|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$14,169.22
|
|
|
Service Code
|
APR-DRG 6503
|
| Min. Negotiated Rate |
$13,494.50 |
| Max. Negotiated Rate |
$14,169.22 |
| Rate for Payer: BCBS Complete |
$14,169.22
|
| Rate for Payer: Mclaren Medicaid |
$13,494.50
|
| Rate for Payer: Meridian Medicaid |
$14,169.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,494.50
|
| Rate for Payer: UHCCP Medicaid |
$13,494.50
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$11,997.30
|
|
|
Service Code
|
APR-DRG 6502
|
| Min. Negotiated Rate |
$11,426.00 |
| Max. Negotiated Rate |
$11,997.30 |
| Rate for Payer: BCBS Complete |
$11,997.30
|
| Rate for Payer: Mclaren Medicaid |
$11,426.00
|
| Rate for Payer: Meridian Medicaid |
$11,997.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,426.00
|
| Rate for Payer: UHCCP Medicaid |
$11,426.00
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$20,736.71
|
|
|
Service Code
|
APR-DRG 6504
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$8,429.14
|
|
|
Service Code
|
APR-DRG 6501
|
| Min. Negotiated Rate |
$8,027.75 |
| Max. Negotiated Rate |
$8,429.14 |
| Rate for Payer: BCBS Complete |
$8,429.14
|
| Rate for Payer: Mclaren Medicaid |
$8,027.75
|
| Rate for Payer: Meridian Medicaid |
$8,429.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,027.75
|
| Rate for Payer: UHCCP Medicaid |
$8,027.75
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 2043
|
| Min. Negotiated Rate |
$5,072.75 |
| Max. Negotiated Rate |
$5,326.39 |
| Rate for Payer: BCBS Complete |
$5,326.39
|
| Rate for Payer: Mclaren Medicaid |
$5,072.75
|
| Rate for Payer: Meridian Medicaid |
$5,326.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,072.75
|
| Rate for Payer: UHCCP Medicaid |
$5,072.75
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,447.28
|
|
|
Service Code
|
APR-DRG 2042
|
| Min. Negotiated Rate |
$4,235.50 |
| Max. Negotiated Rate |
$4,447.28 |
| Rate for Payer: BCBS Complete |
$4,447.28
|
| Rate for Payer: Mclaren Medicaid |
$4,235.50
|
| Rate for Payer: Meridian Medicaid |
$4,447.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,235.50
|
| Rate for Payer: UHCCP Medicaid |
$4,235.50
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$8,584.28
|
|
|
Service Code
|
APR-DRG 2044
|
| Min. Negotiated Rate |
$8,175.50 |
| Max. Negotiated Rate |
$8,584.28 |
| Rate for Payer: BCBS Complete |
$8,584.28
|
| Rate for Payer: Mclaren Medicaid |
$8,175.50
|
| Rate for Payer: Meridian Medicaid |
$8,584.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,175.50
|
| Rate for Payer: UHCCP Medicaid |
$8,175.50
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 2041
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$3,723.30 |
| Rate for Payer: BCBS Complete |
$3,723.30
|
| Rate for Payer: Mclaren Medicaid |
$3,546.00
|
| Rate for Payer: Meridian Medicaid |
$3,723.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,546.00
|
| Rate for Payer: UHCCP Medicaid |
$3,546.00
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$17,427.11
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$16,597.25 |
| Max. Negotiated Rate |
$17,427.11 |
| Rate for Payer: BCBS Complete |
$17,427.11
|
| Rate for Payer: Mclaren Medicaid |
$16,597.25
|
| Rate for Payer: Meridian Medicaid |
$17,427.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,597.25
|
| Rate for Payer: UHCCP Medicaid |
$16,597.25
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$10,963.05
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$10,441.00 |
| Max. Negotiated Rate |
$10,963.05 |
| Rate for Payer: BCBS Complete |
$10,963.05
|
| Rate for Payer: Mclaren Medicaid |
$10,441.00
|
| Rate for Payer: Meridian Medicaid |
$10,963.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,441.00
|
| Rate for Payer: UHCCP Medicaid |
$10,441.00
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$6,981.19
|
|
|
Service Code
|
APR-DRG 3171
|
| 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: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$9,204.82
|
|
|
Service Code
|
APR-DRG 3172
|
| Min. Negotiated Rate |
$8,766.50 |
| Max. Negotiated Rate |
$9,204.82 |
| Rate for Payer: BCBS Complete |
$9,204.82
|
| Rate for Payer: Mclaren Medicaid |
$8,766.50
|
| Rate for Payer: Meridian Medicaid |
$9,204.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,766.50
|
| Rate for Payer: UHCCP Medicaid |
$8,766.50
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 4272
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$6,774.34
|
|
|
Service Code
|
APR-DRG 4273
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 4271
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$12,204.15
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$11,623.00 |
| Max. Negotiated Rate |
$12,204.15 |
| Rate for Payer: BCBS Complete |
$12,204.15
|
| Rate for Payer: Mclaren Medicaid |
$11,623.00
|
| Rate for Payer: Meridian Medicaid |
$12,204.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.00
|
| Rate for Payer: UHCCP Medicaid |
$11,623.00
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$6,670.91
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$6,353.25 |
| Max. Negotiated Rate |
$6,670.91 |
| Rate for Payer: BCBS Complete |
$6,670.91
|
| Rate for Payer: Mclaren Medicaid |
$6,353.25
|
| Rate for Payer: Meridian Medicaid |
$6,670.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,353.25
|
| Rate for Payer: UHCCP Medicaid |
$6,353.25
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$9,825.38
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$9,357.50 |
| Max. Negotiated Rate |
$9,825.38 |
| Rate for Payer: BCBS Complete |
$9,825.38
|
| Rate for Payer: Mclaren Medicaid |
$9,357.50
|
| Rate for Payer: Meridian Medicaid |
$9,825.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,357.50
|
| Rate for Payer: UHCCP Medicaid |
$9,357.50
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$19,547.32
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$18,616.50 |
| Max. Negotiated Rate |
$19,547.32 |
| Rate for Payer: BCBS Complete |
$19,547.32
|
| Rate for Payer: Mclaren Medicaid |
$18,616.50
|
| Rate for Payer: Meridian Medicaid |
$19,547.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,616.50
|
| Rate for Payer: UHCCP Medicaid |
$18,616.50
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$11,376.75
|
|
|
Service Code
|
APR-DRG 4043
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$15,306.90
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$14,578.00 |
| Max. Negotiated Rate |
$15,306.90 |
| Rate for Payer: BCBS Complete |
$15,306.90
|
| Rate for Payer: Mclaren Medicaid |
$14,578.00
|
| Rate for Payer: Meridian Medicaid |
$15,306.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,578.00
|
| Rate for Payer: UHCCP Medicaid |
$14,578.00
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$9,670.24
|
|
|
Service Code
|
APR-DRG 0973
|
| Min. Negotiated Rate |
$9,209.75 |
| Max. Negotiated Rate |
$9,670.24 |
| Rate for Payer: BCBS Complete |
$9,670.24
|
| Rate for Payer: Mclaren Medicaid |
$9,209.75
|
| Rate for Payer: Meridian Medicaid |
$9,670.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,209.75
|
| Rate for Payer: UHCCP Medicaid |
$9,209.75
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$4,531.00 |
| Max. Negotiated Rate |
$4,757.55 |
| Rate for Payer: BCBS Complete |
$4,757.55
|
| Rate for Payer: Mclaren Medicaid |
$4,531.00
|
| Rate for Payer: Meridian Medicaid |
$4,757.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,531.00
|
| Rate for Payer: UHCCP Medicaid |
$4,531.00
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 0972
|
| Min. Negotiated Rate |
$6,402.50 |
| Max. Negotiated Rate |
$6,722.62 |
| Rate for Payer: BCBS Complete |
$6,722.62
|
| Rate for Payer: Mclaren Medicaid |
$6,402.50
|
| Rate for Payer: Meridian Medicaid |
$6,722.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,402.50
|
| Rate for Payer: UHCCP Medicaid |
$6,402.50
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 8162
|
| Min. Negotiated Rate |
$2,758.00 |
| Max. Negotiated Rate |
$2,895.90 |
| Rate for Payer: BCBS Complete |
$2,895.90
|
| Rate for Payer: Mclaren Medicaid |
$2,758.00
|
| Rate for Payer: Meridian Medicaid |
$2,895.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,758.00
|
| Rate for Payer: UHCCP Medicaid |
$2,758.00
|
|