|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$9,891.41
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$9,420.39 |
| Max. Negotiated Rate |
$9,891.41 |
| Rate for Payer: BCBS Complete |
$9,891.41
|
| Rate for Payer: Mclaren Medicaid |
$9,420.39
|
| Rate for Payer: Meridian Medicaid |
$9,891.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,420.39
|
| Rate for Payer: UHCCP Medicaid |
$9,420.39
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$7,230.56
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$6,886.25 |
| Max. Negotiated Rate |
$7,230.56 |
| Rate for Payer: BCBS Complete |
$7,230.56
|
| Rate for Payer: Mclaren Medicaid |
$6,886.25
|
| Rate for Payer: Meridian Medicaid |
$7,230.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,886.25
|
| Rate for Payer: UHCCP Medicaid |
$6,886.25
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$18,394.55
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$17,518.62 |
| Max. Negotiated Rate |
$18,394.55 |
| Rate for Payer: BCBS Complete |
$18,394.55
|
| Rate for Payer: Mclaren Medicaid |
$17,518.62
|
| Rate for Payer: Meridian Medicaid |
$18,394.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,518.62
|
| Rate for Payer: UHCCP Medicaid |
$17,518.62
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$29,385.01
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$27,985.72 |
| Max. Negotiated Rate |
$29,385.01 |
| Rate for Payer: BCBS Complete |
$29,385.01
|
| Rate for Payer: Mclaren Medicaid |
$27,985.72
|
| Rate for Payer: Meridian Medicaid |
$29,385.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,985.72
|
| Rate for Payer: UHCCP Medicaid |
$27,985.72
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$14,518.97
|
|
|
Service Code
|
APR-DRG 7754
|
| Min. Negotiated Rate |
$13,827.59 |
| Max. Negotiated Rate |
$14,518.97 |
| Rate for Payer: BCBS Complete |
$14,518.97
|
| Rate for Payer: Mclaren Medicaid |
$13,827.59
|
| Rate for Payer: Meridian Medicaid |
$14,518.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,827.59
|
| Rate for Payer: UHCCP Medicaid |
$13,827.59
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 7753
|
| Min. Negotiated Rate |
$6,114.99 |
| Max. Negotiated Rate |
$6,420.74 |
| Rate for Payer: BCBS Complete |
$6,420.74
|
| Rate for Payer: Mclaren Medicaid |
$6,114.99
|
| Rate for Payer: Meridian Medicaid |
$6,420.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,114.99
|
| Rate for Payer: UHCCP Medicaid |
$6,114.99
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,313.78
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$2,203.60 |
| Max. Negotiated Rate |
$2,313.78 |
| Rate for Payer: BCBS Complete |
$2,313.78
|
| Rate for Payer: Mclaren Medicaid |
$2,203.60
|
| Rate for Payer: Meridian Medicaid |
$2,313.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,203.60
|
| Rate for Payer: UHCCP Medicaid |
$2,203.60
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 2803
|
| Min. Negotiated Rate |
$7,271.88 |
| Max. Negotiated Rate |
$7,635.47 |
| Rate for Payer: BCBS Complete |
$7,635.47
|
| Rate for Payer: Mclaren Medicaid |
$7,271.88
|
| Rate for Payer: Meridian Medicaid |
$7,635.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,271.88
|
| Rate for Payer: UHCCP Medicaid |
$7,271.88
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$4,858.94
|
|
|
Service Code
|
APR-DRG 2802
|
| Min. Negotiated Rate |
$4,627.56 |
| Max. Negotiated Rate |
$4,858.94 |
| Rate for Payer: BCBS Complete |
$4,858.94
|
| Rate for Payer: Mclaren Medicaid |
$4,627.56
|
| Rate for Payer: Meridian Medicaid |
$4,858.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,627.56
|
| Rate for Payer: UHCCP Medicaid |
$4,627.56
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$14,981.73
|
|
|
Service Code
|
APR-DRG 2804
|
| Min. Negotiated Rate |
$14,268.31 |
| Max. Negotiated Rate |
$14,981.73 |
| Rate for Payer: BCBS Complete |
$14,981.73
|
| Rate for Payer: Mclaren Medicaid |
$14,268.31
|
| Rate for Payer: Meridian Medicaid |
$14,981.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,268.31
|
| Rate for Payer: UHCCP Medicaid |
$14,268.31
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$3,644.20
|
|
|
Service Code
|
APR-DRG 2801
|
| Min. Negotiated Rate |
$3,470.67 |
| Max. Negotiated Rate |
$3,644.20 |
| Rate for Payer: BCBS Complete |
$3,644.20
|
| Rate for Payer: Mclaren Medicaid |
$3,470.67
|
| Rate for Payer: Meridian Medicaid |
$3,644.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,470.67
|
| Rate for Payer: UHCCP Medicaid |
$3,470.67
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 8112
|
| Min. Negotiated Rate |
$3,085.04 |
| Max. Negotiated Rate |
$3,239.29 |
| Rate for Payer: BCBS Complete |
$3,239.29
|
| Rate for Payer: Mclaren Medicaid |
$3,085.04
|
| Rate for Payer: Meridian Medicaid |
$3,239.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,085.04
|
| Rate for Payer: UHCCP Medicaid |
$3,085.04
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 8113
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$12,263.03
|
|
|
Service Code
|
APR-DRG 8114
|
| Min. Negotiated Rate |
$11,679.08 |
| Max. Negotiated Rate |
$12,263.03 |
| Rate for Payer: BCBS Complete |
$12,263.03
|
| Rate for Payer: Mclaren Medicaid |
$11,679.08
|
| Rate for Payer: Meridian Medicaid |
$12,263.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,679.08
|
| Rate for Payer: UHCCP Medicaid |
$11,679.08
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,255.94
|
|
|
Service Code
|
APR-DRG 8111
|
| Min. Negotiated Rate |
$2,148.51 |
| Max. Negotiated Rate |
$2,255.94 |
| Rate for Payer: BCBS Complete |
$2,255.94
|
| Rate for Payer: Mclaren Medicaid |
$2,148.51
|
| Rate for Payer: Meridian Medicaid |
$2,255.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,148.51
|
| Rate for Payer: UHCCP Medicaid |
$2,148.51
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$42,573.55
|
|
|
Service Code
|
APR-DRG 0071
|
| Min. Negotiated Rate |
$40,546.24 |
| Max. Negotiated Rate |
$42,573.55 |
| Rate for Payer: BCBS Complete |
$42,573.55
|
| Rate for Payer: Mclaren Medicaid |
$40,546.24
|
| Rate for Payer: Meridian Medicaid |
$42,573.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,546.24
|
| Rate for Payer: UHCCP Medicaid |
$40,546.24
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$68,487.89
|
|
|
Service Code
|
APR-DRG 0073
|
| Min. Negotiated Rate |
$65,226.56 |
| Max. Negotiated Rate |
$68,487.89 |
| Rate for Payer: BCBS Complete |
$68,487.89
|
| Rate for Payer: Mclaren Medicaid |
$65,226.56
|
| Rate for Payer: Meridian Medicaid |
$68,487.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$65,226.56
|
| Rate for Payer: UHCCP Medicaid |
$65,226.56
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$107,706.46
|
|
|
Service Code
|
APR-DRG 0074
|
| Min. Negotiated Rate |
$102,577.58 |
| Max. Negotiated Rate |
$107,706.46 |
| Rate for Payer: BCBS Complete |
$107,706.46
|
| Rate for Payer: Mclaren Medicaid |
$102,577.58
|
| Rate for Payer: Meridian Medicaid |
$107,706.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$102,577.58
|
| Rate for Payer: UHCCP Medicaid |
$102,577.58
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$48,242.31
|
|
|
Service Code
|
APR-DRG 0072
|
| Min. Negotiated Rate |
$45,945.06 |
| Max. Negotiated Rate |
$48,242.31 |
| Rate for Payer: BCBS Complete |
$48,242.31
|
| Rate for Payer: Mclaren Medicaid |
$45,945.06
|
| Rate for Payer: Meridian Medicaid |
$48,242.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,945.06
|
| Rate for Payer: UHCCP Medicaid |
$45,945.06
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 0523
|
| Min. Negotiated Rate |
$6,610.80 |
| Max. Negotiated Rate |
$6,941.34 |
| Rate for Payer: BCBS Complete |
$6,941.34
|
| Rate for Payer: Mclaren Medicaid |
$6,610.80
|
| Rate for Payer: Meridian Medicaid |
$6,941.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,610.80
|
| Rate for Payer: UHCCP Medicaid |
$6,610.80
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 0522
|
| Min. Negotiated Rate |
$4,572.47 |
| Max. Negotiated Rate |
$4,801.09 |
| Rate for Payer: BCBS Complete |
$4,801.09
|
| Rate for Payer: Mclaren Medicaid |
$4,572.47
|
| Rate for Payer: Meridian Medicaid |
$4,801.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,572.47
|
| Rate for Payer: UHCCP Medicaid |
$4,572.47
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$12,089.50
|
|
|
Service Code
|
APR-DRG 0524
|
| Min. Negotiated Rate |
$11,513.81 |
| Max. Negotiated Rate |
$12,089.50 |
| Rate for Payer: BCBS Complete |
$12,089.50
|
| Rate for Payer: Mclaren Medicaid |
$11,513.81
|
| Rate for Payer: Meridian Medicaid |
$12,089.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,513.81
|
| Rate for Payer: UHCCP Medicaid |
$11,513.81
|
|
|
APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 0521
|
| Min. Negotiated Rate |
$3,525.76 |
| Max. Negotiated Rate |
$3,702.05 |
| Rate for Payer: BCBS Complete |
$3,702.05
|
| Rate for Payer: Mclaren Medicaid |
$3,525.76
|
| Rate for Payer: Meridian Medicaid |
$3,702.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,525.76
|
| Rate for Payer: UHCCP Medicaid |
$3,525.76
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$22,096.60
|
|
|
Service Code
|
APR-DRG 3054
|
| Min. Negotiated Rate |
$21,044.38 |
| Max. Negotiated Rate |
$22,096.60 |
| Rate for Payer: BCBS Complete |
$22,096.60
|
| Rate for Payer: Mclaren Medicaid |
$21,044.38
|
| Rate for Payer: Meridian Medicaid |
$22,096.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,044.38
|
| Rate for Payer: UHCCP Medicaid |
$21,044.38
|
|