|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$10,282.80
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$9,793.14 |
| Max. Negotiated Rate |
$10,282.80 |
| Rate for Payer: BCBS Complete |
$10,282.80
|
| Rate for Payer: Mclaren Medicaid |
$9,793.14
|
| Rate for Payer: Meridian Medicaid |
$10,282.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,793.14
|
| Rate for Payer: UHC Medicaid |
$9,793.14
|
| Rate for Payer: UHCCP Medicaid |
$9,793.14
|
|
|
OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$8,238.86
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$7,846.53 |
| Max. Negotiated Rate |
$8,238.86 |
| Rate for Payer: BCBS Complete |
$8,238.86
|
| Rate for Payer: Mclaren Medicaid |
$7,846.53
|
| Rate for Payer: Meridian Medicaid |
$8,238.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,846.53
|
| Rate for Payer: UHC Medicaid |
$7,846.53
|
| Rate for Payer: UHCCP Medicaid |
$7,846.53
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$2,738.05
|
|
|
Service Code
|
APR-DRG 1391
|
| Min. Negotiated Rate |
$2,607.67 |
| Max. Negotiated Rate |
$2,738.05 |
| Rate for Payer: BCBS Complete |
$2,738.05
|
| Rate for Payer: Mclaren Medicaid |
$2,607.67
|
| Rate for Payer: Meridian Medicaid |
$2,738.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,607.67
|
| Rate for Payer: UHC Medicaid |
$2,607.67
|
| Rate for Payer: UHCCP Medicaid |
$2,607.67
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$5,734.81
|
|
|
Service Code
|
APR-DRG 1393
|
| Min. Negotiated Rate |
$5,461.72 |
| Max. Negotiated Rate |
$5,734.81 |
| Rate for Payer: BCBS Complete |
$5,734.81
|
| Rate for Payer: Mclaren Medicaid |
$5,461.72
|
| Rate for Payer: Meridian Medicaid |
$5,734.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,461.72
|
| Rate for Payer: UHC Medicaid |
$5,461.72
|
| Rate for Payer: UHCCP Medicaid |
$5,461.72
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$8,395.04
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$7,995.27 |
| Max. Negotiated Rate |
$8,395.04 |
| Rate for Payer: BCBS Complete |
$8,395.04
|
| Rate for Payer: Mclaren Medicaid |
$7,995.27
|
| Rate for Payer: Meridian Medicaid |
$8,395.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,995.27
|
| Rate for Payer: UHC Medicaid |
$7,995.27
|
| Rate for Payer: UHCCP Medicaid |
$7,995.27
|
|
|
OTHER PNEUMONIA
|
Facility
|
IP
|
$3,657.74
|
|
|
Service Code
|
APR-DRG 1392
|
| Min. Negotiated Rate |
$3,483.56 |
| Max. Negotiated Rate |
$3,657.74 |
| Rate for Payer: BCBS Complete |
$3,657.74
|
| Rate for Payer: Mclaren Medicaid |
$3,483.56
|
| Rate for Payer: Meridian Medicaid |
$3,657.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,483.56
|
| Rate for Payer: UHC Medicaid |
$3,483.56
|
| Rate for Payer: UHCCP Medicaid |
$3,483.56
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$7,147.22
|
|
|
Service Code
|
APR-DRG 4051
|
| Min. Negotiated Rate |
$6,806.87 |
| Max. Negotiated Rate |
$7,147.22 |
| Rate for Payer: BCBS Complete |
$7,147.22
|
| Rate for Payer: Mclaren Medicaid |
$6,806.87
|
| Rate for Payer: Meridian Medicaid |
$7,147.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,806.87
|
| Rate for Payer: UHC Medicaid |
$6,806.87
|
| Rate for Payer: UHCCP Medicaid |
$6,806.87
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,958.74
|
|
|
Service Code
|
APR-DRG 4052
|
| Min. Negotiated Rate |
$8,532.13 |
| Max. Negotiated Rate |
$8,958.74 |
| Rate for Payer: BCBS Complete |
$8,958.74
|
| Rate for Payer: Mclaren Medicaid |
$8,532.13
|
| Rate for Payer: Meridian Medicaid |
$8,958.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,532.13
|
| Rate for Payer: UHC Medicaid |
$8,532.13
|
| Rate for Payer: UHCCP Medicaid |
$8,532.13
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$13,805.93
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$13,148.50 |
| Max. Negotiated Rate |
$13,805.93 |
| Rate for Payer: BCBS Complete |
$13,805.93
|
| Rate for Payer: Mclaren Medicaid |
$13,148.50
|
| Rate for Payer: Meridian Medicaid |
$13,805.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,148.50
|
| Rate for Payer: UHC Medicaid |
$13,148.50
|
| Rate for Payer: UHCCP Medicaid |
$13,148.50
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$24,081.89
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$22,935.14 |
| Max. Negotiated Rate |
$24,081.89 |
| Rate for Payer: BCBS Complete |
$24,081.89
|
| Rate for Payer: Mclaren Medicaid |
$22,935.14
|
| Rate for Payer: Meridian Medicaid |
$24,081.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,935.14
|
| Rate for Payer: UHC Medicaid |
$22,935.14
|
| Rate for Payer: UHCCP Medicaid |
$22,935.14
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,189.20
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$9,704.00 |
| Max. Negotiated Rate |
$10,189.20 |
| Rate for Payer: BCBS Complete |
$10,189.20
|
| Rate for Payer: Mclaren Medicaid |
$9,704.00
|
| Rate for Payer: Meridian Medicaid |
$10,189.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,704.00
|
| Rate for Payer: UHC Medicaid |
$9,704.00
|
| Rate for Payer: UHCCP Medicaid |
$9,704.00
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,979.47
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$6,647.12 |
| Max. Negotiated Rate |
$6,979.47 |
| Rate for Payer: BCBS Complete |
$6,979.47
|
| Rate for Payer: Mclaren Medicaid |
$6,647.12
|
| Rate for Payer: Meridian Medicaid |
$6,979.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,647.12
|
| Rate for Payer: UHC Medicaid |
$6,647.12
|
| Rate for Payer: UHCCP Medicaid |
$6,647.12
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$34,466.71
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$32,825.44 |
| Max. Negotiated Rate |
$34,466.71 |
| Rate for Payer: BCBS Complete |
$34,466.71
|
| Rate for Payer: Mclaren Medicaid |
$32,825.44
|
| Rate for Payer: Meridian Medicaid |
$34,466.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,825.44
|
| Rate for Payer: UHC Medicaid |
$32,825.44
|
| Rate for Payer: UHCCP Medicaid |
$32,825.44
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$14,735.61
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$14,033.92 |
| Max. Negotiated Rate |
$14,735.61 |
| Rate for Payer: BCBS Complete |
$14,735.61
|
| Rate for Payer: Mclaren Medicaid |
$14,033.92
|
| Rate for Payer: Meridian Medicaid |
$14,735.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,033.92
|
| Rate for Payer: UHC Medicaid |
$14,033.92
|
| Rate for Payer: UHCCP Medicaid |
$14,033.92
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$8,906.68
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$8,482.55 |
| Max. Negotiated Rate |
$8,906.68 |
| Rate for Payer: BCBS Complete |
$8,906.68
|
| Rate for Payer: Mclaren Medicaid |
$8,482.55
|
| Rate for Payer: Meridian Medicaid |
$8,906.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,482.55
|
| Rate for Payer: UHC Medicaid |
$8,482.55
|
| Rate for Payer: UHCCP Medicaid |
$8,482.55
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$11,607.39
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$11,054.66 |
| Max. Negotiated Rate |
$11,607.39 |
| Rate for Payer: BCBS Complete |
$11,607.39
|
| Rate for Payer: Mclaren Medicaid |
$11,054.66
|
| Rate for Payer: Meridian Medicaid |
$11,607.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,054.66
|
| Rate for Payer: UHC Medicaid |
$11,054.66
|
| Rate for Payer: UHCCP Medicaid |
$11,054.66
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$14,414.85
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$13,728.43 |
| Max. Negotiated Rate |
$14,414.85 |
| Rate for Payer: BCBS Complete |
$14,414.85
|
| Rate for Payer: Mclaren Medicaid |
$13,728.43
|
| Rate for Payer: Meridian Medicaid |
$14,414.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,728.43
|
| Rate for Payer: UHC Medicaid |
$13,728.43
|
| Rate for Payer: UHCCP Medicaid |
$13,728.43
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$21,437.97
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$20,417.12 |
| Max. Negotiated Rate |
$21,437.97 |
| Rate for Payer: BCBS Complete |
$21,437.97
|
| Rate for Payer: Mclaren Medicaid |
$20,417.12
|
| Rate for Payer: Meridian Medicaid |
$21,437.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,417.12
|
| Rate for Payer: UHC Medicaid |
$20,417.12
|
| Rate for Payer: UHCCP Medicaid |
$20,417.12
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,898.20
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$4,664.95 |
| Max. Negotiated Rate |
$4,898.20 |
| Rate for Payer: BCBS Complete |
$4,898.20
|
| Rate for Payer: Mclaren Medicaid |
$4,664.95
|
| Rate for Payer: Meridian Medicaid |
$4,898.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,664.95
|
| Rate for Payer: UHC Medicaid |
$4,664.95
|
| Rate for Payer: UHCCP Medicaid |
$4,664.95
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,341.71
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$3,182.58 |
| Max. Negotiated Rate |
$3,341.71 |
| Rate for Payer: BCBS Complete |
$3,341.71
|
| Rate for Payer: Mclaren Medicaid |
$3,182.58
|
| Rate for Payer: Meridian Medicaid |
$3,341.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,182.58
|
| Rate for Payer: UHC Medicaid |
$3,182.58
|
| Rate for Payer: UHCCP Medicaid |
$3,182.58
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,983.16
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$6,650.62 |
| Max. Negotiated Rate |
$6,983.16 |
| Rate for Payer: BCBS Complete |
$6,983.16
|
| Rate for Payer: Mclaren Medicaid |
$6,650.62
|
| Rate for Payer: Meridian Medicaid |
$6,983.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,650.62
|
| Rate for Payer: UHC Medicaid |
$6,650.62
|
| Rate for Payer: UHCCP Medicaid |
$6,650.62
|
|
|
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$10,456.33
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$9,958.41 |
| Max. Negotiated Rate |
$10,456.33 |
| Rate for Payer: BCBS Complete |
$10,456.33
|
| Rate for Payer: Mclaren Medicaid |
$9,958.41
|
| Rate for Payer: Meridian Medicaid |
$10,456.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,958.41
|
| Rate for Payer: UHC Medicaid |
$9,958.41
|
| Rate for Payer: UHCCP Medicaid |
$9,958.41
|
|
|
OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$14,191.90
|
|
|
Service Code
|
APR-DRG 3093
|
| Min. Negotiated Rate |
$13,516.09 |
| Max. Negotiated Rate |
$14,191.90 |
| Rate for Payer: BCBS Complete |
$14,191.90
|
| Rate for Payer: Mclaren Medicaid |
$13,516.09
|
| Rate for Payer: Meridian Medicaid |
$14,191.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,516.09
|
| Rate for Payer: UHC Medicaid |
$13,516.09
|
| Rate for Payer: UHCCP Medicaid |
$13,516.09
|
|
|
OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$11,701.52
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$11,144.30 |
| Max. Negotiated Rate |
$11,701.52 |
| Rate for Payer: BCBS Complete |
$11,701.52
|
| Rate for Payer: Mclaren Medicaid |
$11,144.30
|
| Rate for Payer: Meridian Medicaid |
$11,701.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,144.30
|
| Rate for Payer: UHC Medicaid |
$11,144.30
|
| Rate for Payer: UHCCP Medicaid |
$11,144.30
|
|
|
OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$18,810.35
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$17,914.62 |
| Max. Negotiated Rate |
$18,810.35 |
| Rate for Payer: BCBS Complete |
$18,810.35
|
| Rate for Payer: Mclaren Medicaid |
$17,914.62
|
| Rate for Payer: Meridian Medicaid |
$18,810.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,914.62
|
| Rate for Payer: UHC Medicaid |
$17,914.62
|
| Rate for Payer: UHCCP Medicaid |
$17,914.62
|
|