiated Rate |
$4,777.25 |
| Max. Negotiated Rate |
$5,016.11 |
| Rate for Payer: BCBS Complete |
$5,016.11
|
| Rate for Payer: Mclaren Medicaid |
$4,777.25
|
| Rate for Payer: Meridian Medicaid |
$5,016.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,777.25
|
| Rate for Payer: UHCCP Medicaid |
$4,777.25
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 1363
|
| Min. Negotiated Rate |
$6,648.75 |
| Max. Negotiated Rate |
$6,981.19 |
| Rate for Payer: BCBS Complete |
$6,981.19
|
| Rate for Payer: Mclaren Medicaid |
$6,648.75
|
| Rate for Payer: Meridian Medicaid |
$6,981.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,648.75
|
| Rate for Payer: UHCCP Medicaid |
$6,648.75
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,240.43
|
|
|
Service Code
|
APR-DRG 1442
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.43 |
| Rate for Payer: BCBS Complete |
$4,240.43
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 1441
|
| Min. Negotiated Rate |
$2,856.50 |
| Max. Negotiated Rate |
$2,999.32 |
| Rate for Payer: BCBS Complete |
$2,999.32
|
| Rate for Payer: Mclaren Medicaid |
$2,856.50
|
| Rate for Payer: Meridian Medicaid |
$2,999.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,856.50
|
| Rate for Payer: UHCCP Medicaid |
$2,856.50
|
|