|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$6,280.26 |
| Max. Negotiated Rate |
$6,594.27 |
| Rate for Payer: BCBS Complete |
$6,594.27
|
| Rate for Payer: Mclaren Medicaid |
$6,280.26
|
| Rate for Payer: Meridian Medicaid |
$6,594.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,280.26
|
| Rate for Payer: UHCCP Medicaid |
$6,280.26
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 2052
|
| 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: CARDIOMYOPATHY
|
Facility
|
IP
|
$12,320.88
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$11,734.17 |
| Max. Negotiated Rate |
$12,320.88 |
| Rate for Payer: BCBS Complete |
$12,320.88
|
| Rate for Payer: Mclaren Medicaid |
$11,734.17
|
| Rate for Payer: Meridian Medicaid |
$12,320.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,734.17
|
| Rate for Payer: UHCCP Medicaid |
$11,734.17
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 3834
|
| Min. Negotiated Rate |
$10,522.19 |
| Max. Negotiated Rate |
$11,048.30 |
| Rate for Payer: BCBS Complete |
$11,048.30
|
| Rate for Payer: Mclaren Medicaid |
$10,522.19
|
| Rate for Payer: Meridian Medicaid |
$11,048.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,522.19
|
| Rate for Payer: UHCCP Medicaid |
$10,522.19
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 3832
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,776.54
|
|
|
Service Code
|
APR-DRG 3831
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 3833
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 5402
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 5401
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$6,478.58
|
|
|
Service Code
|
APR-DRG 5403
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$6,478.58 |
| Rate for Payer: BCBS Complete |
$6,478.58
|
| Rate for Payer: Mclaren Medicaid |
$6,170.08
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,170.08
|
| Rate for Payer: UHCCP Medicaid |
$6,170.08
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$14,287.59
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$14,287.59 |
| Rate for Payer: BCBS Complete |
$14,287.59
|
| Rate for Payer: Mclaren Medicaid |
$13,607.23
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,607.23
|
| Rate for Payer: UHCCP Medicaid |
$13,607.23
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$16,485.68
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$16,485.68 |
| Rate for Payer: BCBS Complete |
$16,485.68
|
| Rate for Payer: Mclaren Medicaid |
$15,700.65
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,700.65
|
| Rate for Payer: UHCCP Medicaid |
$15,700.65
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$8,560.99
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$8,560.99 |
| Rate for Payer: BCBS Complete |
$8,560.99
|
| Rate for Payer: Mclaren Medicaid |
$8,153.32
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,153.32
|
| Rate for Payer: UHCCP Medicaid |
$8,153.32
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 5391
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$4,396.18
|
|
|
Service Code
|
APR-DRG 5392
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$4,396.18 |
| Rate for Payer: BCBS Complete |
$4,396.18
|
| Rate for Payer: Mclaren Medicaid |
$4,186.84
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.84
|
| Rate for Payer: UHCCP Medicaid |
$4,186.84
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$4,974.63
|
|
|
Service Code
|
APR-DRG 6951
|
| Min. Negotiated Rate |
$4,737.74 |
| Max. Negotiated Rate |
$4,974.63 |
| Rate for Payer: BCBS Complete |
$4,974.63
|
| Rate for Payer: Mclaren Medicaid |
$4,737.74
|
| Rate for Payer: Meridian Medicaid |
$4,974.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,737.74
|
| Rate for Payer: UHCCP Medicaid |
$4,737.74
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$15,907.24
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$15,149.75 |
| Max. Negotiated Rate |
$15,907.24 |
| Rate for Payer: BCBS Complete |
$15,907.24
|
| Rate for Payer: Mclaren Medicaid |
$15,149.75
|
| Rate for Payer: Meridian Medicaid |
$15,907.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,149.75
|
| Rate for Payer: UHCCP Medicaid |
$15,149.75
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,982.54
|
|
|
Service Code
|
APR-DRG 6952
|
| 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: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$31,467.41
|
|
|
Service Code
|
APR-DRG 6954
|
| Min. Negotiated Rate |
$29,968.96 |
| Max. Negotiated Rate |
$31,467.41 |
| Rate for Payer: BCBS Complete |
$31,467.41
|
| Rate for Payer: Mclaren Medicaid |
$29,968.96
|
| Rate for Payer: Meridian Medicaid |
$31,467.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,968.96
|
| Rate for Payer: UHCCP Medicaid |
$29,968.96
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$7,693.32
|
|
|
Service Code
|
APR-DRG 2034
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 2031
|
| Min. Negotiated Rate |
$3,305.40 |
| Max. Negotiated Rate |
$3,470.67 |
| Rate for Payer: BCBS Complete |
$3,470.67
|
| Rate for Payer: Mclaren Medicaid |
$3,305.40
|
| Rate for Payer: Meridian Medicaid |
$3,470.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 2032
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 2033
|
| 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: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$183,020.00
|
|
|
Service Code
|
APR-DRG 0114
|
| Min. Negotiated Rate |
$174,304.76 |
| Max. Negotiated Rate |
$183,020.00 |
| Rate for Payer: BCBS Complete |
$183,020.00
|
| Rate for Payer: Mclaren Medicaid |
$174,304.76
|
| Rate for Payer: Meridian Medicaid |
$183,020.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$174,304.76
|
| Rate for Payer: UHCCP Medicaid |
$174,304.76
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$136,223.80
|
|
|
Service Code
|
APR-DRG 0113
|
| Min. Negotiated Rate |
$129,736.95 |
| Max. Negotiated Rate |
$136,223.80 |
| Rate for Payer: BCBS Complete |
$136,223.80
|
| Rate for Payer: Mclaren Medicaid |
$129,736.95
|
| Rate for Payer: Meridian Medicaid |
$136,223.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$129,736.95
|
| Rate for Payer: UHCCP Medicaid |
$129,736.95
|
|