|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,982.54
|
|
|
Service Code
|
APR-DRG 2332
|
| Min. Negotiated Rate |
$7,602.42 |
| Max. Negotiated Rate |
$7,982.54 |
| Rate for Payer: BCBS Complete |
$7,982.54
|
| Rate for Payer: Mclaren Medicaid |
$7,602.42
|
| Rate for Payer: Meridian Medicaid |
$7,982.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,602.42
|
| Rate for Payer: UHCCP Medicaid |
$7,602.42
|
|
|
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
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,618.01
|
|
|
Service Code
|
APR-DRG 2344
|
| Min. Negotiated Rate |
$14,874.30 |
| Max. Negotiated Rate |
$15,618.01 |
| Rate for Payer: BCBS Complete |
$15,618.01
|
| Rate for Payer: Mclaren Medicaid |
$14,874.30
|
| Rate for Payer: Meridian Medicaid |
$15,618.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,874.30
|
| Rate for Payer: UHCCP Medicaid |
$14,874.30
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 2342
|
| Min. Negotiated Rate |
$6,720.98 |
| Max. Negotiated Rate |
$7,057.03 |
| Rate for Payer: BCBS Complete |
$7,057.03
|
| Rate for Payer: Mclaren Medicaid |
$6,720.98
|
| Rate for Payer: Meridian Medicaid |
$7,057.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,720.98
|
| Rate for Payer: UHCCP Medicaid |
$6,720.98
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,816.92
|
|
|
Service Code
|
APR-DRG 2343
|
| Min. Negotiated Rate |
$10,301.83 |
| Max. Negotiated Rate |
$10,816.92 |
| Rate for Payer: BCBS Complete |
$10,816.92
|
| Rate for Payer: Mclaren Medicaid |
$10,301.83
|
| Rate for Payer: Meridian Medicaid |
$10,816.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,301.83
|
| Rate for Payer: UHCCP Medicaid |
$10,301.83
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 2341
|
| Min. Negotiated Rate |
$5,509.00 |
| Max. Negotiated Rate |
$5,784.45 |
| Rate for Payer: BCBS Complete |
$5,784.45
|
| Rate for Payer: Mclaren Medicaid |
$5,509.00
|
| Rate for Payer: Meridian Medicaid |
$5,784.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,509.00
|
| Rate for Payer: UHCCP Medicaid |
$5,509.00
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$2,603.00
|
|
|
Service Code
|
APR-DRG 1411
|
| Min. Negotiated Rate |
$2,479.05 |
| Max. Negotiated Rate |
$2,603.00 |
| Rate for Payer: BCBS Complete |
$2,603.00
|
| Rate for Payer: Mclaren Medicaid |
$2,479.05
|
| Rate for Payer: Meridian Medicaid |
$2,603.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,479.05
|
| Rate for Payer: UHCCP Medicaid |
$2,479.05
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$8,676.67
|
|
|
Service Code
|
APR-DRG 1414
|
| Min. Negotiated Rate |
$8,263.50 |
| Max. Negotiated Rate |
$8,676.67 |
| Rate for Payer: BCBS Complete |
$8,676.67
|
| Rate for Payer: Mclaren Medicaid |
$8,263.50
|
| Rate for Payer: Meridian Medicaid |
$8,676.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,263.50
|
| Rate for Payer: UHCCP Medicaid |
$8,263.50
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 1412
|
| Min. Negotiated Rate |
$3,580.85 |
| Max. Negotiated Rate |
$3,759.89 |
| Rate for Payer: BCBS Complete |
$3,759.89
|
| Rate for Payer: Mclaren Medicaid |
$3,580.85
|
| Rate for Payer: Meridian Medicaid |
$3,759.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,580.85
|
| Rate for Payer: UHCCP Medicaid |
$3,580.85
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 1413
|
| 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: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$22,327.98
|
|
|
Service Code
|
APR-DRG 0081
|
| Min. Negotiated Rate |
$21,264.74 |
| Max. Negotiated Rate |
$22,327.98 |
| Rate for Payer: BCBS Complete |
$22,327.98
|
| Rate for Payer: Mclaren Medicaid |
$21,264.74
|
| Rate for Payer: Meridian Medicaid |
$22,327.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,264.74
|
| Rate for Payer: UHCCP Medicaid |
$21,264.74
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$47,895.25
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$45,614.52 |
| Max. Negotiated Rate |
$47,895.25 |
| Rate for Payer: BCBS Complete |
$47,895.25
|
| Rate for Payer: Mclaren Medicaid |
$45,614.52
|
| Rate for Payer: Meridian Medicaid |
$47,895.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,614.52
|
| Rate for Payer: UHCCP Medicaid |
$45,614.52
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$26,434.94
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$25,176.13 |
| Max. Negotiated Rate |
$26,434.94 |
| Rate for Payer: BCBS Complete |
$26,434.94
|
| Rate for Payer: Mclaren Medicaid |
$25,176.13
|
| Rate for Payer: Meridian Medicaid |
$26,434.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,176.13
|
| Rate for Payer: UHCCP Medicaid |
$25,176.13
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$33,723.34
|
|
|
Service Code
|
APR-DRG 0083
|
| Min. Negotiated Rate |
$32,117.47 |
| Max. Negotiated Rate |
$33,723.34 |
| Rate for Payer: BCBS Complete |
$33,723.34
|
| Rate for Payer: Mclaren Medicaid |
$32,117.47
|
| Rate for Payer: Meridian Medicaid |
$33,723.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,117.47
|
| Rate for Payer: UHCCP Medicaid |
$32,117.47
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$18,973.00
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$18,069.52 |
| Max. Negotiated Rate |
$18,973.00 |
| Rate for Payer: BCBS Complete |
$18,973.00
|
| Rate for Payer: Mclaren Medicaid |
$18,069.52
|
| Rate for Payer: Meridian Medicaid |
$18,973.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,069.52
|
| Rate for Payer: UHCCP Medicaid |
$18,069.52
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 0492
|
| Min. Negotiated Rate |
$8,098.23 |
| Max. Negotiated Rate |
$8,503.14 |
| Rate for Payer: BCBS Complete |
$8,503.14
|
| Rate for Payer: Mclaren Medicaid |
$8,098.23
|
| Rate for Payer: Meridian Medicaid |
$8,503.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,098.23
|
| Rate for Payer: UHCCP Medicaid |
$8,098.23
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$12,263.03
|
|
|
Service Code
|
APR-DRG 0493
|
| 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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 0491
|
| 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: BIPOLAR DISORDERS
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 7532
|
| 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: BIPOLAR DISORDERS
|
Facility
|
IP
|
$10,469.85
|
|
|
Service Code
|
APR-DRG 7534
|
| Min. Negotiated Rate |
$9,971.29 |
| Max. Negotiated Rate |
$10,469.85 |
| Rate for Payer: BCBS Complete |
$10,469.85
|
| Rate for Payer: Mclaren Medicaid |
$9,971.29
|
| Rate for Payer: Meridian Medicaid |
$10,469.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,971.29
|
| Rate for Payer: UHCCP Medicaid |
$9,971.29
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,487.31
|
|
|
Service Code
|
APR-DRG 7531
|
| Min. Negotiated Rate |
$2,368.87 |
| Max. Negotiated Rate |
$2,487.31 |
| Rate for Payer: BCBS Complete |
$2,487.31
|
| Rate for Payer: Mclaren Medicaid |
$2,368.87
|
| Rate for Payer: Meridian Medicaid |
$2,487.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,368.87
|
| Rate for Payer: UHCCP Medicaid |
$2,368.87
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 7533
|
| Min. Negotiated Rate |
$5,729.36 |
| Max. Negotiated Rate |
$6,015.83 |
| Rate for Payer: BCBS Complete |
$6,015.83
|
| Rate for Payer: Mclaren Medicaid |
$5,729.36
|
| Rate for Payer: Meridian Medicaid |
$6,015.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,729.36
|
| Rate for Payer: UHCCP Medicaid |
$5,729.36
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,603.00
|
|
|
Service Code
|
APR-DRG 1321
|
| Min. Negotiated Rate |
$2,479.05 |
| Max. Negotiated Rate |
$2,603.00 |
| Rate for Payer: BCBS Complete |
$2,603.00
|
| Rate for Payer: Mclaren Medicaid |
$2,479.05
|
| Rate for Payer: Meridian Medicaid |
$2,603.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,479.05
|
| Rate for Payer: UHCCP Medicaid |
$2,479.05
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$7,404.10
|
|
|
Service Code
|
APR-DRG 1323
|
| Min. Negotiated Rate |
$7,051.52 |
| Max. Negotiated Rate |
$7,404.10 |
| Rate for Payer: BCBS Complete |
$7,404.10
|
| Rate for Payer: Mclaren Medicaid |
$7,051.52
|
| Rate for Payer: Meridian Medicaid |
$7,404.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,051.52
|
| Rate for Payer: UHCCP Medicaid |
$7,051.52
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$10,296.32
|
|
|
Service Code
|
APR-DRG 1324
|
| Min. Negotiated Rate |
$9,806.02 |
| Max. Negotiated Rate |
$10,296.32 |
| Rate for Payer: BCBS Complete |
$10,296.32
|
| Rate for Payer: Mclaren Medicaid |
$9,806.02
|
| Rate for Payer: Meridian Medicaid |
$10,296.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,806.02
|
| Rate for Payer: UHCCP Medicaid |
$9,806.02
|
|