|
MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$15,034.29
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$14,318.37 |
| Max. Negotiated Rate |
$15,034.29 |
| Rate for Payer: BCBS Complete |
$15,034.29
|
| Rate for Payer: Mclaren Medicaid |
$14,318.37
|
| Rate for Payer: Meridian Medicaid |
$15,034.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,318.37
|
| Rate for Payer: UHC Medicaid |
$14,318.37
|
| Rate for Payer: UHCCP Medicaid |
$14,318.37
|
|
|
MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$19,874.65
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$18,928.24 |
| Max. Negotiated Rate |
$19,874.65 |
| Rate for Payer: BCBS Complete |
$19,874.65
|
| Rate for Payer: Mclaren Medicaid |
$18,928.24
|
| Rate for Payer: Meridian Medicaid |
$19,874.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,928.24
|
| Rate for Payer: UHC Medicaid |
$18,928.24
|
| Rate for Payer: UHCCP Medicaid |
$18,928.24
|
|
|
MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$32,942.82
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$31,374.12 |
| Max. Negotiated Rate |
$32,942.82 |
| Rate for Payer: BCBS Complete |
$32,942.82
|
| Rate for Payer: Mclaren Medicaid |
$31,374.12
|
| Rate for Payer: Meridian Medicaid |
$32,942.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,374.12
|
| Rate for Payer: UHC Medicaid |
$31,374.12
|
| Rate for Payer: UHCCP Medicaid |
$31,374.12
|
|
|
MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$11,852.43
|
|
|
Service Code
|
APR-DRG 4411
|
| Min. Negotiated Rate |
$11,288.03 |
| Max. Negotiated Rate |
$11,852.43 |
| Rate for Payer: BCBS Complete |
$11,852.43
|
| Rate for Payer: Mclaren Medicaid |
$11,288.03
|
| Rate for Payer: Meridian Medicaid |
$11,852.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,288.03
|
| Rate for Payer: UHC Medicaid |
$11,288.03
|
| Rate for Payer: UHCCP Medicaid |
$11,288.03
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$35,658.79
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$33,960.75 |
| Max. Negotiated Rate |
$35,658.79 |
| Rate for Payer: BCBS Complete |
$35,658.79
|
| Rate for Payer: Mclaren Medicaid |
$33,960.75
|
| Rate for Payer: Meridian Medicaid |
$35,658.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,960.75
|
| Rate for Payer: UHC Medicaid |
$33,960.75
|
| Rate for Payer: UHCCP Medicaid |
$33,960.75
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$26,455.01
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$25,195.25 |
| Max. Negotiated Rate |
$26,455.01 |
| Rate for Payer: BCBS Complete |
$26,455.01
|
| Rate for Payer: Mclaren Medicaid |
$25,195.25
|
| Rate for Payer: Meridian Medicaid |
$26,455.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,195.25
|
| Rate for Payer: UHC Medicaid |
$25,195.25
|
| Rate for Payer: UHCCP Medicaid |
$25,195.25
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$88,435.77
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$84,224.54 |
| Max. Negotiated Rate |
$88,435.77 |
| Rate for Payer: BCBS Complete |
$88,435.77
|
| Rate for Payer: Mclaren Medicaid |
$84,224.54
|
| Rate for Payer: Meridian Medicaid |
$88,435.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$84,224.54
|
| Rate for Payer: UHC Medicaid |
$84,224.54
|
| Rate for Payer: UHCCP Medicaid |
$84,224.54
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$45,241.17
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$43,086.83 |
| Max. Negotiated Rate |
$45,241.17 |
| Rate for Payer: BCBS Complete |
$45,241.17
|
| Rate for Payer: Mclaren Medicaid |
$43,086.83
|
| Rate for Payer: Meridian Medicaid |
$45,241.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,086.83
|
| Rate for Payer: UHC Medicaid |
$43,086.83
|
| Rate for Payer: UHCCP Medicaid |
$43,086.83
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$7,115.67
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$6,776.83 |
| Max. Negotiated Rate |
$7,115.67 |
| Rate for Payer: BCBS Complete |
$7,115.67
|
| Rate for Payer: Mclaren Medicaid |
$6,776.83
|
| Rate for Payer: Meridian Medicaid |
$7,115.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,776.83
|
| Rate for Payer: UHC Medicaid |
$6,776.83
|
| Rate for Payer: UHCCP Medicaid |
$6,776.83
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,045.96
|
|
|
Service Code
|
APR-DRG 1352
|
| Min. Negotiated Rate |
$4,805.68 |
| Max. Negotiated Rate |
$5,045.96 |
| Rate for Payer: BCBS Complete |
$5,045.96
|
| Rate for Payer: Mclaren Medicaid |
$4,805.68
|
| Rate for Payer: Meridian Medicaid |
$5,045.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,805.68
|
| Rate for Payer: UHC Medicaid |
$4,805.68
|
| Rate for Payer: UHCCP Medicaid |
$4,805.68
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,073.68
|
|
|
Service Code
|
APR-DRG 1351
|
| Min. Negotiated Rate |
$3,879.70 |
| Max. Negotiated Rate |
$4,073.68 |
| Rate for Payer: BCBS Complete |
$4,073.68
|
| Rate for Payer: Mclaren Medicaid |
$3,879.70
|
| Rate for Payer: Meridian Medicaid |
$4,073.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,879.70
|
| Rate for Payer: UHC Medicaid |
$3,879.70
|
| Rate for Payer: UHCCP Medicaid |
$3,879.70
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$11,747.79
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$11,188.37 |
| Max. Negotiated Rate |
$11,747.79 |
| Rate for Payer: BCBS Complete |
$11,747.79
|
| Rate for Payer: Mclaren Medicaid |
$11,188.37
|
| Rate for Payer: Meridian Medicaid |
$11,747.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,188.37
|
| Rate for Payer: UHC Medicaid |
$11,188.37
|
| Rate for Payer: UHCCP Medicaid |
$11,188.37
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$16,141.18
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$15,372.56 |
| Max. Negotiated Rate |
$16,141.18 |
| Rate for Payer: BCBS Complete |
$16,141.18
|
| Rate for Payer: Mclaren Medicaid |
$15,372.56
|
| Rate for Payer: Meridian Medicaid |
$16,141.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,372.56
|
| Rate for Payer: UHC Medicaid |
$15,372.56
|
| Rate for Payer: UHCCP Medicaid |
$15,372.56
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$31,321.66
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$29,830.15 |
| Max. Negotiated Rate |
$31,321.66 |
| Rate for Payer: BCBS Complete |
$31,321.66
|
| Rate for Payer: Mclaren Medicaid |
$29,830.15
|
| Rate for Payer: Meridian Medicaid |
$31,321.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,830.15
|
| Rate for Payer: UHC Medicaid |
$29,830.15
|
| Rate for Payer: UHCCP Medicaid |
$29,830.15
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,265.07
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$10,728.64 |
| Max. Negotiated Rate |
$11,265.07 |
| Rate for Payer: BCBS Complete |
$11,265.07
|
| Rate for Payer: Mclaren Medicaid |
$10,728.64
|
| Rate for Payer: Meridian Medicaid |
$11,265.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,728.64
|
| Rate for Payer: UHC Medicaid |
$10,728.64
|
| Rate for Payer: UHCCP Medicaid |
$10,728.64
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$21,976.43
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$20,929.93 |
| Max. Negotiated Rate |
$21,976.43 |
| Rate for Payer: BCBS Complete |
$21,976.43
|
| Rate for Payer: Mclaren Medicaid |
$20,929.93
|
| Rate for Payer: Meridian Medicaid |
$21,976.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,929.93
|
| Rate for Payer: UHC Medicaid |
$20,929.93
|
| Rate for Payer: UHCCP Medicaid |
$20,929.93
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,915.40
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$3,728.96 |
| Max. Negotiated Rate |
$3,915.40 |
| Rate for Payer: BCBS Complete |
$3,915.40
|
| Rate for Payer: Mclaren Medicaid |
$3,728.96
|
| Rate for Payer: Meridian Medicaid |
$3,915.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,728.96
|
| Rate for Payer: UHC Medicaid |
$3,728.96
|
| Rate for Payer: UHCCP Medicaid |
$3,728.96
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,398.27
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$5,141.21 |
| Max. Negotiated Rate |
$5,398.27 |
| Rate for Payer: BCBS Complete |
$5,398.27
|
| Rate for Payer: Mclaren Medicaid |
$5,141.21
|
| Rate for Payer: Meridian Medicaid |
$5,398.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,141.21
|
| Rate for Payer: UHC Medicaid |
$5,141.21
|
| Rate for Payer: UHCCP Medicaid |
$5,141.21
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$7,647.82
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$7,283.64 |
| Max. Negotiated Rate |
$7,647.82 |
| Rate for Payer: BCBS Complete |
$7,647.82
|
| Rate for Payer: Mclaren Medicaid |
$7,283.64
|
| Rate for Payer: Meridian Medicaid |
$7,647.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,283.64
|
| Rate for Payer: UHC Medicaid |
$7,283.64
|
| Rate for Payer: UHCCP Medicaid |
$7,283.64
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$11,689.95
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$11,133.28 |
| Max. Negotiated Rate |
$11,689.95 |
| Rate for Payer: BCBS Complete |
$11,689.95
|
| Rate for Payer: Mclaren Medicaid |
$11,133.28
|
| Rate for Payer: Meridian Medicaid |
$11,689.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,133.28
|
| Rate for Payer: UHC Medicaid |
$11,133.28
|
| Rate for Payer: UHCCP Medicaid |
$11,133.28
|
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,975.12
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$5,690.59 |
| Max. Negotiated Rate |
$5,975.12 |
| Rate for Payer: BCBS Complete |
$5,975.12
|
| Rate for Payer: Mclaren Medicaid |
$5,690.59
|
| Rate for Payer: Meridian Medicaid |
$5,975.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,690.59
|
| Rate for Payer: UHC Medicaid |
$5,690.59
|
| Rate for Payer: UHCCP Medicaid |
$5,690.59
|
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,490.53
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$3,324.31 |
| Max. Negotiated Rate |
$3,490.53 |
| Rate for Payer: BCBS Complete |
$3,490.53
|
| Rate for Payer: Mclaren Medicaid |
$3,324.31
|
| Rate for Payer: Meridian Medicaid |
$3,490.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,324.31
|
| Rate for Payer: UHC Medicaid |
$3,324.31
|
| Rate for Payer: UHCCP Medicaid |
$3,324.31
|
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$9,724.88
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$9,261.80 |
| Max. Negotiated Rate |
$9,724.88 |
| Rate for Payer: BCBS Complete |
$9,724.88
|
| Rate for Payer: Mclaren Medicaid |
$9,261.80
|
| Rate for Payer: Meridian Medicaid |
$9,724.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,261.80
|
| Rate for Payer: UHC Medicaid |
$9,261.80
|
| Rate for Payer: UHCCP Medicaid |
$9,261.80
|
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,555.35
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$4,338.43 |
| Max. Negotiated Rate |
$4,555.35 |
| Rate for Payer: BCBS Complete |
$4,555.35
|
| Rate for Payer: Mclaren Medicaid |
$4,338.43
|
| Rate for Payer: Meridian Medicaid |
$4,555.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,338.43
|
| Rate for Payer: UHC Medicaid |
$4,338.43
|
| Rate for Payer: UHCCP Medicaid |
$4,338.43
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$15,863.54
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$15,108.13 |
| Max. Negotiated Rate |
$15,863.54 |
| Rate for Payer: BCBS Complete |
$15,863.54
|
| Rate for Payer: Mclaren Medicaid |
$15,108.13
|
| Rate for Payer: Meridian Medicaid |
$15,863.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,108.13
|
| Rate for Payer: UHC Medicaid |
$15,108.13
|
| Rate for Payer: UHCCP Medicaid |
$15,108.13
|
|