|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$10,067.21
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$9,587.82 |
| Max. Negotiated Rate |
$10,067.21 |
| Rate for Payer: BCBS Complete |
$10,067.21
|
| Rate for Payer: Mclaren Medicaid |
$9,587.82
|
| Rate for Payer: Meridian Medicaid |
$10,067.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,587.82
|
| Rate for Payer: UHC Medicaid |
$9,587.82
|
| Rate for Payer: UHCCP Medicaid |
$9,587.82
|
|
|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$21,609.92
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$20,580.88 |
| Max. Negotiated Rate |
$21,609.92 |
| Rate for Payer: BCBS Complete |
$21,609.92
|
| Rate for Payer: Mclaren Medicaid |
$20,580.88
|
| Rate for Payer: Meridian Medicaid |
$21,609.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,580.88
|
| Rate for Payer: UHC Medicaid |
$20,580.88
|
| Rate for Payer: UHCCP Medicaid |
$20,580.88
|
|
|
OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$14,762.96
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$14,059.96 |
| Max. Negotiated Rate |
$14,762.96 |
| Rate for Payer: BCBS Complete |
$14,762.96
|
| Rate for Payer: Mclaren Medicaid |
$14,059.96
|
| Rate for Payer: Meridian Medicaid |
$14,762.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,059.96
|
| Rate for Payer: UHC Medicaid |
$14,059.96
|
| Rate for Payer: UHCCP Medicaid |
$14,059.96
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$8,822.02
|
|
|
Service Code
|
APR-DRG 6963
|
| Min. Negotiated Rate |
$8,401.92 |
| Max. Negotiated Rate |
$8,822.02 |
| Rate for Payer: BCBS Complete |
$8,822.02
|
| Rate for Payer: Mclaren Medicaid |
$8,401.92
|
| Rate for Payer: Meridian Medicaid |
$8,822.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,401.92
|
| Rate for Payer: UHC Medicaid |
$8,401.92
|
| Rate for Payer: UHCCP Medicaid |
$8,401.92
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$16,315.24
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$15,538.32 |
| Max. Negotiated Rate |
$16,315.24 |
| Rate for Payer: BCBS Complete |
$16,315.24
|
| Rate for Payer: Mclaren Medicaid |
$15,538.32
|
| Rate for Payer: Meridian Medicaid |
$16,315.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,538.32
|
| Rate for Payer: UHC Medicaid |
$15,538.32
|
| Rate for Payer: UHCCP Medicaid |
$15,538.32
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,039.50
|
|
|
Service Code
|
APR-DRG 6961
|
| Min. Negotiated Rate |
$3,847.15 |
| Max. Negotiated Rate |
$4,039.50 |
| Rate for Payer: BCBS Complete |
$4,039.50
|
| Rate for Payer: Mclaren Medicaid |
$3,847.15
|
| Rate for Payer: Meridian Medicaid |
$4,039.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,847.15
|
| Rate for Payer: UHC Medicaid |
$3,847.15
|
| Rate for Payer: UHCCP Medicaid |
$3,847.15
|
|
|
OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,476.62
|
|
|
Service Code
|
APR-DRG 6962
|
| Min. Negotiated Rate |
$5,215.83 |
| Max. Negotiated Rate |
$5,476.62 |
| Rate for Payer: BCBS Complete |
$5,476.62
|
| Rate for Payer: Mclaren Medicaid |
$5,215.83
|
| Rate for Payer: Meridian Medicaid |
$5,476.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,215.83
|
| Rate for Payer: UHC Medicaid |
$5,215.83
|
| Rate for Payer: UHCCP Medicaid |
$5,215.83
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,713.40
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$6,393.71 |
| Max. Negotiated Rate |
$6,713.40 |
| Rate for Payer: BCBS Complete |
$6,713.40
|
| Rate for Payer: Mclaren Medicaid |
$6,393.71
|
| Rate for Payer: Meridian Medicaid |
$6,713.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,393.71
|
| Rate for Payer: UHC Medicaid |
$6,393.71
|
| Rate for Payer: UHCCP Medicaid |
$6,393.71
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,571.11
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$11,020.10 |
| Max. Negotiated Rate |
$11,571.11 |
| Rate for Payer: BCBS Complete |
$11,571.11
|
| Rate for Payer: Mclaren Medicaid |
$11,020.10
|
| Rate for Payer: Meridian Medicaid |
$11,571.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,020.10
|
| Rate for Payer: UHC Medicaid |
$11,020.10
|
| Rate for Payer: UHCCP Medicaid |
$11,020.10
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,865.45
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$3,681.38 |
| Max. Negotiated Rate |
$3,865.45 |
| Rate for Payer: BCBS Complete |
$3,865.45
|
| Rate for Payer: Mclaren Medicaid |
$3,681.38
|
| Rate for Payer: Meridian Medicaid |
$3,865.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,681.38
|
| Rate for Payer: UHC Medicaid |
$3,681.38
|
| Rate for Payer: UHCCP Medicaid |
$3,681.38
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$2,993.08
|
|
|
Service Code
|
APR-DRG 2071
|
| Min. Negotiated Rate |
$2,850.55 |
| Max. Negotiated Rate |
$2,993.08 |
| Rate for Payer: BCBS Complete |
$2,993.08
|
| Rate for Payer: Mclaren Medicaid |
$2,850.55
|
| Rate for Payer: Meridian Medicaid |
$2,993.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,850.55
|
| Rate for Payer: UHC Medicaid |
$2,850.55
|
| Rate for Payer: UHCCP Medicaid |
$2,850.55
|
|
|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,640.92
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$3,467.54 |
| Max. Negotiated Rate |
$3,640.92 |
| Rate for Payer: BCBS Complete |
$3,640.92
|
| Rate for Payer: Mclaren Medicaid |
$3,467.54
|
| Rate for Payer: Meridian Medicaid |
$3,640.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,467.54
|
| Rate for Payer: UHC Medicaid |
$3,467.54
|
| Rate for Payer: UHCCP Medicaid |
$3,467.54
|
|
|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,653.98
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$6,337.12 |
| Max. Negotiated Rate |
$6,653.98 |
| Rate for Payer: BCBS Complete |
$6,653.98
|
| Rate for Payer: Mclaren Medicaid |
$6,337.12
|
| Rate for Payer: Meridian Medicaid |
$6,653.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,337.12
|
| Rate for Payer: UHC Medicaid |
$6,337.12
|
| Rate for Payer: UHCCP Medicaid |
$6,337.12
|
|
|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,811.96
|
|
|
Service Code
|
APR-DRG 8132
|
| Min. Negotiated Rate |
$4,582.82 |
| Max. Negotiated Rate |
$4,811.96 |
| Rate for Payer: BCBS Complete |
$4,811.96
|
| Rate for Payer: Mclaren Medicaid |
$4,582.82
|
| Rate for Payer: Meridian Medicaid |
$4,811.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,582.82
|
| Rate for Payer: UHC Medicaid |
$4,582.82
|
| Rate for Payer: UHCCP Medicaid |
$4,582.82
|
|
|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,483.52
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$9,031.93 |
| Max. Negotiated Rate |
$9,483.52 |
| Rate for Payer: BCBS Complete |
$9,483.52
|
| Rate for Payer: Mclaren Medicaid |
$9,031.93
|
| Rate for Payer: Meridian Medicaid |
$9,483.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,031.93
|
| Rate for Payer: UHC Medicaid |
$9,031.93
|
| Rate for Payer: UHCCP Medicaid |
$9,031.93
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$9,233.75
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$8,794.05 |
| Max. Negotiated Rate |
$9,233.75 |
| Rate for Payer: BCBS Complete |
$9,233.75
|
| Rate for Payer: Mclaren Medicaid |
$8,794.05
|
| Rate for Payer: Meridian Medicaid |
$9,233.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,794.05
|
| Rate for Payer: UHC Medicaid |
$8,794.05
|
| Rate for Payer: UHCCP Medicaid |
$8,794.05
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$17,503.11
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$16,669.63 |
| Max. Negotiated Rate |
$17,503.11 |
| Rate for Payer: BCBS Complete |
$17,503.11
|
| Rate for Payer: Mclaren Medicaid |
$16,669.63
|
| Rate for Payer: Meridian Medicaid |
$17,503.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,669.63
|
| Rate for Payer: UHC Medicaid |
$16,669.63
|
| Rate for Payer: UHCCP Medicaid |
$16,669.63
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$7,396.99
|
|
|
Service Code
|
APR-DRG 2291
|
| Min. Negotiated Rate |
$7,044.75 |
| Max. Negotiated Rate |
$7,396.99 |
| Rate for Payer: BCBS Complete |
$7,396.99
|
| Rate for Payer: Mclaren Medicaid |
$7,044.75
|
| Rate for Payer: Meridian Medicaid |
$7,396.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,044.75
|
| Rate for Payer: UHC Medicaid |
$7,044.75
|
| Rate for Payer: UHCCP Medicaid |
$7,044.75
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,725.48
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$13,071.88 |
| Max. Negotiated Rate |
$13,725.48 |
| Rate for Payer: BCBS Complete |
$13,725.48
|
| Rate for Payer: Mclaren Medicaid |
$13,071.88
|
| Rate for Payer: Meridian Medicaid |
$13,725.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,071.88
|
| Rate for Payer: UHC Medicaid |
$13,071.88
|
| Rate for Payer: UHCCP Medicaid |
$13,071.88
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,523.28
|
|
|
Service Code
|
APR-DRG 2542
|
| Min. Negotiated Rate |
$4,307.88 |
| Max. Negotiated Rate |
$4,523.28 |
| Rate for Payer: BCBS Complete |
$4,523.28
|
| Rate for Payer: Mclaren Medicaid |
$4,307.88
|
| Rate for Payer: Meridian Medicaid |
$4,523.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,307.88
|
| Rate for Payer: UHC Medicaid |
$4,307.88
|
| Rate for Payer: UHCCP Medicaid |
$4,307.88
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,848.01
|
|
|
Service Code
|
APR-DRG 2543
|
| Min. Negotiated Rate |
$6,521.92 |
| Max. Negotiated Rate |
$6,848.01 |
| Rate for Payer: BCBS Complete |
$6,848.01
|
| Rate for Payer: Mclaren Medicaid |
$6,521.92
|
| Rate for Payer: Meridian Medicaid |
$6,848.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,521.92
|
| Rate for Payer: UHC Medicaid |
$6,521.92
|
| Rate for Payer: UHCCP Medicaid |
$6,521.92
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,689.82
|
|
|
Service Code
|
APR-DRG 2541
|
| Min. Negotiated Rate |
$3,514.11 |
| Max. Negotiated Rate |
$3,689.82 |
| Rate for Payer: BCBS Complete |
$3,689.82
|
| Rate for Payer: Mclaren Medicaid |
$3,514.11
|
| Rate for Payer: Meridian Medicaid |
$3,689.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,514.11
|
| Rate for Payer: UHC Medicaid |
$3,514.11
|
| Rate for Payer: UHCCP Medicaid |
$3,514.11
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$9,821.64
|
|
|
Service Code
|
APR-DRG 2544
|
| Min. Negotiated Rate |
$9,353.94 |
| Max. Negotiated Rate |
$9,821.64 |
| Rate for Payer: BCBS Complete |
$9,821.64
|
| Rate for Payer: Mclaren Medicaid |
$9,353.94
|
| Rate for Payer: Meridian Medicaid |
$9,821.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,353.94
|
| Rate for Payer: UHC Medicaid |
$9,353.94
|
| Rate for Payer: UHCCP Medicaid |
$9,353.94
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$3,809.18
|
|
|
Service Code
|
APR-DRG 0581
|
| Min. Negotiated Rate |
$3,627.80 |
| Max. Negotiated Rate |
$3,809.18 |
| Rate for Payer: BCBS Complete |
$3,809.18
|
| Rate for Payer: Mclaren Medicaid |
$3,627.80
|
| Rate for Payer: Meridian Medicaid |
$3,809.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,627.80
|
| Rate for Payer: UHC Medicaid |
$3,627.80
|
| Rate for Payer: UHCCP Medicaid |
$3,627.80
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$5,609.14
|
|
|
Service Code
|
APR-DRG 0582
|
| Min. Negotiated Rate |
$5,342.03 |
| Max. Negotiated Rate |
$5,609.14 |
| Rate for Payer: BCBS Complete |
$5,609.14
|
| Rate for Payer: Mclaren Medicaid |
$5,342.03
|
| Rate for Payer: Meridian Medicaid |
$5,609.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,342.03
|
| Rate for Payer: UHC Medicaid |
$5,342.03
|
| Rate for Payer: UHCCP Medicaid |
$5,342.03
|
|