|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 0532
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.42 |
| Rate for Payer: BCBS Complete |
$4,240.42
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$3,309.60
|
|
|
Service Code
|
APR-DRG 0531
|
| Min. Negotiated Rate |
$3,152.00 |
| Max. Negotiated Rate |
$3,309.60 |
| Rate for Payer: BCBS Complete |
$3,309.60
|
| Rate for Payer: Mclaren Medicaid |
$3,152.00
|
| Rate for Payer: Meridian Medicaid |
$3,309.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,152.00
|
| Rate for Payer: UHCCP Medicaid |
$3,152.00
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 7202
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.42 |
| Rate for Payer: BCBS Complete |
$4,240.42
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 7203
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$3,671.59
|
|
|
Service Code
|
APR-DRG 7201
|
| Min. Negotiated Rate |
$3,496.75 |
| Max. Negotiated Rate |
$3,671.59 |
| Rate for Payer: BCBS Complete |
$3,671.59
|
| Rate for Payer: Mclaren Medicaid |
$3,496.75
|
| Rate for Payer: Meridian Medicaid |
$3,671.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,496.75
|
| Rate for Payer: UHCCP Medicaid |
$3,496.75
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$12,255.86
|
|
|
Service Code
|
APR-DRG 7204
|
| Min. Negotiated Rate |
$11,672.25 |
| Max. Negotiated Rate |
$12,255.86 |
| Rate for Payer: BCBS Complete |
$12,255.86
|
| Rate for Payer: Mclaren Medicaid |
$11,672.25
|
| Rate for Payer: Meridian Medicaid |
$12,255.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,672.25
|
| Rate for Payer: UHCCP Medicaid |
$11,672.25
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$8,946.26
|
|
|
Service Code
|
APR-DRG 3221
|
| Min. Negotiated Rate |
$8,520.25 |
| Max. Negotiated Rate |
$8,946.26 |
| Rate for Payer: BCBS Complete |
$8,946.26
|
| Rate for Payer: Mclaren Medicaid |
$8,520.25
|
| Rate for Payer: Meridian Medicaid |
$8,946.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,520.25
|
| Rate for Payer: UHCCP Medicaid |
$8,520.25
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$18,926.78
|
|
|
Service Code
|
APR-DRG 3224
|
| Min. Negotiated Rate |
$18,025.50 |
| Max. Negotiated Rate |
$18,926.78 |
| Rate for Payer: BCBS Complete |
$18,926.78
|
| Rate for Payer: Mclaren Medicaid |
$18,025.50
|
| Rate for Payer: Meridian Medicaid |
$18,926.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,025.50
|
| Rate for Payer: UHCCP Medicaid |
$18,025.50
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$14,738.06
|
|
|
Service Code
|
APR-DRG 3223
|
| Min. Negotiated Rate |
$14,036.25 |
| Max. Negotiated Rate |
$14,738.06 |
| Rate for Payer: BCBS Complete |
$14,738.06
|
| Rate for Payer: Mclaren Medicaid |
$14,036.25
|
| Rate for Payer: Meridian Medicaid |
$14,738.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,036.25
|
| Rate for Payer: UHCCP Medicaid |
$14,036.25
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$10,807.91
|
|
|
Service Code
|
APR-DRG 3222
|
| Min. Negotiated Rate |
$10,293.25 |
| Max. Negotiated Rate |
$10,807.91 |
| Rate for Payer: BCBS Complete |
$10,807.91
|
| Rate for Payer: Mclaren Medicaid |
$10,293.25
|
| Rate for Payer: Meridian Medicaid |
$10,807.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,293.25
|
| Rate for Payer: UHCCP Medicaid |
$10,293.25
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$21,874.39
|
|
|
Service Code
|
APR-DRG 3154
|
| Min. Negotiated Rate |
$20,832.75 |
| Max. Negotiated Rate |
$21,874.39 |
| Rate for Payer: BCBS Complete |
$21,874.39
|
| Rate for Payer: Mclaren Medicaid |
$20,832.75
|
| Rate for Payer: Meridian Medicaid |
$21,874.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,832.75
|
| Rate for Payer: UHCCP Medicaid |
$20,832.75
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$7,084.61
|
|
|
Service Code
|
APR-DRG 3151
|
| Min. Negotiated Rate |
$6,747.25 |
| Max. Negotiated Rate |
$7,084.61 |
| Rate for Payer: BCBS Complete |
$7,084.61
|
| Rate for Payer: Mclaren Medicaid |
$6,747.25
|
| Rate for Payer: Meridian Medicaid |
$7,084.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,747.25
|
| Rate for Payer: UHCCP Medicaid |
$6,747.25
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$10,290.79
|
|
|
Service Code
|
APR-DRG 3152
|
| Min. Negotiated Rate |
$9,800.75 |
| Max. Negotiated Rate |
$10,290.79 |
| Rate for Payer: BCBS Complete |
$10,290.79
|
| Rate for Payer: Mclaren Medicaid |
$9,800.75
|
| Rate for Payer: Meridian Medicaid |
$10,290.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,800.75
|
| Rate for Payer: UHCCP Medicaid |
$9,800.75
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$13,962.38
|
|
|
Service Code
|
APR-DRG 3153
|
| Min. Negotiated Rate |
$13,297.50 |
| Max. Negotiated Rate |
$13,962.38 |
| Rate for Payer: BCBS Complete |
$13,962.38
|
| Rate for Payer: Mclaren Medicaid |
$13,297.50
|
| Rate for Payer: Meridian Medicaid |
$13,962.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,297.50
|
| Rate for Payer: UHCCP Medicaid |
$13,297.50
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 6622
|
| 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: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$7,343.18
|
|
|
Service Code
|
APR-DRG 6623
|
| 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: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$11,221.61
|
|
|
Service Code
|
APR-DRG 6624
|
| 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: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 6621
|
| Min. Negotiated Rate |
$2,905.75 |
| Max. Negotiated Rate |
$3,051.04 |
| Rate for Payer: BCBS Complete |
$3,051.04
|
| Rate for Payer: Mclaren Medicaid |
$2,905.75
|
| Rate for Payer: Meridian Medicaid |
$3,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,905.75
|
| Rate for Payer: UHCCP Medicaid |
$2,905.75
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$5,998.65
|
|
|
Service Code
|
APR-DRG 8613
|
| Min. Negotiated Rate |
$5,713.00 |
| Max. Negotiated Rate |
$5,998.65 |
| Rate for Payer: BCBS Complete |
$5,998.65
|
| Rate for Payer: Mclaren Medicaid |
$5,713.00
|
| Rate for Payer: Meridian Medicaid |
$5,998.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,713.00
|
| Rate for Payer: UHCCP Medicaid |
$5,713.00
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$2,482.20
|
|
|
Service Code
|
APR-DRG 8611
|
| Min. Negotiated Rate |
$2,364.00 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: BCBS Complete |
$2,482.20
|
| Rate for Payer: Mclaren Medicaid |
$2,364.00
|
| Rate for Payer: Meridian Medicaid |
$2,482.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.00
|
| Rate for Payer: UHCCP Medicaid |
$2,364.00
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,274.00
|
|
|
Service Code
|
APR-DRG 8614
|
| Min. Negotiated Rate |
$7,880.00 |
| Max. Negotiated Rate |
$8,274.00 |
| Rate for Payer: BCBS Complete |
$8,274.00
|
| Rate for Payer: Mclaren Medicaid |
$7,880.00
|
| Rate for Payer: Meridian Medicaid |
$8,274.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,880.00
|
| Rate for Payer: UHCCP Medicaid |
$7,880.00
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 8612
|
| 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: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$26,683.65
|
|
|
Service Code
|
APR-DRG 3004
|
| Min. Negotiated Rate |
$25,413.00 |
| Max. Negotiated Rate |
$26,683.65 |
| Rate for Payer: BCBS Complete |
$26,683.65
|
| Rate for Payer: Mclaren Medicaid |
$25,413.00
|
| Rate for Payer: Meridian Medicaid |
$26,683.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,413.00
|
| Rate for Payer: UHCCP Medicaid |
$25,413.00
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$12,566.14
|
|
|
Service Code
|
APR-DRG 3001
|
| Min. Negotiated Rate |
$11,967.75 |
| Max. Negotiated Rate |
$12,566.14 |
| Rate for Payer: BCBS Complete |
$12,566.14
|
| Rate for Payer: Mclaren Medicaid |
$11,967.75
|
| Rate for Payer: Meridian Medicaid |
$12,566.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,967.75
|
| Rate for Payer: UHCCP Medicaid |
$11,967.75
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$18,616.50
|
|
|
Service Code
|
APR-DRG 3003
|
| Min. Negotiated Rate |
$17,730.00 |
| Max. Negotiated Rate |
$18,616.50 |
| Rate for Payer: BCBS Complete |
$18,616.50
|
| Rate for Payer: Mclaren Medicaid |
$17,730.00
|
| Rate for Payer: Meridian Medicaid |
$18,616.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,730.00
|
| Rate for Payer: UHCCP Medicaid |
$17,730.00
|
|