|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 5422
|
| Min. Negotiated Rate |
$3,004.25 |
| Max. Negotiated Rate |
$3,154.46 |
| Rate for Payer: BCBS Complete |
$3,154.46
|
| Rate for Payer: Mclaren Medicaid |
$3,004.25
|
| Rate for Payer: Meridian Medicaid |
$3,154.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,004.25
|
| Rate for Payer: UHCCP Medicaid |
$3,004.25
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,102.75
|
|
|
Service Code
|
APR-DRG 5411
|
| Min. Negotiated Rate |
$2,955.00 |
| Max. Negotiated Rate |
$3,102.75 |
| Rate for Payer: BCBS Complete |
$3,102.75
|
| Rate for Payer: Mclaren Medicaid |
$2,955.00
|
| Rate for Payer: Meridian Medicaid |
$3,102.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,955.00
|
| Rate for Payer: UHCCP Medicaid |
$2,955.00
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 5414
|
| 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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 5413
|
| Min. Negotiated Rate |
$5,220.50 |
| Max. Negotiated Rate |
$5,481.52 |
| Rate for Payer: BCBS Complete |
$5,481.52
|
| Rate for Payer: Mclaren Medicaid |
$5,220.50
|
| Rate for Payer: Meridian Medicaid |
$5,481.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,220.50
|
| Rate for Payer: UHCCP Medicaid |
$5,220.50
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 5412
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.58 |
| Rate for Payer: BCBS Complete |
$4,033.58
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 0222
|
| Min. Negotiated Rate |
$7,929.25 |
| Max. Negotiated Rate |
$8,325.71 |
| Rate for Payer: BCBS Complete |
$8,325.71
|
| Rate for Payer: Mclaren Medicaid |
$7,929.25
|
| Rate for Payer: Meridian Medicaid |
$8,325.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,929.25
|
| Rate for Payer: UHCCP Medicaid |
$7,929.25
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,170.58
|
|
|
Service Code
|
APR-DRG 0221
|
| Min. Negotiated Rate |
$7,781.50 |
| Max. Negotiated Rate |
$8,170.58 |
| Rate for Payer: BCBS Complete |
$8,170.58
|
| Rate for Payer: Mclaren Medicaid |
$7,781.50
|
| Rate for Payer: Meridian Medicaid |
$8,170.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.50
|
| Rate for Payer: UHCCP Medicaid |
$7,781.50
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$20,891.85
|
|
|
Service Code
|
APR-DRG 0224
|
| Min. Negotiated Rate |
$19,897.00 |
| Max. Negotiated Rate |
$20,891.85 |
| Rate for Payer: BCBS Complete |
$20,891.85
|
| Rate for Payer: Mclaren Medicaid |
$19,897.00
|
| Rate for Payer: Meridian Medicaid |
$20,891.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,897.00
|
| Rate for Payer: UHCCP Medicaid |
$19,897.00
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,584.28
|
|
|
Service Code
|
APR-DRG 0223
|
| 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: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$25,959.68
|
|
|
Service Code
|
APR-DRG 3104
|
| Min. Negotiated Rate |
$24,723.50 |
| Max. Negotiated Rate |
$25,959.68 |
| Rate for Payer: BCBS Complete |
$25,959.68
|
| Rate for Payer: Mclaren Medicaid |
$24,723.50
|
| Rate for Payer: Meridian Medicaid |
$25,959.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,723.50
|
| Rate for Payer: UHCCP Medicaid |
$24,723.50
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$11,428.46
|
|
|
Service Code
|
APR-DRG 3102
|
| Min. Negotiated Rate |
$10,884.25 |
| Max. Negotiated Rate |
$11,428.46 |
| Rate for Payer: BCBS Complete |
$11,428.46
|
| Rate for Payer: Mclaren Medicaid |
$10,884.25
|
| Rate for Payer: Meridian Medicaid |
$11,428.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,884.25
|
| Rate for Payer: UHCCP Medicaid |
$10,884.25
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$18,306.22
|
|
|
Service Code
|
APR-DRG 3103
|
| Min. Negotiated Rate |
$17,434.50 |
| Max. Negotiated Rate |
$18,306.22 |
| Rate for Payer: BCBS Complete |
$18,306.22
|
| Rate for Payer: Mclaren Medicaid |
$17,434.50
|
| Rate for Payer: Meridian Medicaid |
$18,306.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,434.50
|
| Rate for Payer: UHCCP Medicaid |
$17,434.50
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$7,653.45
|
|
|
Service Code
|
APR-DRG 3101
|
| Min. Negotiated Rate |
$7,289.00 |
| Max. Negotiated Rate |
$7,653.45 |
| Rate for Payer: BCBS Complete |
$7,653.45
|
| Rate for Payer: Mclaren Medicaid |
$7,289.00
|
| Rate for Payer: Meridian Medicaid |
$7,653.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,289.00
|
| Rate for Payer: UHCCP Medicaid |
$7,289.00
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 1111
|
| 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: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 1112
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.42 |
| Rate for Payer: BCBS Complete |
$4,240.42
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 1113
|
| Min. Negotiated Rate |
$5,023.50 |
| Max. Negotiated Rate |
$5,274.68 |
| Rate for Payer: BCBS Complete |
$5,274.68
|
| Rate for Payer: Mclaren Medicaid |
$5,023.50
|
| Rate for Payer: Meridian Medicaid |
$5,274.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.50
|
| Rate for Payer: UHCCP Medicaid |
$5,023.50
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$8,997.98
|
|
|
Service Code
|
APR-DRG 1114
|
| Min. Negotiated Rate |
$8,569.50 |
| Max. Negotiated Rate |
$8,997.98 |
| Rate for Payer: BCBS Complete |
$8,997.98
|
| Rate for Payer: Mclaren Medicaid |
$8,569.50
|
| Rate for Payer: Meridian Medicaid |
$8,997.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,569.50
|
| Rate for Payer: UHCCP Medicaid |
$8,569.50
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$7,446.60
|
|
|
Service Code
|
APR-DRG 7234
|
| Min. Negotiated Rate |
$7,092.00 |
| Max. Negotiated Rate |
$7,446.60 |
| Rate for Payer: BCBS Complete |
$7,446.60
|
| Rate for Payer: Mclaren Medicaid |
$7,092.00
|
| Rate for Payer: Meridian Medicaid |
$7,446.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,092.00
|
| Rate for Payer: UHCCP Medicaid |
$7,092.00
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$5,481.52
|
|
|
Service Code
|
APR-DRG 7233
|
| Min. Negotiated Rate |
$5,220.50 |
| Max. Negotiated Rate |
$5,481.52 |
| Rate for Payer: BCBS Complete |
$5,481.52
|
| Rate for Payer: Mclaren Medicaid |
$5,220.50
|
| Rate for Payer: Meridian Medicaid |
$5,481.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,220.50
|
| Rate for Payer: UHCCP Medicaid |
$5,220.50
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 7232
|
| Min. Negotiated Rate |
$3,004.25 |
| Max. Negotiated Rate |
$3,154.46 |
| Rate for Payer: BCBS Complete |
$3,154.46
|
| Rate for Payer: Mclaren Medicaid |
$3,004.25
|
| Rate for Payer: Meridian Medicaid |
$3,154.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,004.25
|
| Rate for Payer: UHCCP Medicaid |
$3,004.25
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$2,533.91
|
|
|
Service Code
|
APR-DRG 7231
|
| 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: VIRAL MENINGITIS
|
Facility
|
IP
|
$6,308.92
|
|
|
Service Code
|
APR-DRG 0513
|
| Min. Negotiated Rate |
$6,008.50 |
| Max. Negotiated Rate |
$6,308.92 |
| Rate for Payer: BCBS Complete |
$6,308.92
|
| Rate for Payer: Mclaren Medicaid |
$6,008.50
|
| Rate for Payer: Meridian Medicaid |
$6,308.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,008.50
|
| Rate for Payer: UHCCP Medicaid |
$6,008.50
|
|
|
APR-DRG 42.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$9,566.81
|
|
|
Service Code
|
APR-DRG 0514
|
| Min. Negotiated Rate |
$9,111.25 |
| Max. Negotiated Rate |
$9,566.81 |
| Rate for Payer: BCBS Complete |
$9,566.81
|
| Rate for Payer: Mclaren Medicaid |
$9,111.25
|
| Rate for Payer: Meridian Medicaid |
$9,566.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,111.25
|
| Rate for Payer: UHCCP Medicaid |
$9,111.25
|
|
|
APR-DRG 42.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$3,361.31
|
|
|
Service Code
|
APR-DRG 0511
|
| Min. Negotiated Rate |
$3,201.25 |
| Max. Negotiated Rate |
$3,361.31 |
| Rate for Payer: BCBS Complete |
$3,361.31
|
| Rate for Payer: Mclaren Medicaid |
$3,201.25
|
| Rate for Payer: Meridian Medicaid |
$3,361.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,201.25
|
| Rate for Payer: UHCCP Medicaid |
$3,201.25
|
|
|
APR-DRG 42.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$4,137.00
|
|
|
Service Code
|
APR-DRG 0512
|
| 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
|
|