|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,896.75
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$12,282.62 |
| Max. Negotiated Rate |
$12,896.75 |
| Rate for Payer: BCBS Complete |
$12,896.75
|
| Rate for Payer: Mclaren Medicaid |
$12,282.62
|
| Rate for Payer: Meridian Medicaid |
$12,896.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,282.62
|
| Rate for Payer: UHC Medicaid |
$12,282.62
|
| Rate for Payer: UHCCP Medicaid |
$12,282.62
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,396.76
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$8,949.30 |
| Max. Negotiated Rate |
$9,396.76 |
| Rate for Payer: BCBS Complete |
$9,396.76
|
| Rate for Payer: Mclaren Medicaid |
$8,949.30
|
| Rate for Payer: Meridian Medicaid |
$9,396.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,949.30
|
| Rate for Payer: UHC Medicaid |
$8,949.30
|
| Rate for Payer: UHCCP Medicaid |
$8,949.30
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$20,523.01
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$19,545.72 |
| Max. Negotiated Rate |
$20,523.01 |
| Rate for Payer: BCBS Complete |
$20,523.01
|
| Rate for Payer: Mclaren Medicaid |
$19,545.72
|
| Rate for Payer: Meridian Medicaid |
$20,523.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,545.72
|
| Rate for Payer: UHC Medicaid |
$19,545.72
|
| Rate for Payer: UHCCP Medicaid |
$19,545.72
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$8,123.70
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$7,736.86 |
| Max. Negotiated Rate |
$8,123.70 |
| Rate for Payer: BCBS Complete |
$8,123.70
|
| Rate for Payer: Mclaren Medicaid |
$7,736.86
|
| Rate for Payer: Meridian Medicaid |
$8,123.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,736.86
|
| Rate for Payer: UHC Medicaid |
$7,736.86
|
| Rate for Payer: UHCCP Medicaid |
$7,736.86
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$6,982.10
|
|
|
Service Code
|
APR-DRG 4481
|
| Min. Negotiated Rate |
$6,649.62 |
| Max. Negotiated Rate |
$6,982.10 |
| Rate for Payer: BCBS Complete |
$6,982.10
|
| Rate for Payer: Mclaren Medicaid |
$6,649.62
|
| Rate for Payer: Meridian Medicaid |
$6,982.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,649.62
|
| Rate for Payer: UHC Medicaid |
$6,649.62
|
| Rate for Payer: UHCCP Medicaid |
$6,649.62
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$20,126.00
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$19,167.62 |
| Max. Negotiated Rate |
$20,126.00 |
| Rate for Payer: BCBS Complete |
$20,126.00
|
| Rate for Payer: Mclaren Medicaid |
$19,167.62
|
| Rate for Payer: Meridian Medicaid |
$20,126.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,167.62
|
| Rate for Payer: UHC Medicaid |
$19,167.62
|
| Rate for Payer: UHCCP Medicaid |
$19,167.62
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$11,871.36
|
|
|
Service Code
|
APR-DRG 4483
|
| Min. Negotiated Rate |
$11,306.06 |
| Max. Negotiated Rate |
$11,871.36 |
| Rate for Payer: BCBS Complete |
$11,871.36
|
| Rate for Payer: Mclaren Medicaid |
$11,306.06
|
| Rate for Payer: Meridian Medicaid |
$11,871.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,306.06
|
| Rate for Payer: UHC Medicaid |
$11,306.06
|
| Rate for Payer: UHCCP Medicaid |
$11,306.06
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$8,713.17
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$8,298.26 |
| Max. Negotiated Rate |
$8,713.17 |
| Rate for Payer: BCBS Complete |
$8,713.17
|
| Rate for Payer: Mclaren Medicaid |
$8,298.26
|
| Rate for Payer: Meridian Medicaid |
$8,713.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,298.26
|
| Rate for Payer: UHC Medicaid |
$8,298.26
|
| Rate for Payer: UHCCP Medicaid |
$8,298.26
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$26,492.87
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$25,231.31 |
| Max. Negotiated Rate |
$26,492.87 |
| Rate for Payer: BCBS Complete |
$26,492.87
|
| Rate for Payer: Mclaren Medicaid |
$25,231.31
|
| Rate for Payer: Meridian Medicaid |
$26,492.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,231.31
|
| Rate for Payer: UHC Medicaid |
$25,231.31
|
| Rate for Payer: UHCCP Medicaid |
$25,231.31
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$12,458.20
|
|
|
Service Code
|
APR-DRG 0911
|
| Min. Negotiated Rate |
$11,864.95 |
| Max. Negotiated Rate |
$12,458.20 |
| Rate for Payer: BCBS Complete |
$12,458.20
|
| Rate for Payer: Mclaren Medicaid |
$11,864.95
|
| Rate for Payer: Meridian Medicaid |
$12,458.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,864.95
|
| Rate for Payer: UHC Medicaid |
$11,864.95
|
| Rate for Payer: UHCCP Medicaid |
$11,864.95
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$36,212.50
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$34,488.09 |
| Max. Negotiated Rate |
$36,212.50 |
| Rate for Payer: BCBS Complete |
$36,212.50
|
| Rate for Payer: Mclaren Medicaid |
$34,488.09
|
| Rate for Payer: Meridian Medicaid |
$36,212.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,488.09
|
| Rate for Payer: UHC Medicaid |
$34,488.09
|
| Rate for Payer: UHCCP Medicaid |
$34,488.09
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$39,127.23
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$37,264.03 |
| Max. Negotiated Rate |
$39,127.23 |
| Rate for Payer: BCBS Complete |
$39,127.23
|
| Rate for Payer: Mclaren Medicaid |
$37,264.03
|
| Rate for Payer: Meridian Medicaid |
$39,127.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,264.03
|
| Rate for Payer: UHC Medicaid |
$37,264.03
|
| Rate for Payer: UHCCP Medicaid |
$37,264.03
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,276.72
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$7,882.59 |
| Max. Negotiated Rate |
$8,276.72 |
| Rate for Payer: BCBS Complete |
$8,276.72
|
| Rate for Payer: Mclaren Medicaid |
$7,882.59
|
| Rate for Payer: Meridian Medicaid |
$8,276.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,882.59
|
| Rate for Payer: UHC Medicaid |
$7,882.59
|
| Rate for Payer: UHCCP Medicaid |
$7,882.59
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$27,451.48
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$26,144.26 |
| Max. Negotiated Rate |
$27,451.48 |
| Rate for Payer: BCBS Complete |
$27,451.48
|
| Rate for Payer: Mclaren Medicaid |
$26,144.26
|
| Rate for Payer: Meridian Medicaid |
$27,451.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,144.26
|
| Rate for Payer: UHC Medicaid |
$26,144.26
|
| Rate for Payer: UHCCP Medicaid |
$26,144.26
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,732.46
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$14,030.91 |
| Max. Negotiated Rate |
$14,732.46 |
| Rate for Payer: BCBS Complete |
$14,732.46
|
| Rate for Payer: Mclaren Medicaid |
$14,030.91
|
| Rate for Payer: Meridian Medicaid |
$14,732.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,030.91
|
| Rate for Payer: UHC Medicaid |
$14,030.91
|
| Rate for Payer: UHCCP Medicaid |
$14,030.91
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,509.44
|
|
|
Service Code
|
APR-DRG 4842
|
| Min. Negotiated Rate |
$10,008.99 |
| Max. Negotiated Rate |
$10,509.44 |
| Rate for Payer: BCBS Complete |
$10,509.44
|
| Rate for Payer: Mclaren Medicaid |
$10,008.99
|
| Rate for Payer: Meridian Medicaid |
$10,509.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,008.99
|
| Rate for Payer: UHC Medicaid |
$10,008.99
|
| Rate for Payer: UHCCP Medicaid |
$10,008.99
|
|
|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$9,561.87
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$9,106.55 |
| Max. Negotiated Rate |
$9,561.87 |
| Rate for Payer: BCBS Complete |
$9,561.87
|
| Rate for Payer: Mclaren Medicaid |
$9,106.55
|
| Rate for Payer: Meridian Medicaid |
$9,561.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,106.55
|
| Rate for Payer: UHC Medicaid |
$9,106.55
|
| Rate for Payer: UHCCP Medicaid |
$9,106.55
|
|
|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$3,154.51
|
|
|
Service Code
|
APR-DRG 7602
|
| Min. Negotiated Rate |
$3,004.30 |
| Max. Negotiated Rate |
$3,154.51 |
| Rate for Payer: BCBS Complete |
$3,154.51
|
| Rate for Payer: Mclaren Medicaid |
$3,004.30
|
| Rate for Payer: Meridian Medicaid |
$3,154.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,004.30
|
| Rate for Payer: UHC Medicaid |
$3,004.30
|
| Rate for Payer: UHCCP Medicaid |
$3,004.30
|
|
|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$4,187.79
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$3,988.37 |
| Max. Negotiated Rate |
$4,187.79 |
| Rate for Payer: BCBS Complete |
$4,187.79
|
| Rate for Payer: Mclaren Medicaid |
$3,988.37
|
| Rate for Payer: Meridian Medicaid |
$4,187.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,988.37
|
| Rate for Payer: UHC Medicaid |
$3,988.37
|
| Rate for Payer: UHCCP Medicaid |
$3,988.37
|
|
|
OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,056.03
|
|
|
Service Code
|
APR-DRG 7601
|
| Min. Negotiated Rate |
$1,958.13 |
| Max. Negotiated Rate |
$2,056.03 |
| Rate for Payer: BCBS Complete |
$2,056.03
|
| Rate for Payer: Mclaren Medicaid |
$1,958.13
|
| Rate for Payer: Meridian Medicaid |
$2,056.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,958.13
|
| Rate for Payer: UHC Medicaid |
$1,958.13
|
| Rate for Payer: UHCCP Medicaid |
$1,958.13
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,631.30
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,506.00 |
| Max. Negotiated Rate |
$2,631.30 |
| Rate for Payer: BCBS Complete |
$2,631.30
|
| Rate for Payer: Mclaren Medicaid |
$2,506.00
|
| Rate for Payer: Meridian Medicaid |
$2,631.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,506.00
|
| Rate for Payer: UHC Medicaid |
$2,506.00
|
| Rate for Payer: UHCCP Medicaid |
$2,506.00
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,505.54
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$5,243.38 |
| Max. Negotiated Rate |
$5,505.54 |
| Rate for Payer: BCBS Complete |
$5,505.54
|
| Rate for Payer: Mclaren Medicaid |
$5,243.38
|
| Rate for Payer: Meridian Medicaid |
$5,505.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,243.38
|
| Rate for Payer: UHC Medicaid |
$5,243.38
|
| Rate for Payer: UHCCP Medicaid |
$5,243.38
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$7,341.23 |
| Max. Negotiated Rate |
$7,708.29 |
| Rate for Payer: BCBS Complete |
$7,708.29
|
| Rate for Payer: Mclaren Medicaid |
$7,341.23
|
| Rate for Payer: Meridian Medicaid |
$7,708.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,341.23
|
| Rate for Payer: UHC Medicaid |
$7,341.23
|
| Rate for Payer: UHCCP Medicaid |
$7,341.23
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,518.92
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,351.35 |
| Max. Negotiated Rate |
$3,518.92 |
| Rate for Payer: BCBS Complete |
$3,518.92
|
| Rate for Payer: Mclaren Medicaid |
$3,351.35
|
| Rate for Payer: Meridian Medicaid |
$3,518.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,351.35
|
| Rate for Payer: UHC Medicaid |
$3,351.35
|
| Rate for Payer: UHCCP Medicaid |
$3,351.35
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$20,221.70
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$19,258.76 |
| Max. Negotiated Rate |
$20,221.70 |
| Rate for Payer: BCBS Complete |
$20,221.70
|
| Rate for Payer: Mclaren Medicaid |
$19,258.76
|
| Rate for Payer: Meridian Medicaid |
$20,221.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,258.76
|
| Rate for Payer: UHC Medicaid |
$19,258.76
|
| Rate for Payer: UHCCP Medicaid |
$19,258.76
|
|