|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,734.52
|
|
|
Service Code
|
APR-DRG 3052
|
| Min. Negotiated Rate |
$8,318.59 |
| Max. Negotiated Rate |
$8,734.52 |
| Rate for Payer: BCBS Complete |
$8,734.52
|
| Rate for Payer: Mclaren Medicaid |
$8,318.59
|
| Rate for Payer: Meridian Medicaid |
$8,734.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,318.59
|
| Rate for Payer: UHCCP Medicaid |
$8,318.59
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$13,419.92
|
|
|
Service Code
|
APR-DRG 3053
|
| Min. Negotiated Rate |
$12,780.88 |
| Max. Negotiated Rate |
$13,419.92 |
| Rate for Payer: BCBS Complete |
$13,419.92
|
| Rate for Payer: Mclaren Medicaid |
$12,780.88
|
| Rate for Payer: Meridian Medicaid |
$13,419.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,780.88
|
| Rate for Payer: UHCCP Medicaid |
$12,780.88
|
|
|
APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 3051
|
| 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: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$14,866.04
|
|
|
Service Code
|
APR-DRG 2264
|
| Min. Negotiated Rate |
$14,158.13 |
| Max. Negotiated Rate |
$14,866.04 |
| Rate for Payer: BCBS Complete |
$14,866.04
|
| Rate for Payer: Mclaren Medicaid |
$14,158.13
|
| Rate for Payer: Meridian Medicaid |
$14,866.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,158.13
|
| Rate for Payer: UHCCP Medicaid |
$14,158.13
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 2261
|
| Min. Negotiated Rate |
$4,847.92 |
| Max. Negotiated Rate |
$5,090.32 |
| Rate for Payer: BCBS Complete |
$5,090.32
|
| Rate for Payer: Mclaren Medicaid |
$4,847.92
|
| Rate for Payer: Meridian Medicaid |
$5,090.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,847.92
|
| Rate for Payer: UHCCP Medicaid |
$4,847.92
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$6,362.90
|
|
|
Service Code
|
APR-DRG 2262
|
| Min. Negotiated Rate |
$6,059.90 |
| Max. Negotiated Rate |
$6,362.90 |
| Rate for Payer: BCBS Complete |
$6,362.90
|
| Rate for Payer: Mclaren Medicaid |
$6,059.90
|
| Rate for Payer: Meridian Medicaid |
$6,362.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,059.90
|
| Rate for Payer: UHCCP Medicaid |
$6,059.90
|
|
|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$9,949.25
|
|
|
Service Code
|
APR-DRG 2263
|
| Min. Negotiated Rate |
$9,475.48 |
| Max. Negotiated Rate |
$9,949.25 |
| Rate for Payer: BCBS Complete |
$9,949.25
|
| Rate for Payer: Mclaren Medicaid |
$9,475.48
|
| Rate for Payer: Meridian Medicaid |
$9,949.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,475.48
|
| Rate for Payer: UHCCP Medicaid |
$9,475.48
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 1983
|
| Min. Negotiated Rate |
$4,903.01 |
| Max. Negotiated Rate |
$5,148.16 |
| Rate for Payer: BCBS Complete |
$5,148.16
|
| Rate for Payer: Mclaren Medicaid |
$4,903.01
|
| Rate for Payer: Meridian Medicaid |
$5,148.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,903.01
|
| Rate for Payer: UHCCP Medicaid |
$4,903.01
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$9,486.50
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$9,034.76 |
| Max. Negotiated Rate |
$9,486.50 |
| Rate for Payer: BCBS Complete |
$9,486.50
|
| Rate for Payer: Mclaren Medicaid |
$9,034.76
|
| Rate for Payer: Meridian Medicaid |
$9,486.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,034.76
|
| Rate for Payer: UHCCP Medicaid |
$9,034.76
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 1981
|
| Min. Negotiated Rate |
$3,140.13 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$3,297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$3,691.03 |
| Max. Negotiated Rate |
$3,875.58 |
| Rate for Payer: BCBS Complete |
$3,875.58
|
| Rate for Payer: Mclaren Medicaid |
$3,691.03
|
| Rate for Payer: Meridian Medicaid |
$3,875.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,691.03
|
| Rate for Payer: UHCCP Medicaid |
$3,691.03
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$13,709.15
|
|
|
Service Code
|
APR-DRG 0594
|
| Min. Negotiated Rate |
$13,056.33 |
| Max. Negotiated Rate |
$13,709.15 |
| Rate for Payer: BCBS Complete |
$13,709.15
|
| Rate for Payer: Mclaren Medicaid |
$13,056.33
|
| Rate for Payer: Meridian Medicaid |
$13,709.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,056.33
|
| Rate for Payer: UHCCP Medicaid |
$13,056.33
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 0591
|
| Min. Negotiated Rate |
$3,966.48 |
| Max. Negotiated Rate |
$4,164.80 |
| Rate for Payer: BCBS Complete |
$4,164.80
|
| Rate for Payer: Mclaren Medicaid |
$3,966.48
|
| Rate for Payer: Meridian Medicaid |
$4,164.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,966.48
|
| Rate for Payer: UHCCP Medicaid |
$3,966.48
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$9,255.12
|
|
|
Service Code
|
APR-DRG 0593
|
| Min. Negotiated Rate |
$8,814.40 |
| Max. Negotiated Rate |
$9,255.12 |
| Rate for Payer: BCBS Complete |
$9,255.12
|
| Rate for Payer: Mclaren Medicaid |
$8,814.40
|
| Rate for Payer: Meridian Medicaid |
$9,255.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,814.40
|
| Rate for Payer: UHCCP Medicaid |
$8,814.40
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,709.96
|
|
|
Service Code
|
APR-DRG 0592
|
| Min. Negotiated Rate |
$6,390.44 |
| Max. Negotiated Rate |
$6,709.96 |
| Rate for Payer: BCBS Complete |
$6,709.96
|
| Rate for Payer: Mclaren Medicaid |
$6,390.44
|
| Rate for Payer: Meridian Medicaid |
$6,709.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,390.44
|
| Rate for Payer: UHCCP Medicaid |
$6,390.44
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$18,510.24
|
|
|
Service Code
|
APR-DRG 5474
|
| Min. Negotiated Rate |
$17,628.80 |
| Max. Negotiated Rate |
$18,510.24 |
| Rate for Payer: BCBS Complete |
$18,510.24
|
| Rate for Payer: Mclaren Medicaid |
$17,628.80
|
| Rate for Payer: Meridian Medicaid |
$18,510.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,628.80
|
| Rate for Payer: UHCCP Medicaid |
$17,628.80
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$9,660.03
|
|
|
Service Code
|
APR-DRG 5473
|
| Min. Negotiated Rate |
$9,200.03 |
| Max. Negotiated Rate |
$9,660.03 |
| Rate for Payer: BCBS Complete |
$9,660.03
|
| Rate for Payer: Mclaren Medicaid |
$9,200.03
|
| Rate for Payer: Meridian Medicaid |
$9,660.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,200.03
|
| Rate for Payer: UHCCP Medicaid |
$9,200.03
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 5472
|
| Min. Negotiated Rate |
$5,839.54 |
| Max. Negotiated Rate |
$6,131.52 |
| Rate for Payer: BCBS Complete |
$6,131.52
|
| Rate for Payer: Mclaren Medicaid |
$5,839.54
|
| Rate for Payer: Meridian Medicaid |
$6,131.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,839.54
|
| Rate for Payer: UHCCP Medicaid |
$5,839.54
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 5471
|
| Min. Negotiated Rate |
$3,195.22 |
| Max. Negotiated Rate |
$3,354.98 |
| Rate for Payer: BCBS Complete |
$3,354.98
|
| Rate for Payer: Mclaren Medicaid |
$3,195.22
|
| Rate for Payer: Meridian Medicaid |
$3,354.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 5663
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2,545.16
|
|
|
Service Code
|
APR-DRG 5662
|
| Min. Negotiated Rate |
$2,423.96 |
| Max. Negotiated Rate |
$2,545.16 |
| Rate for Payer: BCBS Complete |
$2,545.16
|
| Rate for Payer: Mclaren Medicaid |
$2,423.96
|
| Rate for Payer: Meridian Medicaid |
$2,545.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,423.96
|
| Rate for Payer: UHCCP Medicaid |
$2,423.96
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$1,735.34
|
|
|
Service Code
|
APR-DRG 5661
|
| Min. Negotiated Rate |
$1,652.70 |
| Max. Negotiated Rate |
$1,735.34 |
| Rate for Payer: BCBS Complete |
$1,735.34
|
| Rate for Payer: Mclaren Medicaid |
$1,652.70
|
| Rate for Payer: Meridian Medicaid |
$1,735.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.70
|
| Rate for Payer: UHCCP Medicaid |
$1,652.70
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$9,775.72
|
|
|
Service Code
|
APR-DRG 5664
|
| Min. Negotiated Rate |
$9,310.21 |
| Max. Negotiated Rate |
$9,775.72 |
| Rate for Payer: BCBS Complete |
$9,775.72
|
| Rate for Payer: Mclaren Medicaid |
$9,310.21
|
| Rate for Payer: Meridian Medicaid |
$9,775.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,310.21
|
| Rate for Payer: UHCCP Medicaid |
$9,310.21
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,584.73
|
|
|
Service Code
|
APR-DRG 2334
|
| Min. Negotiated Rate |
$16,747.36 |
| Max. Negotiated Rate |
$17,584.73 |
| Rate for Payer: BCBS Complete |
$17,584.73
|
| Rate for Payer: Mclaren Medicaid |
$16,747.36
|
| Rate for Payer: Meridian Medicaid |
$17,584.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,747.36
|
| Rate for Payer: UHCCP Medicaid |
$16,747.36
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,221.83
|
|
|
Service Code
|
APR-DRG 2333
|
| Min. Negotiated Rate |
$10,687.46 |
| Max. Negotiated Rate |
$11,221.83 |
| Rate for Payer: BCBS Complete |
$11,221.83
|
| Rate for Payer: Mclaren Medicaid |
$10,687.46
|
| Rate for Payer: Meridian Medicaid |
$11,221.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,687.46
|
| Rate for Payer: UHCCP Medicaid |
$10,687.46
|
|