|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$2,999.32
|
|
|
Service Code
|
APR-DRG 3801
|
| 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
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$10,342.50
|
|
|
Service Code
|
APR-DRG 3804
|
| Min. Negotiated Rate |
$9,850.00 |
| Max. Negotiated Rate |
$10,342.50 |
| Rate for Payer: BCBS Complete |
$10,342.50
|
| Rate for Payer: Mclaren Medicaid |
$9,850.00
|
| Rate for Payer: Meridian Medicaid |
$10,342.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,850.00
|
| Rate for Payer: UHCCP Medicaid |
$9,850.00
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 3803
|
| Min. Negotiated Rate |
$5,663.75 |
| Max. Negotiated Rate |
$5,946.94 |
| Rate for Payer: BCBS Complete |
$5,946.94
|
| Rate for Payer: Mclaren Medicaid |
$5,663.75
|
| Rate for Payer: Meridian Medicaid |
$5,946.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,663.75
|
| Rate for Payer: UHCCP Medicaid |
$5,663.75
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 3802
|
| Min. Negotiated Rate |
$3,693.75 |
| Max. Negotiated Rate |
$3,878.44 |
| Rate for Payer: BCBS Complete |
$3,878.44
|
| Rate for Payer: Mclaren Medicaid |
$3,693.75
|
| Rate for Payer: Meridian Medicaid |
$3,878.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,693.75
|
| Rate for Payer: UHCCP Medicaid |
$3,693.75
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$10,497.64
|
|
|
Service Code
|
APR-DRG 0403
|
| Min. Negotiated Rate |
$9,997.75 |
| Max. Negotiated Rate |
$10,497.64 |
| Rate for Payer: BCBS Complete |
$10,497.64
|
| Rate for Payer: Mclaren Medicaid |
$9,997.75
|
| Rate for Payer: Meridian Medicaid |
$10,497.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,997.75
|
| Rate for Payer: UHCCP Medicaid |
$9,997.75
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$14,738.06
|
|
|
Service Code
|
APR-DRG 0404
|
| 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: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$5,584.95
|
|
|
Service Code
|
APR-DRG 0401
|
| Min. Negotiated Rate |
$5,319.00 |
| Max. Negotiated Rate |
$5,584.95 |
| Rate for Payer: BCBS Complete |
$5,584.95
|
| Rate for Payer: Mclaren Medicaid |
$5,319.00
|
| Rate for Payer: Meridian Medicaid |
$5,584.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,319.00
|
| Rate for Payer: UHCCP Medicaid |
$5,319.00
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$7,601.74
|
|
|
Service Code
|
APR-DRG 0402
|
| 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: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$11,893.88
|
|
|
Service Code
|
APR-DRG 3212
|
| Min. Negotiated Rate |
$11,327.50 |
| Max. Negotiated Rate |
$11,893.88 |
| Rate for Payer: BCBS Complete |
$11,893.88
|
| Rate for Payer: Mclaren Medicaid |
$11,327.50
|
| Rate for Payer: Meridian Medicaid |
$11,893.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,327.50
|
| Rate for Payer: UHCCP Medicaid |
$11,327.50
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 3211
|
| Min. Negotiated Rate |
$8,323.25 |
| Max. Negotiated Rate |
$8,739.41 |
| Rate for Payer: BCBS Complete |
$8,739.41
|
| Rate for Payer: Mclaren Medicaid |
$8,323.25
|
| Rate for Payer: Meridian Medicaid |
$8,739.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,323.25
|
| Rate for Payer: UHCCP Medicaid |
$8,323.25
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$18,668.21
|
|
|
Service Code
|
APR-DRG 3213
|
| Min. Negotiated Rate |
$17,779.25 |
| Max. Negotiated Rate |
$18,668.21 |
| Rate for Payer: BCBS Complete |
$18,668.21
|
| Rate for Payer: Mclaren Medicaid |
$17,779.25
|
| Rate for Payer: Meridian Medicaid |
$18,668.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,779.25
|
| Rate for Payer: UHCCP Medicaid |
$17,779.25
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$24,873.71
|
|
|
Service Code
|
APR-DRG 3214
|
| Min. Negotiated Rate |
$23,689.25 |
| Max. Negotiated Rate |
$24,873.71 |
| Rate for Payer: BCBS Complete |
$24,873.71
|
| Rate for Payer: Mclaren Medicaid |
$23,689.25
|
| Rate for Payer: Meridian Medicaid |
$24,873.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,689.25
|
| Rate for Payer: UHCCP Medicaid |
$23,689.25
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$20,012.74
|
|
|
Service Code
|
APR-DRG 0233
|
| Min. Negotiated Rate |
$19,059.75 |
| Max. Negotiated Rate |
$20,012.74 |
| Rate for Payer: BCBS Complete |
$20,012.74
|
| Rate for Payer: Mclaren Medicaid |
$19,059.75
|
| Rate for Payer: Meridian Medicaid |
$20,012.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,059.75
|
| Rate for Payer: UHCCP Medicaid |
$19,059.75
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$8,946.26
|
|
|
Service Code
|
APR-DRG 0231
|
| 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: SPINAL PROCEDURES
|
Facility
|
IP
|
$12,669.56
|
|
|
Service Code
|
APR-DRG 0232
|
| Min. Negotiated Rate |
$12,066.25 |
| Max. Negotiated Rate |
$12,669.56 |
| Rate for Payer: BCBS Complete |
$12,669.56
|
| Rate for Payer: Mclaren Medicaid |
$12,066.25
|
| Rate for Payer: Meridian Medicaid |
$12,669.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,066.25
|
| Rate for Payer: UHCCP Medicaid |
$12,066.25
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$29,010.71
|
|
|
Service Code
|
APR-DRG 0234
|
| Min. Negotiated Rate |
$27,629.25 |
| Max. Negotiated Rate |
$29,010.71 |
| Rate for Payer: BCBS Complete |
$29,010.71
|
| Rate for Payer: Mclaren Medicaid |
$27,629.25
|
| Rate for Payer: Meridian Medicaid |
$29,010.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,629.25
|
| Rate for Payer: UHCCP Medicaid |
$27,629.25
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 6502
|
| Min. Negotiated Rate |
$10,539.50 |
| Max. Negotiated Rate |
$11,066.48 |
| Rate for Payer: BCBS Complete |
$11,066.48
|
| Rate for Payer: Mclaren Medicaid |
$10,539.50
|
| Rate for Payer: Meridian Medicaid |
$11,066.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,539.50
|
| Rate for Payer: UHCCP Medicaid |
$10,539.50
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$7,601.74
|
|
|
Service Code
|
APR-DRG 6501
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$21,822.67
|
|
|
Service Code
|
APR-DRG 6504
|
| Min. Negotiated Rate |
$20,783.50 |
| Max. Negotiated Rate |
$21,822.67 |
| Rate for Payer: BCBS Complete |
$21,822.67
|
| Rate for Payer: Mclaren Medicaid |
$20,783.50
|
| Rate for Payer: Meridian Medicaid |
$21,822.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,783.50
|
| Rate for Payer: UHCCP Medicaid |
$20,783.50
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$13,755.52
|
|
|
Service Code
|
APR-DRG 6503
|
| Min. Negotiated Rate |
$13,100.50 |
| Max. Negotiated Rate |
$13,755.52 |
| Rate for Payer: BCBS Complete |
$13,755.52
|
| Rate for Payer: Mclaren Medicaid |
$13,100.50
|
| Rate for Payer: Meridian Medicaid |
$13,755.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,100.50
|
| Rate for Payer: UHCCP Medicaid |
$13,100.50
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 2042
|
| Min. Negotiated Rate |
$3,743.00 |
| Max. Negotiated Rate |
$3,930.15 |
| Rate for Payer: BCBS Complete |
$3,930.15
|
| Rate for Payer: Mclaren Medicaid |
$3,743.00
|
| Rate for Payer: Meridian Medicaid |
$3,930.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,743.00
|
| Rate for Payer: UHCCP Medicaid |
$3,743.00
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$5,016.11
|
|
|
Service Code
|
APR-DRG 2043
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,464.74
|
|
|
Service Code
|
APR-DRG 2041
|
| Min. Negotiated Rate |
$3,299.75 |
| Max. Negotiated Rate |
$3,464.74 |
| Rate for Payer: BCBS Complete |
$3,464.74
|
| Rate for Payer: Mclaren Medicaid |
$3,299.75
|
| Rate for Payer: Meridian Medicaid |
$3,464.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,299.75
|
| Rate for Payer: UHCCP Medicaid |
$3,299.75
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$8,067.15
|
|
|
Service Code
|
APR-DRG 2044
|
| Min. Negotiated Rate |
$7,683.00 |
| Max. Negotiated Rate |
$8,067.15 |
| Rate for Payer: BCBS Complete |
$8,067.15
|
| Rate for Payer: Mclaren Medicaid |
$7,683.00
|
| Rate for Payer: Meridian Medicaid |
$8,067.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,683.00
|
| Rate for Payer: UHCCP Medicaid |
$7,683.00
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 3171
|
| Min. Negotiated Rate |
$5,368.25 |
| Max. Negotiated Rate |
$5,636.66 |
| Rate for Payer: BCBS Complete |
$5,636.66
|
| Rate for Payer: Mclaren Medicaid |
$5,368.25
|
| Rate for Payer: Meridian Medicaid |
$5,636.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,368.25
|
| Rate for Payer: UHCCP Medicaid |
$5,368.25
|
|