|
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
|
|
|
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: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,999.18
|
|
|
Service Code
|
APR-DRG 2631
|
| Min. Negotiated Rate |
$6,665.89 |
| Max. Negotiated Rate |
$6,999.18 |
| Rate for Payer: BCBS Complete |
$6,999.18
|
| Rate for Payer: Mclaren Medicaid |
$6,665.89
|
| Rate for Payer: Meridian Medicaid |
$6,999.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,665.89
|
| Rate for Payer: UHCCP Medicaid |
$6,665.89
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$20,014.20
|
|
|
Service Code
|
APR-DRG 2634
|
| Min. Negotiated Rate |
$19,061.14 |
| Max. Negotiated Rate |
$20,014.20 |
| Rate for Payer: BCBS Complete |
$20,014.20
|
| Rate for Payer: Mclaren Medicaid |
$19,061.14
|
| Rate for Payer: Meridian Medicaid |
$20,014.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,061.14
|
| Rate for Payer: UHCCP Medicaid |
$19,061.14
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$8,618.83
|
|
|
Service Code
|
APR-DRG 2632
|
| Min. Negotiated Rate |
$8,208.41 |
| Max. Negotiated Rate |
$8,618.83 |
| Rate for Payer: BCBS Complete |
$8,618.83
|
| Rate for Payer: Mclaren Medicaid |
$8,208.41
|
| Rate for Payer: Meridian Medicaid |
$8,618.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,208.41
|
| Rate for Payer: UHCCP Medicaid |
$8,208.41
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$11,858.12
|
|
|
Service Code
|
APR-DRG 2633
|
| Min. Negotiated Rate |
$11,293.45 |
| Max. Negotiated Rate |
$11,858.12 |
| Rate for Payer: BCBS Complete |
$11,858.12
|
| Rate for Payer: Mclaren Medicaid |
$11,293.45
|
| Rate for Payer: Meridian Medicaid |
$11,858.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,293.45
|
| Rate for Payer: UHCCP Medicaid |
$11,293.45
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 4701
|
| Min. Negotiated Rate |
$2,974.86 |
| Max. Negotiated Rate |
$3,123.60 |
| Rate for Payer: BCBS Complete |
$3,123.60
|
| Rate for Payer: Mclaren Medicaid |
$2,974.86
|
| Rate for Payer: Meridian Medicaid |
$3,123.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,974.86
|
| Rate for Payer: UHCCP Medicaid |
$2,974.86
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 4702
|
| Min. Negotiated Rate |
$4,076.66 |
| 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 |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,767.81
|
|
|
Service Code
|
APR-DRG 4703
|
| Min. Negotiated Rate |
$6,445.53 |
| Max. Negotiated Rate |
$6,767.81 |
| Rate for Payer: BCBS Complete |
$6,767.81
|
| Rate for Payer: Mclaren Medicaid |
$6,445.53
|
| Rate for Payer: Meridian Medicaid |
$6,767.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,445.53
|
| Rate for Payer: UHCCP Medicaid |
$6,445.53
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$12,320.88
|
|
|
Service Code
|
APR-DRG 4704
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 1401
|
| Min. Negotiated Rate |
$2,974.86 |
| Max. Negotiated Rate |
$3,123.60 |
| Rate for Payer: BCBS Complete |
$3,123.60
|
| Rate for Payer: Mclaren Medicaid |
$2,974.86
|
| Rate for Payer: Meridian Medicaid |
$3,123.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,974.86
|
| Rate for Payer: UHCCP Medicaid |
$2,974.86
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$9,197.28
|
|
|
Service Code
|
APR-DRG 1404
|
| Min. Negotiated Rate |
$8,759.31 |
| Max. Negotiated Rate |
$9,197.28 |
| Rate for Payer: BCBS Complete |
$9,197.28
|
| Rate for Payer: Mclaren Medicaid |
$8,759.31
|
| Rate for Payer: Meridian Medicaid |
$9,197.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,759.31
|
| Rate for Payer: UHCCP Medicaid |
$8,759.31
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 1402
|
| 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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$5,206.01
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$4,958.10 |
| Max. Negotiated Rate |
$5,206.01 |
| Rate for Payer: BCBS Complete |
$5,206.01
|
| Rate for Payer: Mclaren Medicaid |
$4,958.10
|
| Rate for Payer: Meridian Medicaid |
$5,206.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,958.10
|
| Rate for Payer: UHCCP Medicaid |
$4,958.10
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$19,320.06
|
|
|
Service Code
|
APR-DRG 0954
|
| Min. Negotiated Rate |
$18,400.06 |
| Max. Negotiated Rate |
$19,320.06 |
| Rate for Payer: BCBS Complete |
$19,320.06
|
| Rate for Payer: Mclaren Medicaid |
$18,400.06
|
| Rate for Payer: Meridian Medicaid |
$19,320.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,400.06
|
| Rate for Payer: UHCCP Medicaid |
$18,400.06
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 0953
|
| Min. Negotiated Rate |
$8,869.49 |
| Max. Negotiated Rate |
$9,312.96 |
| Rate for Payer: BCBS Complete |
$9,312.96
|
| Rate for Payer: Mclaren Medicaid |
$8,869.49
|
| Rate for Payer: Meridian Medicaid |
$9,312.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,869.49
|
| Rate for Payer: UHCCP Medicaid |
$8,869.49
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$5,495.23
|
|
|
Service Code
|
APR-DRG 0951
|
| 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: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$5,842.29
|
|
|
Service Code
|
APR-DRG 0952
|
| 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: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 6613
|
| 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: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$15,039.57
|
|
|
Service Code
|
APR-DRG 6614
|
| Min. Negotiated Rate |
$14,323.40 |
| Max. Negotiated Rate |
$15,039.57 |
| Rate for Payer: BCBS Complete |
$15,039.57
|
| Rate for Payer: Mclaren Medicaid |
$14,323.40
|
| Rate for Payer: Meridian Medicaid |
$15,039.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,323.40
|
| Rate for Payer: UHCCP Medicaid |
$14,323.40
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 6612
|
| Min. Negotiated Rate |
$6,225.17 |
| Max. Negotiated Rate |
$6,536.43 |
| Rate for Payer: BCBS Complete |
$6,536.43
|
| Rate for Payer: Mclaren Medicaid |
$6,225.17
|
| Rate for Payer: Meridian Medicaid |
$6,536.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,225.17
|
| Rate for Payer: UHCCP Medicaid |
$6,225.17
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 6611
|
| Min. Negotiated Rate |
$4,517.38 |
| Max. Negotiated Rate |
$4,743.25 |
| Rate for Payer: BCBS Complete |
$4,743.25
|
| Rate for Payer: Mclaren Medicaid |
$4,517.38
|
| Rate for Payer: Meridian Medicaid |
$4,743.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,517.38
|
| Rate for Payer: UHCCP Medicaid |
$4,517.38
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,024.56
|
|
|
Service Code
|
APR-DRG 7741
|
| Min. Negotiated Rate |
$1,928.15 |
| Max. Negotiated Rate |
$2,024.56 |
| Rate for Payer: BCBS Complete |
$2,024.56
|
| Rate for Payer: Mclaren Medicaid |
$1,928.15
|
| Rate for Payer: Meridian Medicaid |
$2,024.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,928.15
|
| Rate for Payer: UHCCP Medicaid |
$1,928.15
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 7743
|
| Min. Negotiated Rate |
$4,517.38 |
| Max. Negotiated Rate |
$4,743.25 |
| Rate for Payer: BCBS Complete |
$4,743.25
|
| Rate for Payer: Mclaren Medicaid |
$4,517.38
|
| Rate for Payer: Meridian Medicaid |
$4,743.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,517.38
|
| Rate for Payer: UHCCP Medicaid |
$4,517.38
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,718.69
|
|
|
Service Code
|
APR-DRG 7742
|
| 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
|
|