|
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
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$8,734.52
|
|
|
Service Code
|
APR-DRG 0563
|
| 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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 0562
|
| Min. Negotiated Rate |
$5,453.91 |
| Max. Negotiated Rate |
$5,726.61 |
| Rate for Payer: BCBS Complete |
$5,726.61
|
| Rate for Payer: Mclaren Medicaid |
$5,453.91
|
| Rate for Payer: Meridian Medicaid |
$5,726.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,453.91
|
| Rate for Payer: UHCCP Medicaid |
$5,453.91
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$15,618.01
|
|
|
Service Code
|
APR-DRG 0564
|
| 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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 0561
|
| 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: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$18,336.71
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$17,463.53 |
| Max. Negotiated Rate |
$18,336.71 |
| Rate for Payer: BCBS Complete |
$18,336.71
|
| Rate for Payer: Mclaren Medicaid |
$17,463.53
|
| Rate for Payer: Meridian Medicaid |
$18,336.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,463.53
|
| Rate for Payer: UHCCP Medicaid |
$17,463.53
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 3631
|
| Min. Negotiated Rate |
$7,382.06 |
| Max. Negotiated Rate |
$7,751.16 |
| Rate for Payer: BCBS Complete |
$7,751.16
|
| Rate for Payer: Mclaren Medicaid |
$7,382.06
|
| Rate for Payer: Meridian Medicaid |
$7,751.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,382.06
|
| Rate for Payer: UHCCP Medicaid |
$7,382.06
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 3632
|
| Min. Negotiated Rate |
$11,789.26 |
| Max. Negotiated Rate |
$12,378.72 |
| Rate for Payer: BCBS Complete |
$12,378.72
|
| Rate for Payer: Mclaren Medicaid |
$11,789.26
|
| Rate for Payer: Meridian Medicaid |
$12,378.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,789.26
|
| Rate for Payer: UHCCP Medicaid |
$11,789.26
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$16,890.59
|
|
|
Service Code
|
APR-DRG 3633
|
| Min. Negotiated Rate |
$16,086.28 |
| Max. Negotiated Rate |
$16,890.59 |
| Rate for Payer: BCBS Complete |
$16,890.59
|
| Rate for Payer: Mclaren Medicaid |
$16,086.28
|
| Rate for Payer: Meridian Medicaid |
$16,890.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,086.28
|
| Rate for Payer: UHCCP Medicaid |
$16,086.28
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$10,874.77
|
|
|
Service Code
|
APR-DRG 1384
|
| Min. Negotiated Rate |
$10,356.92 |
| Max. Negotiated Rate |
$10,874.77 |
| Rate for Payer: BCBS Complete |
$10,874.77
|
| Rate for Payer: Mclaren Medicaid |
$10,356.92
|
| Rate for Payer: Meridian Medicaid |
$10,874.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,356.92
|
| Rate for Payer: UHCCP Medicaid |
$10,356.92
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 1382
|
| Min. Negotiated Rate |
$3,029.95 |
| Max. Negotiated Rate |
$3,181.45 |
| Rate for Payer: BCBS Complete |
$3,181.45
|
| Rate for Payer: Mclaren Medicaid |
$3,029.95
|
| Rate for Payer: Meridian Medicaid |
$3,181.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,029.95
|
| Rate for Payer: UHCCP Medicaid |
$3,029.95
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$5,553.07
|
|
|
Service Code
|
APR-DRG 1383
|
| Min. Negotiated Rate |
$5,288.64 |
| Max. Negotiated Rate |
$5,553.07 |
| Rate for Payer: BCBS Complete |
$5,553.07
|
| Rate for Payer: Mclaren Medicaid |
$5,288.64
|
| Rate for Payer: Meridian Medicaid |
$5,553.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,288.64
|
| Rate for Payer: UHCCP Medicaid |
$5,288.64
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$1,966.71
|
|
|
Service Code
|
APR-DRG 1381
|
| Min. Negotiated Rate |
$1,873.06 |
| Max. Negotiated Rate |
$1,966.71 |
| Rate for Payer: BCBS Complete |
$1,966.71
|
| Rate for Payer: Mclaren Medicaid |
$1,873.06
|
| Rate for Payer: Meridian Medicaid |
$1,966.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,873.06
|
| Rate for Payer: UHCCP Medicaid |
$1,873.06
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$14,750.35
|
|
|
Service Code
|
APR-DRG 8422
|
| Min. Negotiated Rate |
$14,047.95 |
| Max. Negotiated Rate |
$14,750.35 |
| Rate for Payer: BCBS Complete |
$14,750.35
|
| Rate for Payer: Mclaren Medicaid |
$14,047.95
|
| Rate for Payer: Meridian Medicaid |
$14,750.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,047.95
|
| Rate for Payer: UHCCP Medicaid |
$14,047.95
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$9,775.72
|
|
|
Service Code
|
APR-DRG 8421
|
| 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: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$67,967.29
|
|
|
Service Code
|
APR-DRG 8424
|
| Min. Negotiated Rate |
$64,730.75 |
| Max. Negotiated Rate |
$67,967.29 |
| Rate for Payer: BCBS Complete |
$67,967.29
|
| Rate for Payer: Mclaren Medicaid |
$64,730.75
|
| Rate for Payer: Meridian Medicaid |
$67,967.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$64,730.75
|
| Rate for Payer: UHCCP Medicaid |
$64,730.75
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$27,476.14
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$26,167.75 |
| Max. Negotiated Rate |
$27,476.14 |
| Rate for Payer: BCBS Complete |
$27,476.14
|
| Rate for Payer: Mclaren Medicaid |
$26,167.75
|
| Rate for Payer: Meridian Medicaid |
$27,476.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,167.75
|
| Rate for Payer: UHCCP Medicaid |
$26,167.75
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$5,453.91 |
| Max. Negotiated Rate |
$5,726.61 |
| Rate for Payer: BCBS Complete |
$5,726.61
|
| Rate for Payer: Mclaren Medicaid |
$5,453.91
|
| Rate for Payer: Meridian Medicaid |
$5,726.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,453.91
|
| Rate for Payer: UHCCP Medicaid |
$5,453.91
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$10,852.73 |
| Max. Negotiated Rate |
$11,395.37 |
| Rate for Payer: BCBS Complete |
$11,395.37
|
| Rate for Payer: Mclaren Medicaid |
$10,852.73
|
| Rate for Payer: Meridian Medicaid |
$11,395.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,852.73
|
| Rate for Payer: UHCCP Medicaid |
$10,852.73
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$2,776.54
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$2,644.32 |
| Max. Negotiated Rate |
$2,776.54 |
| Rate for Payer: BCBS Complete |
$2,776.54
|
| Rate for Payer: Mclaren Medicaid |
$2,644.32
|
| Rate for Payer: Meridian Medicaid |
$2,776.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,644.32
|
| Rate for Payer: UHCCP Medicaid |
$2,644.32
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$3,412.83
|
|
|
Service Code
|
APR-DRG 1962
|
| Min. Negotiated Rate |
$3,250.31 |
| Max. Negotiated Rate |
$3,412.83 |
| Rate for Payer: BCBS Complete |
$3,412.83
|
| Rate for Payer: Mclaren Medicaid |
$3,250.31
|
| Rate for Payer: Meridian Medicaid |
$3,412.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.31
|
| Rate for Payer: UHCCP Medicaid |
$3,250.31
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,718.69
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,589.23 |
| Max. Negotiated Rate |
$2,718.69 |
| Rate for Payer: BCBS Complete |
$2,718.69
|
| Rate for Payer: Mclaren Medicaid |
$2,589.23
|
| Rate for Payer: Meridian Medicaid |
$2,718.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,589.23
|
| Rate for Payer: UHCCP Medicaid |
$2,589.23
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 2012
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$5,495.23
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$5,233.55 |
| Max. Negotiated Rate |
$5,495.23 |
| Rate for Payer: BCBS Complete |
$5,495.23
|
| Rate for Payer: Mclaren Medicaid |
$5,233.55
|
| Rate for Payer: Meridian Medicaid |
$5,495.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,233.55
|
| Rate for Payer: UHCCP Medicaid |
$5,233.55
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$10,064.94
|
|
|
Service Code
|
APR-DRG 2014
|
| Min. Negotiated Rate |
$9,585.66 |
| Max. Negotiated Rate |
$10,064.94 |
| Rate for Payer: BCBS Complete |
$10,064.94
|
| Rate for Payer: Mclaren Medicaid |
$9,585.66
|
| Rate for Payer: Meridian Medicaid |
$10,064.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,585.66
|
| Rate for Payer: UHCCP Medicaid |
$9,585.66
|
|