|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,457.02
|
|
|
Service Code
|
APR-DRG 6602
|
| Min. Negotiated Rate |
$4,244.78 |
| Max. Negotiated Rate |
$4,457.02 |
| Rate for Payer: BCBS Complete |
$4,457.02
|
| Rate for Payer: Mclaren Medicaid |
$4,244.78
|
| Rate for Payer: Meridian Medicaid |
$4,457.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,244.78
|
| Rate for Payer: UHC Medicaid |
$4,244.78
|
| Rate for Payer: UHCCP Medicaid |
$4,244.78
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$8,180.49
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$7,790.95 |
| Max. Negotiated Rate |
$8,180.49 |
| Rate for Payer: BCBS Complete |
$8,180.49
|
| Rate for Payer: Mclaren Medicaid |
$7,790.95
|
| Rate for Payer: Meridian Medicaid |
$8,180.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,790.95
|
| Rate for Payer: UHC Medicaid |
$7,790.95
|
| Rate for Payer: UHCCP Medicaid |
$7,790.95
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$3,394.30
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$3,232.66 |
| Max. Negotiated Rate |
$3,394.30 |
| Rate for Payer: BCBS Complete |
$3,394.30
|
| Rate for Payer: Mclaren Medicaid |
$3,232.66
|
| Rate for Payer: Meridian Medicaid |
$3,394.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,232.66
|
| Rate for Payer: UHC Medicaid |
$3,232.66
|
| Rate for Payer: UHCCP Medicaid |
$3,232.66
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,278.82
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$7,884.60 |
| Max. Negotiated Rate |
$8,278.82 |
| Rate for Payer: BCBS Complete |
$8,278.82
|
| Rate for Payer: Mclaren Medicaid |
$7,884.60
|
| Rate for Payer: Meridian Medicaid |
$8,278.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,884.60
|
| Rate for Payer: UHC Medicaid |
$7,884.60
|
| Rate for Payer: UHCCP Medicaid |
$7,884.60
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,698.21
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$10,188.78 |
| Max. Negotiated Rate |
$10,698.21 |
| Rate for Payer: BCBS Complete |
$10,698.21
|
| Rate for Payer: Mclaren Medicaid |
$10,188.78
|
| Rate for Payer: Meridian Medicaid |
$10,698.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,188.78
|
| Rate for Payer: UHC Medicaid |
$10,188.78
|
| Rate for Payer: UHCCP Medicaid |
$10,188.78
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$23,267.37
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$22,159.40 |
| Max. Negotiated Rate |
$23,267.37 |
| Rate for Payer: BCBS Complete |
$23,267.37
|
| Rate for Payer: Mclaren Medicaid |
$22,159.40
|
| Rate for Payer: Meridian Medicaid |
$23,267.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,159.40
|
| Rate for Payer: UHC Medicaid |
$22,159.40
|
| Rate for Payer: UHCCP Medicaid |
$22,159.40
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$15,291.43
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$14,563.26 |
| Max. Negotiated Rate |
$15,291.43 |
| Rate for Payer: BCBS Complete |
$15,291.43
|
| Rate for Payer: Mclaren Medicaid |
$14,563.26
|
| Rate for Payer: Meridian Medicaid |
$15,291.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,563.26
|
| Rate for Payer: UHC Medicaid |
$14,563.26
|
| Rate for Payer: UHCCP Medicaid |
$14,563.26
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$19,497.10
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$18,568.66 |
| Max. Negotiated Rate |
$19,497.10 |
| Rate for Payer: BCBS Complete |
$19,497.10
|
| Rate for Payer: Mclaren Medicaid |
$18,568.66
|
| Rate for Payer: Meridian Medicaid |
$19,497.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,568.66
|
| Rate for Payer: UHC Medicaid |
$18,568.66
|
| Rate for Payer: UHCCP Medicaid |
$18,568.66
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$38,769.66
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$36,923.48 |
| Max. Negotiated Rate |
$38,769.66 |
| Rate for Payer: BCBS Complete |
$38,769.66
|
| Rate for Payer: Mclaren Medicaid |
$36,923.48
|
| Rate for Payer: Meridian Medicaid |
$38,769.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,923.48
|
| Rate for Payer: UHC Medicaid |
$36,923.48
|
| Rate for Payer: UHCCP Medicaid |
$36,923.48
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,378.95
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$12,741.85 |
| Max. Negotiated Rate |
$13,378.95 |
| Rate for Payer: BCBS Complete |
$13,378.95
|
| Rate for Payer: Mclaren Medicaid |
$12,741.85
|
| Rate for Payer: Meridian Medicaid |
$13,378.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,741.85
|
| Rate for Payer: UHC Medicaid |
$12,741.85
|
| Rate for Payer: UHCCP Medicaid |
$12,741.85
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$10,010.42
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$9,533.73 |
| Max. Negotiated Rate |
$10,010.42 |
| Rate for Payer: BCBS Complete |
$10,010.42
|
| Rate for Payer: Mclaren Medicaid |
$9,533.73
|
| Rate for Payer: Meridian Medicaid |
$10,010.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,533.73
|
| Rate for Payer: UHC Medicaid |
$9,533.73
|
| Rate for Payer: UHCCP Medicaid |
$9,533.73
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$17,866.47
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$17,015.68 |
| Max. Negotiated Rate |
$17,866.47 |
| Rate for Payer: BCBS Complete |
$17,866.47
|
| Rate for Payer: Mclaren Medicaid |
$17,015.68
|
| Rate for Payer: Meridian Medicaid |
$17,866.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,015.68
|
| Rate for Payer: UHC Medicaid |
$17,015.68
|
| Rate for Payer: UHCCP Medicaid |
$17,015.68
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$9,202.20
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$8,764.00 |
| Max. Negotiated Rate |
$9,202.20 |
| Rate for Payer: BCBS Complete |
$9,202.20
|
| Rate for Payer: Mclaren Medicaid |
$8,764.00
|
| Rate for Payer: Meridian Medicaid |
$9,202.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,764.00
|
| Rate for Payer: UHC Medicaid |
$8,764.00
|
| Rate for Payer: UHCCP Medicaid |
$8,764.00
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$21,240.78
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$20,229.32 |
| Max. Negotiated Rate |
$21,240.78 |
| Rate for Payer: BCBS Complete |
$21,240.78
|
| Rate for Payer: Mclaren Medicaid |
$20,229.32
|
| Rate for Payer: Meridian Medicaid |
$21,240.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,229.32
|
| Rate for Payer: UHC Medicaid |
$20,229.32
|
| Rate for Payer: UHCCP Medicaid |
$20,229.32
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$12,186.87
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$11,606.54 |
| Max. Negotiated Rate |
$12,186.87 |
| Rate for Payer: BCBS Complete |
$12,186.87
|
| Rate for Payer: Mclaren Medicaid |
$11,606.54
|
| Rate for Payer: Meridian Medicaid |
$12,186.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,606.54
|
| Rate for Payer: UHC Medicaid |
$11,606.54
|
| Rate for Payer: UHCCP Medicaid |
$11,606.54
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$13,904.26
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$13,242.15 |
| Max. Negotiated Rate |
$13,904.26 |
| Rate for Payer: BCBS Complete |
$13,904.26
|
| Rate for Payer: Mclaren Medicaid |
$13,242.15
|
| Rate for Payer: Meridian Medicaid |
$13,904.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,242.15
|
| Rate for Payer: UHC Medicaid |
$13,242.15
|
| Rate for Payer: UHCCP Medicaid |
$13,242.15
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$30,549.20
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$29,094.48 |
| Max. Negotiated Rate |
$30,549.20 |
| Rate for Payer: BCBS Complete |
$30,549.20
|
| Rate for Payer: Mclaren Medicaid |
$29,094.48
|
| Rate for Payer: Meridian Medicaid |
$30,549.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,094.48
|
| Rate for Payer: UHC Medicaid |
$29,094.48
|
| Rate for Payer: UHCCP Medicaid |
$29,094.48
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,317.51
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$9,826.20 |
| Max. Negotiated Rate |
$10,317.51 |
| Rate for Payer: BCBS Complete |
$10,317.51
|
| Rate for Payer: Mclaren Medicaid |
$9,826.20
|
| Rate for Payer: Meridian Medicaid |
$10,317.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,826.20
|
| Rate for Payer: UHC Medicaid |
$9,826.20
|
| Rate for Payer: UHCCP Medicaid |
$9,826.20
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$19,493.94
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$18,565.66 |
| Max. Negotiated Rate |
$19,493.94 |
| Rate for Payer: BCBS Complete |
$19,493.94
|
| Rate for Payer: Mclaren Medicaid |
$18,565.66
|
| Rate for Payer: Meridian Medicaid |
$19,493.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,565.66
|
| Rate for Payer: UHC Medicaid |
$18,565.66
|
| Rate for Payer: UHCCP Medicaid |
$18,565.66
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$10,241.79
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$9,754.08 |
| Max. Negotiated Rate |
$10,241.79 |
| Rate for Payer: BCBS Complete |
$10,241.79
|
| Rate for Payer: Mclaren Medicaid |
$9,754.08
|
| Rate for Payer: Meridian Medicaid |
$10,241.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,754.08
|
| Rate for Payer: UHC Medicaid |
$9,754.08
|
| Rate for Payer: UHCCP Medicaid |
$9,754.08
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$3,791.83
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,611.27 |
| Max. Negotiated Rate |
$3,791.83 |
| Rate for Payer: BCBS Complete |
$3,791.83
|
| Rate for Payer: Mclaren Medicaid |
$3,611.27
|
| Rate for Payer: Meridian Medicaid |
$3,791.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,611.27
|
| Rate for Payer: UHC Medicaid |
$3,611.27
|
| Rate for Payer: UHCCP Medicaid |
$3,611.27
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,272.15
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,163.96 |
| Max. Negotiated Rate |
$2,272.15 |
| Rate for Payer: BCBS Complete |
$2,272.15
|
| Rate for Payer: Mclaren Medicaid |
$2,163.96
|
| Rate for Payer: Meridian Medicaid |
$2,272.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,163.96
|
| Rate for Payer: UHC Medicaid |
$2,163.96
|
| Rate for Payer: UHCCP Medicaid |
$2,163.96
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$5,686.96
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,416.15 |
| Max. Negotiated Rate |
$5,686.96 |
| Rate for Payer: BCBS Complete |
$5,686.96
|
| Rate for Payer: Mclaren Medicaid |
$5,416.15
|
| Rate for Payer: Meridian Medicaid |
$5,686.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,416.15
|
| Rate for Payer: UHC Medicaid |
$5,416.15
|
| Rate for Payer: UHCCP Medicaid |
$5,416.15
|
|
|
MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$8,894.58
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$8,471.03 |
| Max. Negotiated Rate |
$8,894.58 |
| Rate for Payer: BCBS Complete |
$8,894.58
|
| Rate for Payer: Mclaren Medicaid |
$8,471.03
|
| Rate for Payer: Meridian Medicaid |
$8,894.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,471.03
|
| Rate for Payer: UHC Medicaid |
$8,471.03
|
| Rate for Payer: UHCCP Medicaid |
$8,471.03
|
|
|
MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$5,483.46
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$5,222.34 |
| Max. Negotiated Rate |
$5,483.46 |
| Rate for Payer: BCBS Complete |
$5,483.46
|
| Rate for Payer: Mclaren Medicaid |
$5,222.34
|
| Rate for Payer: Meridian Medicaid |
$5,483.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,222.34
|
| Rate for Payer: UHC Medicaid |
$5,222.34
|
| Rate for Payer: UHCCP Medicaid |
$5,222.34
|
|