|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 4202
|
| 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: DIABETES
|
Facility
|
IP
|
$2,950.07
|
|
|
Service Code
|
APR-DRG 4201
|
| Min. Negotiated Rate |
$2,809.59 |
| Max. Negotiated Rate |
$2,950.07 |
| Rate for Payer: BCBS Complete |
$2,950.07
|
| Rate for Payer: Mclaren Medicaid |
$2,809.59
|
| Rate for Payer: Meridian Medicaid |
$2,950.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,809.59
|
| Rate for Payer: UHCCP Medicaid |
$2,809.59
|
|
|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 4204
|
| 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: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$13,362.08
|
|
|
Service Code
|
APR-DRG 2404
|
| Min. Negotiated Rate |
$12,725.79 |
| Max. Negotiated Rate |
$13,362.08 |
| Rate for Payer: BCBS Complete |
$13,362.08
|
| Rate for Payer: Mclaren Medicaid |
$12,725.79
|
| Rate for Payer: Meridian Medicaid |
$13,362.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,725.79
|
| Rate for Payer: UHCCP Medicaid |
$12,725.79
|
|
|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$4,627.56
|
|
|
Service Code
|
APR-DRG 2401
|
| Min. Negotiated Rate |
$4,407.20 |
| Max. Negotiated Rate |
$4,627.56 |
| Rate for Payer: BCBS Complete |
$4,627.56
|
| Rate for Payer: Mclaren Medicaid |
$4,407.20
|
| Rate for Payer: Meridian Medicaid |
$4,627.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,407.20
|
| Rate for Payer: UHCCP Medicaid |
$4,407.20
|
|
|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 2402
|
| 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: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$8,387.45
|
|
|
Service Code
|
APR-DRG 2403
|
| Min. Negotiated Rate |
$7,988.05 |
| Max. Negotiated Rate |
$8,387.45 |
| Rate for Payer: BCBS Complete |
$8,387.45
|
| Rate for Payer: Mclaren Medicaid |
$7,988.05
|
| Rate for Payer: Meridian Medicaid |
$8,387.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,988.05
|
| Rate for Payer: UHCCP Medicaid |
$7,988.05
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$9,775.72
|
|
|
Service Code
|
APR-DRG 5173
|
| 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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 5171
|
| 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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$14,981.73
|
|
|
Service Code
|
APR-DRG 5174
|
| Min. Negotiated Rate |
$14,268.31 |
| Max. Negotiated Rate |
$14,981.73 |
| Rate for Payer: BCBS Complete |
$14,981.73
|
| Rate for Payer: Mclaren Medicaid |
$14,268.31
|
| Rate for Payer: Meridian Medicaid |
$14,981.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,268.31
|
| Rate for Payer: UHCCP Medicaid |
$14,268.31
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 5172
|
| 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: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$13,015.01
|
|
|
Service Code
|
APR-DRG 2844
|
| Min. Negotiated Rate |
$12,395.25 |
| Max. Negotiated Rate |
$13,015.01 |
| Rate for Payer: BCBS Complete |
$13,015.01
|
| Rate for Payer: Mclaren Medicaid |
$12,395.25
|
| Rate for Payer: Meridian Medicaid |
$13,015.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,395.25
|
| Rate for Payer: UHCCP Medicaid |
$12,395.25
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 2841
|
| 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: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$5,610.92
|
|
|
Service Code
|
APR-DRG 2842
|
| Min. Negotiated Rate |
$5,343.73 |
| Max. Negotiated Rate |
$5,610.92 |
| Rate for Payer: BCBS Complete |
$5,610.92
|
| Rate for Payer: Mclaren Medicaid |
$5,343.73
|
| Rate for Payer: Meridian Medicaid |
$5,610.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,343.73
|
| Rate for Payer: UHCCP Medicaid |
$5,343.73
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 2843
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 2821
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,396.18
|
|
|
Service Code
|
APR-DRG 2822
|
| Min. Negotiated Rate |
$4,186.84 |
| 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 |
$4,396.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.84
|
| Rate for Payer: UHCCP Medicaid |
$4,186.84
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 2823
|
| Min. Negotiated Rate |
$6,831.16 |
| Max. Negotiated Rate |
$7,172.72 |
| Rate for Payer: BCBS Complete |
$7,172.72
|
| Rate for Payer: Mclaren Medicaid |
$6,831.16
|
| Rate for Payer: Meridian Medicaid |
$7,172.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,831.16
|
| Rate for Payer: UHCCP Medicaid |
$6,831.16
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$15,213.10
|
|
|
Service Code
|
APR-DRG 2824
|
| Min. Negotiated Rate |
$14,488.67 |
| Max. Negotiated Rate |
$15,213.10 |
| Rate for Payer: BCBS Complete |
$15,213.10
|
| Rate for Payer: Mclaren Medicaid |
$14,488.67
|
| Rate for Payer: Meridian Medicaid |
$15,213.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,488.67
|
| Rate for Payer: UHCCP Medicaid |
$14,488.67
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 2442
|
| Min. Negotiated Rate |
$4,021.57 |
| Max. Negotiated Rate |
$4,222.65 |
| Rate for Payer: BCBS Complete |
$4,222.65
|
| Rate for Payer: Mclaren Medicaid |
$4,021.57
|
| Rate for Payer: Meridian Medicaid |
$4,222.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,021.57
|
| Rate for Payer: UHCCP Medicaid |
$4,021.57
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$3,065.76
|
|
|
Service Code
|
APR-DRG 2441
|
| Min. Negotiated Rate |
$2,919.77 |
| Max. Negotiated Rate |
$3,065.76 |
| Rate for Payer: BCBS Complete |
$3,065.76
|
| Rate for Payer: Mclaren Medicaid |
$2,919.77
|
| Rate for Payer: Meridian Medicaid |
$3,065.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,919.77
|
| Rate for Payer: UHCCP Medicaid |
$2,919.77
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 2443
|
| 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: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$12,089.50
|
|
|
Service Code
|
APR-DRG 2444
|
| Min. Negotiated Rate |
$11,513.81 |
| Max. Negotiated Rate |
$12,089.50 |
| Rate for Payer: BCBS Complete |
$12,089.50
|
| Rate for Payer: Mclaren Medicaid |
$11,513.81
|
| Rate for Payer: Meridian Medicaid |
$12,089.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,513.81
|
| Rate for Payer: UHCCP Medicaid |
$11,513.81
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$14,345.44
|
|
|
Service Code
|
APR-DRG 3041
|
| Min. Negotiated Rate |
$13,662.32 |
| Max. Negotiated Rate |
$14,345.44 |
| Rate for Payer: BCBS Complete |
$14,345.44
|
| Rate for Payer: Mclaren Medicaid |
$13,662.32
|
| Rate for Payer: Meridian Medicaid |
$14,345.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,662.32
|
| Rate for Payer: UHCCP Medicaid |
$13,662.32
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$19,551.44
|
|
|
Service Code
|
APR-DRG 3042
|
| Min. Negotiated Rate |
$18,620.42 |
| Max. Negotiated Rate |
$19,551.44 |
| Rate for Payer: BCBS Complete |
$19,551.44
|
| Rate for Payer: Mclaren Medicaid |
$18,620.42
|
| Rate for Payer: Meridian Medicaid |
$19,551.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,620.42
|
| Rate for Payer: UHCCP Medicaid |
$18,620.42
|
|