|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$7,557.37
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$7,197.50 |
| Max. Negotiated Rate |
$7,557.37 |
| Rate for Payer: BCBS Complete |
$7,557.37
|
| Rate for Payer: Mclaren Medicaid |
$7,197.50
|
| Rate for Payer: Meridian Medicaid |
$7,557.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,197.50
|
| Rate for Payer: UHC Medicaid |
$7,197.50
|
| Rate for Payer: UHCCP Medicaid |
$7,197.50
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$12,534.45
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$11,937.57 |
| Max. Negotiated Rate |
$12,534.45 |
| Rate for Payer: BCBS Complete |
$12,534.45
|
| Rate for Payer: Mclaren Medicaid |
$11,937.57
|
| Rate for Payer: Meridian Medicaid |
$12,534.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,937.57
|
| Rate for Payer: UHC Medicaid |
$11,937.57
|
| Rate for Payer: UHCCP Medicaid |
$11,937.57
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$10,059.32
|
|
|
Service Code
|
APR-DRG 3202
|
| Min. Negotiated Rate |
$9,580.30 |
| Max. Negotiated Rate |
$10,059.32 |
| Rate for Payer: BCBS Complete |
$10,059.32
|
| Rate for Payer: Mclaren Medicaid |
$9,580.30
|
| Rate for Payer: Meridian Medicaid |
$10,059.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,580.30
|
| Rate for Payer: UHC Medicaid |
$9,580.30
|
| Rate for Payer: UHCCP Medicaid |
$9,580.30
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$18,006.34
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$17,148.89 |
| Max. Negotiated Rate |
$18,006.34 |
| Rate for Payer: BCBS Complete |
$18,006.34
|
| Rate for Payer: Mclaren Medicaid |
$17,148.89
|
| Rate for Payer: Meridian Medicaid |
$18,006.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,148.89
|
| Rate for Payer: UHC Medicaid |
$17,148.89
|
| Rate for Payer: UHCCP Medicaid |
$17,148.89
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,390.37
|
|
|
Service Code
|
APR-DRG 0263
|
| Min. Negotiated Rate |
$11,800.35 |
| Max. Negotiated Rate |
$12,390.37 |
| Rate for Payer: BCBS Complete |
$12,390.37
|
| Rate for Payer: Mclaren Medicaid |
$11,800.35
|
| Rate for Payer: Meridian Medicaid |
$12,390.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,800.35
|
| Rate for Payer: UHC Medicaid |
$11,800.35
|
| Rate for Payer: UHCCP Medicaid |
$11,800.35
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,750.88
|
|
|
Service Code
|
APR-DRG 0261
|
| Min. Negotiated Rate |
$7,381.79 |
| Max. Negotiated Rate |
$7,750.88 |
| Rate for Payer: BCBS Complete |
$7,750.88
|
| Rate for Payer: Mclaren Medicaid |
$7,381.79
|
| Rate for Payer: Meridian Medicaid |
$7,750.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,381.79
|
| Rate for Payer: UHC Medicaid |
$7,381.79
|
| Rate for Payer: UHCCP Medicaid |
$7,381.79
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,895.55
|
|
|
Service Code
|
APR-DRG 0262
|
| Min. Negotiated Rate |
$11,329.10 |
| Max. Negotiated Rate |
$11,895.55 |
| Rate for Payer: BCBS Complete |
$11,895.55
|
| Rate for Payer: Mclaren Medicaid |
$11,329.10
|
| Rate for Payer: Meridian Medicaid |
$11,895.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,329.10
|
| Rate for Payer: UHC Medicaid |
$11,329.10
|
| Rate for Payer: UHCCP Medicaid |
$11,329.10
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,640.37
|
|
|
Service Code
|
APR-DRG 4254
|
| Min. Negotiated Rate |
$10,133.69 |
| Max. Negotiated Rate |
$10,640.37 |
| Rate for Payer: BCBS Complete |
$10,640.37
|
| Rate for Payer: Mclaren Medicaid |
$10,133.69
|
| Rate for Payer: Meridian Medicaid |
$10,640.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,133.69
|
| Rate for Payer: UHC Medicaid |
$10,133.69
|
| Rate for Payer: UHCCP Medicaid |
$10,133.69
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,423.51
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$5,165.25 |
| Max. Negotiated Rate |
$5,423.51 |
| Rate for Payer: BCBS Complete |
$5,423.51
|
| Rate for Payer: Mclaren Medicaid |
$5,165.25
|
| Rate for Payer: Meridian Medicaid |
$5,423.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,165.25
|
| Rate for Payer: UHC Medicaid |
$5,165.25
|
| Rate for Payer: UHCCP Medicaid |
$5,165.25
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,818.65
|
|
|
Service Code
|
APR-DRG 4252
|
| Min. Negotiated Rate |
$3,636.81 |
| Max. Negotiated Rate |
$3,818.65 |
| Rate for Payer: BCBS Complete |
$3,818.65
|
| Rate for Payer: Mclaren Medicaid |
$3,636.81
|
| Rate for Payer: Meridian Medicaid |
$3,818.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,636.81
|
| Rate for Payer: UHC Medicaid |
$3,636.81
|
| Rate for Payer: UHCCP Medicaid |
$3,636.81
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,671.79
|
|
|
Service Code
|
APR-DRG 4251
|
| Min. Negotiated Rate |
$2,544.56 |
| Max. Negotiated Rate |
$2,671.79 |
| Rate for Payer: BCBS Complete |
$2,671.79
|
| Rate for Payer: Mclaren Medicaid |
$2,544.56
|
| Rate for Payer: Meridian Medicaid |
$2,671.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,544.56
|
| Rate for Payer: UHC Medicaid |
$2,544.56
|
| Rate for Payer: UHCCP Medicaid |
$2,544.56
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$11,679.96
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$11,123.77 |
| Max. Negotiated Rate |
$11,679.96 |
| Rate for Payer: BCBS Complete |
$11,679.96
|
| Rate for Payer: Mclaren Medicaid |
$11,123.77
|
| Rate for Payer: Meridian Medicaid |
$11,679.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,123.77
|
| Rate for Payer: UHC Medicaid |
$11,123.77
|
| Rate for Payer: UHCCP Medicaid |
$11,123.77
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$23,930.45
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$22,790.91 |
| Max. Negotiated Rate |
$23,930.45 |
| Rate for Payer: BCBS Complete |
$23,930.45
|
| Rate for Payer: Mclaren Medicaid |
$22,790.91
|
| Rate for Payer: Meridian Medicaid |
$23,930.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,790.91
|
| Rate for Payer: UHC Medicaid |
$22,790.91
|
| Rate for Payer: UHCCP Medicaid |
$22,790.91
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$16,793.75
|
|
|
Service Code
|
APR-DRG 0273
|
| Min. Negotiated Rate |
$15,994.05 |
| Max. Negotiated Rate |
$16,793.75 |
| Rate for Payer: BCBS Complete |
$16,793.75
|
| Rate for Payer: Mclaren Medicaid |
$15,994.05
|
| Rate for Payer: Meridian Medicaid |
$16,793.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,994.05
|
| Rate for Payer: UHC Medicaid |
$15,994.05
|
| Rate for Payer: UHCCP Medicaid |
$15,994.05
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$8,226.24
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$7,834.52 |
| Max. Negotiated Rate |
$8,226.24 |
| Rate for Payer: BCBS Complete |
$8,226.24
|
| Rate for Payer: Mclaren Medicaid |
$7,834.52
|
| Rate for Payer: Meridian Medicaid |
$8,226.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,834.52
|
| Rate for Payer: UHC Medicaid |
$7,834.52
|
| Rate for Payer: UHCCP Medicaid |
$7,834.52
|
|
|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$30,049.13
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$28,618.22 |
| Max. Negotiated Rate |
$30,049.13 |
| Rate for Payer: BCBS Complete |
$30,049.13
|
| Rate for Payer: Mclaren Medicaid |
$28,618.22
|
| Rate for Payer: Meridian Medicaid |
$30,049.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,618.22
|
| Rate for Payer: UHC Medicaid |
$28,618.22
|
| Rate for Payer: UHCCP Medicaid |
$28,618.22
|
|
|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$8,889.33
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$8,466.02 |
| Max. Negotiated Rate |
$8,889.33 |
| Rate for Payer: BCBS Complete |
$8,889.33
|
| Rate for Payer: Mclaren Medicaid |
$8,466.02
|
| Rate for Payer: Meridian Medicaid |
$8,889.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,466.02
|
| Rate for Payer: UHC Medicaid |
$8,466.02
|
| Rate for Payer: UHCCP Medicaid |
$8,466.02
|
|
|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,819.08
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$13,161.02 |
| Max. Negotiated Rate |
$13,819.08 |
| Rate for Payer: BCBS Complete |
$13,819.08
|
| Rate for Payer: Mclaren Medicaid |
$13,161.02
|
| Rate for Payer: Meridian Medicaid |
$13,819.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,161.02
|
| Rate for Payer: UHC Medicaid |
$13,161.02
|
| Rate for Payer: UHCCP Medicaid |
$13,161.02
|
|
|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$11,326.07
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$10,786.73 |
| Max. Negotiated Rate |
$11,326.07 |
| Rate for Payer: BCBS Complete |
$11,326.07
|
| Rate for Payer: Mclaren Medicaid |
$10,786.73
|
| Rate for Payer: Meridian Medicaid |
$11,326.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,786.73
|
| Rate for Payer: UHC Medicaid |
$10,786.73
|
| Rate for Payer: UHCCP Medicaid |
$10,786.73
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$16,512.43
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$15,726.12 |
| Max. Negotiated Rate |
$16,512.43 |
| Rate for Payer: BCBS Complete |
$16,512.43
|
| Rate for Payer: Mclaren Medicaid |
$15,726.12
|
| Rate for Payer: Meridian Medicaid |
$16,512.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,726.12
|
| Rate for Payer: UHC Medicaid |
$15,726.12
|
| Rate for Payer: UHCCP Medicaid |
$15,726.12
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$15,256.20
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$14,529.71 |
| Max. Negotiated Rate |
$15,256.20 |
| Rate for Payer: BCBS Complete |
$15,256.20
|
| Rate for Payer: Mclaren Medicaid |
$14,529.71
|
| Rate for Payer: Meridian Medicaid |
$15,256.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,529.71
|
| Rate for Payer: UHC Medicaid |
$14,529.71
|
| Rate for Payer: UHCCP Medicaid |
$14,529.71
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$21,258.66
|
|
|
Service Code
|
APR-DRG 0294
|
| Min. Negotiated Rate |
$20,246.34 |
| Max. Negotiated Rate |
$21,258.66 |
| Rate for Payer: BCBS Complete |
$21,258.66
|
| Rate for Payer: Mclaren Medicaid |
$20,246.34
|
| Rate for Payer: Meridian Medicaid |
$21,258.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,246.34
|
| Rate for Payer: UHC Medicaid |
$20,246.34
|
| Rate for Payer: UHCCP Medicaid |
$20,246.34
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$20,946.84
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$19,949.37 |
| Max. Negotiated Rate |
$20,946.84 |
| Rate for Payer: BCBS Complete |
$20,946.84
|
| Rate for Payer: Mclaren Medicaid |
$19,949.37
|
| Rate for Payer: Meridian Medicaid |
$20,946.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,949.37
|
| Rate for Payer: UHC Medicaid |
$19,949.37
|
| Rate for Payer: UHCCP Medicaid |
$19,949.37
|
|
|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$19,714.27
|
|
|
Service Code
|
APR-DRG 1804
|
| Min. Negotiated Rate |
$18,775.49 |
| Max. Negotiated Rate |
$19,714.27 |
| Rate for Payer: BCBS Complete |
$19,714.27
|
| Rate for Payer: Mclaren Medicaid |
$18,775.49
|
| Rate for Payer: Meridian Medicaid |
$19,714.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,775.49
|
| Rate for Payer: UHC Medicaid |
$18,775.49
|
| Rate for Payer: UHCCP Medicaid |
$18,775.49
|
|
|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$7,797.68
|
|
|
Service Code
|
APR-DRG 1801
|
| Min. Negotiated Rate |
$7,426.36 |
| Max. Negotiated Rate |
$7,797.68 |
| Rate for Payer: BCBS Complete |
$7,797.68
|
| Rate for Payer: Mclaren Medicaid |
$7,426.36
|
| Rate for Payer: Meridian Medicaid |
$7,797.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,426.36
|
| Rate for Payer: UHC Medicaid |
$7,426.36
|
| Rate for Payer: UHCCP Medicaid |
$7,426.36
|
|