|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,842.29
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$5,564.09 |
| Max. Negotiated Rate |
$5,842.29 |
| Rate for Payer: BCBS Complete |
$5,842.29
|
| Rate for Payer: Mclaren Medicaid |
$5,564.09
|
| Rate for Payer: Meridian Medicaid |
$5,842.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,564.09
|
| Rate for Payer: UHCCP Medicaid |
$5,564.09
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 1912
|
| 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: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 1913
|
| Min. Negotiated Rate |
$8,979.67 |
| Max. Negotiated Rate |
$9,428.65 |
| Rate for Payer: BCBS Complete |
$9,428.65
|
| Rate for Payer: Mclaren Medicaid |
$8,979.67
|
| Rate for Payer: Meridian Medicaid |
$9,428.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,979.67
|
| Rate for Payer: UHCCP Medicaid |
$8,979.67
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$14,056.21
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$13,386.87 |
| Max. Negotiated Rate |
$14,056.21 |
| Rate for Payer: BCBS Complete |
$14,056.21
|
| Rate for Payer: Mclaren Medicaid |
$13,386.87
|
| Rate for Payer: Meridian Medicaid |
$14,056.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,386.87
|
| Rate for Payer: UHCCP Medicaid |
$13,386.87
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 1923
|
| 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 CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,073.67
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$5,784.45 |
| Max. Negotiated Rate |
$6,073.67 |
| Rate for Payer: BCBS Complete |
$6,073.67
|
| Rate for Payer: Mclaren Medicaid |
$5,784.45
|
| Rate for Payer: Meridian Medicaid |
$6,073.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,784.45
|
| Rate for Payer: UHCCP Medicaid |
$5,784.45
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$7,809.01
|
|
|
Service Code
|
APR-DRG 1922
|
| Min. Negotiated Rate |
$7,437.15 |
| Max. Negotiated Rate |
$7,809.01 |
| Rate for Payer: BCBS Complete |
$7,809.01
|
| Rate for Payer: Mclaren Medicaid |
$7,437.15
|
| Rate for Payer: Meridian Medicaid |
$7,809.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,437.15
|
| Rate for Payer: UHCCP Medicaid |
$7,437.15
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$18,568.08
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$17,683.89 |
| Max. Negotiated Rate |
$18,568.08 |
| Rate for Payer: BCBS Complete |
$18,568.08
|
| Rate for Payer: Mclaren Medicaid |
$17,683.89
|
| Rate for Payer: Meridian Medicaid |
$18,568.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,683.89
|
| Rate for Payer: UHCCP Medicaid |
$17,683.89
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$20,881.86
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$19,887.49 |
| Max. Negotiated Rate |
$20,881.86 |
| Rate for Payer: BCBS Complete |
$20,881.86
|
| Rate for Payer: Mclaren Medicaid |
$19,887.49
|
| Rate for Payer: Meridian Medicaid |
$20,881.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,887.49
|
| Rate for Payer: UHCCP Medicaid |
$19,887.49
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$7,693.32
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$7,326.97 |
| Max. Negotiated Rate |
$7,693.32 |
| Rate for Payer: BCBS Complete |
$7,693.32
|
| Rate for Payer: Mclaren Medicaid |
$7,326.97
|
| Rate for Payer: Meridian Medicaid |
$7,693.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,326.97
|
| Rate for Payer: UHCCP Medicaid |
$7,326.97
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$11,684.59
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$11,128.18 |
| Max. Negotiated Rate |
$11,684.59 |
| Rate for Payer: BCBS Complete |
$11,684.59
|
| Rate for Payer: Mclaren Medicaid |
$11,128.18
|
| Rate for Payer: Meridian Medicaid |
$11,684.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,128.18
|
| Rate for Payer: UHCCP Medicaid |
$11,128.18
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$14,576.81
|
|
|
Service Code
|
APR-DRG 1773
|
| Min. Negotiated Rate |
$13,882.68 |
| Max. Negotiated Rate |
$14,576.81 |
| Rate for Payer: BCBS Complete |
$14,576.81
|
| Rate for Payer: Mclaren Medicaid |
$13,882.68
|
| Rate for Payer: Meridian Medicaid |
$14,576.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,882.68
|
| Rate for Payer: UHCCP Medicaid |
$13,882.68
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 2002
|
| 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: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$3,635.94 |
| Max. Negotiated Rate |
$3,817.74 |
| Rate for Payer: BCBS Complete |
$3,817.74
|
| Rate for Payer: Mclaren Medicaid |
$3,635.94
|
| Rate for Payer: Meridian Medicaid |
$3,817.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,635.94
|
| Rate for Payer: UHCCP Medicaid |
$3,635.94
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$13,246.39
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$12,615.61 |
| Max. Negotiated Rate |
$13,246.39 |
| Rate for Payer: BCBS Complete |
$13,246.39
|
| Rate for Payer: Mclaren Medicaid |
$12,615.61
|
| Rate for Payer: Meridian Medicaid |
$13,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,615.61
|
| Rate for Payer: UHCCP Medicaid |
$12,615.61
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,236.85
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$23,082.71 |
| Max. Negotiated Rate |
$24,236.85 |
| Rate for Payer: BCBS Complete |
$24,236.85
|
| Rate for Payer: Mclaren Medicaid |
$23,082.71
|
| Rate for Payer: Meridian Medicaid |
$24,236.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,082.71
|
| Rate for Payer: UHCCP Medicaid |
$23,082.71
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$29,095.78
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$27,710.27 |
| Max. Negotiated Rate |
$29,095.78 |
| Rate for Payer: BCBS Complete |
$29,095.78
|
| Rate for Payer: Mclaren Medicaid |
$27,710.27
|
| Rate for Payer: Meridian Medicaid |
$29,095.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,710.27
|
| Rate for Payer: UHCCP Medicaid |
$27,710.27
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$52,638.50
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$50,131.90 |
| Max. Negotiated Rate |
$52,638.50 |
| Rate for Payer: BCBS Complete |
$52,638.50
|
| Rate for Payer: Mclaren Medicaid |
$50,131.90
|
| Rate for Payer: Meridian Medicaid |
$52,638.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$50,131.90
|
| Rate for Payer: UHCCP Medicaid |
$50,131.90
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$38,524.44
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$36,689.94 |
| Max. Negotiated Rate |
$38,524.44 |
| Rate for Payer: BCBS Complete |
$38,524.44
|
| Rate for Payer: Mclaren Medicaid |
$36,689.94
|
| Rate for Payer: Meridian Medicaid |
$38,524.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,689.94
|
| Rate for Payer: UHCCP Medicaid |
$36,689.94
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,476.95
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$19,501.86 |
| Max. Negotiated Rate |
$20,476.95 |
| Rate for Payer: BCBS Complete |
$20,476.95
|
| Rate for Payer: Mclaren Medicaid |
$19,501.86
|
| Rate for Payer: Meridian Medicaid |
$20,476.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,501.86
|
| Rate for Payer: UHCCP Medicaid |
$19,501.86
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$33,144.90
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$31,566.57 |
| Max. Negotiated Rate |
$33,144.90 |
| Rate for Payer: BCBS Complete |
$33,144.90
|
| Rate for Payer: Mclaren Medicaid |
$31,566.57
|
| Rate for Payer: Meridian Medicaid |
$33,144.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,566.57
|
| Rate for Payer: UHCCP Medicaid |
$31,566.57
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$46,102.07
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$43,906.73 |
| Max. Negotiated Rate |
$46,102.07 |
| Rate for Payer: BCBS Complete |
$46,102.07
|
| Rate for Payer: Mclaren Medicaid |
$43,906.73
|
| Rate for Payer: Meridian Medicaid |
$46,102.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,906.73
|
| Rate for Payer: UHCCP Medicaid |
$43,906.73
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,468.22
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$23,303.07 |
| Max. Negotiated Rate |
$24,468.22 |
| Rate for Payer: BCBS Complete |
$24,468.22
|
| Rate for Payer: Mclaren Medicaid |
$23,303.07
|
| Rate for Payer: Meridian Medicaid |
$24,468.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,303.07
|
| Rate for Payer: UHCCP Medicaid |
$23,303.07
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 2051
|
| 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
|
|