|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$18,254.51
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$17,385.25 |
| Max. Negotiated Rate |
$18,254.51 |
| Rate for Payer: BCBS Complete |
$18,254.51
|
| Rate for Payer: Mclaren Medicaid |
$17,385.25
|
| Rate for Payer: Meridian Medicaid |
$18,254.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,385.25
|
| Rate for Payer: UHCCP Medicaid |
$17,385.25
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$10,704.49
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$10,194.75 |
| Max. Negotiated Rate |
$10,704.49 |
| Rate for Payer: BCBS Complete |
$10,704.49
|
| Rate for Payer: Mclaren Medicaid |
$10,194.75
|
| Rate for Payer: Meridian Medicaid |
$10,704.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,194.75
|
| Rate for Payer: UHCCP Medicaid |
$10,194.75
|
|
|
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
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 4271
|
| Min. Negotiated Rate |
$2,708.75 |
| Max. Negotiated Rate |
$2,844.19 |
| Rate for Payer: BCBS Complete |
$2,844.19
|
| Rate for Payer: Mclaren Medicaid |
$2,708.75
|
| Rate for Payer: Meridian Medicaid |
$2,844.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,708.75
|
| Rate for Payer: UHCCP Medicaid |
$2,708.75
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 4272
|
| Min. Negotiated Rate |
$3,644.50 |
| Max. Negotiated Rate |
$3,826.72 |
| Rate for Payer: BCBS Complete |
$3,826.72
|
| Rate for Payer: Mclaren Medicaid |
$3,644.50
|
| Rate for Payer: Meridian Medicaid |
$3,826.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,644.50
|
| Rate for Payer: UHCCP Medicaid |
$3,644.50
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$11,273.33
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$10,736.50 |
| Max. Negotiated Rate |
$11,273.33 |
| Rate for Payer: BCBS Complete |
$11,273.33
|
| Rate for Payer: Mclaren Medicaid |
$10,736.50
|
| Rate for Payer: Meridian Medicaid |
$11,273.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,736.50
|
| Rate for Payer: UHCCP Medicaid |
$10,736.50
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 4273
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$23,322.34
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$22,211.75 |
| Max. Negotiated Rate |
$23,322.34 |
| Rate for Payer: BCBS Complete |
$23,322.34
|
| Rate for Payer: Mclaren Medicaid |
$22,211.75
|
| Rate for Payer: Meridian Medicaid |
$23,322.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,211.75
|
| Rate for Payer: UHCCP Medicaid |
$22,211.75
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$5,516.00 |
| Max. Negotiated Rate |
$5,791.80 |
| Rate for Payer: BCBS Complete |
$5,791.80
|
| Rate for Payer: Mclaren Medicaid |
$5,516.00
|
| Rate for Payer: Meridian Medicaid |
$5,791.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,516.00
|
| Rate for Payer: UHCCP Medicaid |
$5,516.00
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$8,170.57
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$7,781.50 |
| Max. Negotiated Rate |
$8,170.57 |
| Rate for Payer: BCBS Complete |
$8,170.57
|
| Rate for Payer: Mclaren Medicaid |
$7,781.50
|
| Rate for Payer: Meridian Medicaid |
$8,170.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.50
|
| Rate for Payer: UHCCP Medicaid |
$7,781.50
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$13,496.96
|
|
|
Service Code
|
APR-DRG 4043
|
| Min. Negotiated Rate |
$12,854.25 |
| Max. Negotiated Rate |
$13,496.96 |
| Rate for Payer: BCBS Complete |
$13,496.96
|
| Rate for Payer: Mclaren Medicaid |
$12,854.25
|
| Rate for Payer: Meridian Medicaid |
$13,496.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,854.25
|
| Rate for Payer: UHCCP Medicaid |
$12,854.25
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 0972
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$3,413.03
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.03 |
| Rate for Payer: BCBS Complete |
$3,413.03
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$8,429.14
|
|
|
Service Code
|
APR-DRG 0973
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$13,652.10
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$13,002.00 |
| Max. Negotiated Rate |
$13,652.10 |
| Rate for Payer: BCBS Complete |
$13,652.10
|
| Rate for Payer: Mclaren Medicaid |
$13,002.00
|
| Rate for Payer: Meridian Medicaid |
$13,652.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,002.00
|
| Rate for Payer: UHCCP Medicaid |
$13,002.00
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$6,567.49
|
|
|
Service Code
|
APR-DRG 8163
|
| Min. Negotiated Rate |
$6,254.75 |
| Max. Negotiated Rate |
$6,567.49 |
| Rate for Payer: BCBS Complete |
$6,567.49
|
| Rate for Payer: Mclaren Medicaid |
$6,254.75
|
| Rate for Payer: Meridian Medicaid |
$6,567.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,254.75
|
| Rate for Payer: UHCCP Medicaid |
$6,254.75
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$12,566.14
|
|
|
Service Code
|
APR-DRG 8164
|
| 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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,533.91
|
|
|
Service Code
|
APR-DRG 8161
|
| Min. Negotiated Rate |
$2,413.25 |
| Max. Negotiated Rate |
$2,533.91 |
| Rate for Payer: BCBS Complete |
$2,533.91
|
| Rate for Payer: Mclaren Medicaid |
$2,413.25
|
| Rate for Payer: Meridian Medicaid |
$2,533.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,413.25
|
| Rate for Payer: UHCCP Medicaid |
$2,413.25
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,464.74
|
|
|
Service Code
|
APR-DRG 8162
|
| 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: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$28,028.17
|
|
|
Service Code
|
APR-DRG 0041
|
| Min. Negotiated Rate |
$26,693.50 |
| Max. Negotiated Rate |
$28,028.17 |
| Rate for Payer: BCBS Complete |
$28,028.17
|
| Rate for Payer: Mclaren Medicaid |
$26,693.50
|
| Rate for Payer: Meridian Medicaid |
$28,028.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,693.50
|
| Rate for Payer: UHCCP Medicaid |
$26,693.50
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$40,490.89
|
|
|
Service Code
|
APR-DRG 0042
|
| Min. Negotiated Rate |
$38,562.75 |
| Max. Negotiated Rate |
$40,490.89 |
| Rate for Payer: BCBS Complete |
$40,490.89
|
| Rate for Payer: Mclaren Medicaid |
$38,562.75
|
| Rate for Payer: Meridian Medicaid |
$40,490.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$38,562.75
|
| Rate for Payer: UHCCP Medicaid |
$38,562.75
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$63,399.53
|
|
|
Service Code
|
APR-DRG 0043
|
| Min. Negotiated Rate |
$60,380.50 |
| Max. Negotiated Rate |
$63,399.53 |
| Rate for Payer: BCBS Complete |
$63,399.53
|
| Rate for Payer: Mclaren Medicaid |
$60,380.50
|
| Rate for Payer: Meridian Medicaid |
$63,399.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$60,380.50
|
| Rate for Payer: UHCCP Medicaid |
$60,380.50
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$91,944.82
|
|
|
Service Code
|
APR-DRG 0044
|
| Min. Negotiated Rate |
$87,566.50 |
| Max. Negotiated Rate |
$91,944.82 |
| Rate for Payer: BCBS Complete |
$91,944.82
|
| Rate for Payer: Mclaren Medicaid |
$87,566.50
|
| Rate for Payer: Meridian Medicaid |
$91,944.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$87,566.50
|
| Rate for Payer: UHCCP Medicaid |
$87,566.50
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$16,289.44
|
|
|
Service Code
|
APR-DRG 0051
|
| Min. Negotiated Rate |
$15,513.75 |
| Max. Negotiated Rate |
$16,289.44 |
| Rate for Payer: BCBS Complete |
$16,289.44
|
| Rate for Payer: Mclaren Medicaid |
$15,513.75
|
| Rate for Payer: Meridian Medicaid |
$16,289.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,513.75
|
| Rate for Payer: UHCCP Medicaid |
$15,513.75
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$30,975.79
|
|
|
Service Code
|
APR-DRG 0052
|
| Min. Negotiated Rate |
$29,500.75 |
| Max. Negotiated Rate |
$30,975.79 |
| Rate for Payer: BCBS Complete |
$30,975.79
|
| Rate for Payer: Mclaren Medicaid |
$29,500.75
|
| Rate for Payer: Meridian Medicaid |
$30,975.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,500.75
|
| Rate for Payer: UHCCP Medicaid |
$29,500.75
|
|