|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$36,962.64
|
|
|
Service Code
|
APR-DRG 3044
|
| Min. Negotiated Rate |
$35,202.51 |
| Max. Negotiated Rate |
$36,962.64 |
| Rate for Payer: BCBS Complete |
$36,962.64
|
| Rate for Payer: Mclaren Medicaid |
$35,202.51
|
| Rate for Payer: Meridian Medicaid |
$36,962.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,202.51
|
| Rate for Payer: UHCCP Medicaid |
$35,202.51
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$27,244.76
|
|
|
Service Code
|
APR-DRG 3043
|
| Min. Negotiated Rate |
$25,947.39 |
| Max. Negotiated Rate |
$27,244.76 |
| Rate for Payer: BCBS Complete |
$27,244.76
|
| Rate for Payer: Mclaren Medicaid |
$25,947.39
|
| Rate for Payer: Meridian Medicaid |
$27,244.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,947.39
|
| Rate for Payer: UHCCP Medicaid |
$25,947.39
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$22,906.42
|
|
|
Service Code
|
APR-DRG 3031
|
| Min. Negotiated Rate |
$21,815.64 |
| Max. Negotiated Rate |
$22,906.42 |
| Rate for Payer: BCBS Complete |
$22,906.42
|
| Rate for Payer: Mclaren Medicaid |
$21,815.64
|
| Rate for Payer: Meridian Medicaid |
$22,906.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,815.64
|
| Rate for Payer: UHCCP Medicaid |
$21,815.64
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$36,384.19
|
|
|
Service Code
|
APR-DRG 3033
|
| Min. Negotiated Rate |
$34,651.61 |
| Max. Negotiated Rate |
$36,384.19 |
| Rate for Payer: BCBS Complete |
$36,384.19
|
| Rate for Payer: Mclaren Medicaid |
$34,651.61
|
| Rate for Payer: Meridian Medicaid |
$36,384.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,651.61
|
| Rate for Payer: UHCCP Medicaid |
$34,651.61
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$52,407.12
|
|
|
Service Code
|
APR-DRG 3034
|
| Min. Negotiated Rate |
$49,911.54 |
| Max. Negotiated Rate |
$52,407.12 |
| Rate for Payer: BCBS Complete |
$52,407.12
|
| Rate for Payer: Mclaren Medicaid |
$49,911.54
|
| Rate for Payer: Meridian Medicaid |
$52,407.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$49,911.54
|
| Rate for Payer: UHCCP Medicaid |
$49,911.54
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$26,434.94
|
|
|
Service Code
|
APR-DRG 3032
|
| Min. Negotiated Rate |
$25,176.13 |
| Max. Negotiated Rate |
$26,434.94 |
| Rate for Payer: BCBS Complete |
$26,434.94
|
| Rate for Payer: Mclaren Medicaid |
$25,176.13
|
| Rate for Payer: Meridian Medicaid |
$26,434.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,176.13
|
| Rate for Payer: UHCCP Medicaid |
$25,176.13
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,619.65
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,542.52 |
| Max. Negotiated Rate |
$1,619.65 |
| Rate for Payer: BCBS Complete |
$1,619.65
|
| Rate for Payer: Mclaren Medicaid |
$1,542.52
|
| Rate for Payer: Meridian Medicaid |
$1,619.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,542.52
|
| Rate for Payer: UHCCP Medicaid |
$1,542.52
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 7704
|
| 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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 7703
|
| Min. Negotiated Rate |
$4,131.75 |
| Max. Negotiated Rate |
$4,338.34 |
| Rate for Payer: BCBS Complete |
$4,338.34
|
| Rate for Payer: Mclaren Medicaid |
$4,131.75
|
| Rate for Payer: Meridian Medicaid |
$4,338.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,131.75
|
| Rate for Payer: UHCCP Medicaid |
$4,131.75
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,545.16
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,423.96 |
| Max. Negotiated Rate |
$2,545.16 |
| Rate for Payer: BCBS Complete |
$2,545.16
|
| Rate for Payer: Mclaren Medicaid |
$2,423.96
|
| Rate for Payer: Meridian Medicaid |
$2,545.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,423.96
|
| Rate for Payer: UHCCP Medicaid |
$2,423.96
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,379.54
|
|
|
Service Code
|
APR-DRG 1101
|
| Min. Negotiated Rate |
$5,123.37 |
| Max. Negotiated Rate |
$5,379.54 |
| Rate for Payer: BCBS Complete |
$5,379.54
|
| Rate for Payer: Mclaren Medicaid |
$5,123.37
|
| Rate for Payer: Meridian Medicaid |
$5,379.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,123.37
|
| Rate for Payer: UHCCP Medicaid |
$5,123.37
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 1102
|
| Min. Negotiated Rate |
$5,839.54 |
| Max. Negotiated Rate |
$6,131.52 |
| Rate for Payer: BCBS Complete |
$6,131.52
|
| Rate for Payer: Mclaren Medicaid |
$5,839.54
|
| Rate for Payer: Meridian Medicaid |
$6,131.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,839.54
|
| Rate for Payer: UHCCP Medicaid |
$5,839.54
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$8,445.30
|
|
|
Service Code
|
APR-DRG 1103
|
| Min. Negotiated Rate |
$8,043.14 |
| Max. Negotiated Rate |
$8,445.30 |
| Rate for Payer: BCBS Complete |
$8,445.30
|
| Rate for Payer: Mclaren Medicaid |
$8,043.14
|
| Rate for Payer: Meridian Medicaid |
$8,445.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,043.14
|
| Rate for Payer: UHCCP Medicaid |
$8,043.14
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$14,461.12
|
|
|
Service Code
|
APR-DRG 1104
|
| Min. Negotiated Rate |
$13,772.50 |
| Max. Negotiated Rate |
$14,461.12 |
| Rate for Payer: BCBS Complete |
$14,461.12
|
| Rate for Payer: Mclaren Medicaid |
$13,772.50
|
| Rate for Payer: Meridian Medicaid |
$14,461.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,772.50
|
| Rate for Payer: UHCCP Medicaid |
$13,772.50
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$6,189.36
|
|
|
Service Code
|
APR-DRG 7591
|
| Min. Negotiated Rate |
$5,894.63 |
| Max. Negotiated Rate |
$6,189.36 |
| Rate for Payer: BCBS Complete |
$6,189.36
|
| Rate for Payer: Mclaren Medicaid |
$5,894.63
|
| Rate for Payer: Meridian Medicaid |
$6,189.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,894.63
|
| Rate for Payer: UHCCP Medicaid |
$5,894.63
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$11,684.59
|
|
|
Service Code
|
APR-DRG 7593
|
| 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: EATING DISORDERS
|
Facility
|
IP
|
$19,609.29
|
|
|
Service Code
|
APR-DRG 7594
|
| Min. Negotiated Rate |
$18,675.51 |
| Max. Negotiated Rate |
$19,609.29 |
| Rate for Payer: BCBS Complete |
$19,609.29
|
| Rate for Payer: Mclaren Medicaid |
$18,675.51
|
| Rate for Payer: Meridian Medicaid |
$19,609.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,675.51
|
| Rate for Payer: UHCCP Medicaid |
$18,675.51
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$8,271.76
|
|
|
Service Code
|
APR-DRG 7592
|
| Min. Negotiated Rate |
$7,877.87 |
| Max. Negotiated Rate |
$8,271.76 |
| Rate for Payer: BCBS Complete |
$8,271.76
|
| Rate for Payer: Mclaren Medicaid |
$7,877.87
|
| Rate for Payer: Meridian Medicaid |
$8,271.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,877.87
|
| Rate for Payer: UHCCP Medicaid |
$7,877.87
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 3241
|
| 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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$14,114.06
|
|
|
Service Code
|
APR-DRG 3243
|
| Min. Negotiated Rate |
$13,441.96 |
| Max. Negotiated Rate |
$14,114.06 |
| Rate for Payer: BCBS Complete |
$14,114.06
|
| Rate for Payer: Mclaren Medicaid |
$13,441.96
|
| Rate for Payer: Meridian Medicaid |
$14,114.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,441.96
|
| Rate for Payer: UHCCP Medicaid |
$13,441.96
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,486.50
|
|
|
Service Code
|
APR-DRG 3242
|
| Min. Negotiated Rate |
$9,034.76 |
| Max. Negotiated Rate |
$9,486.50 |
| Rate for Payer: BCBS Complete |
$9,486.50
|
| Rate for Payer: Mclaren Medicaid |
$9,034.76
|
| Rate for Payer: Meridian Medicaid |
$9,486.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,034.76
|
| Rate for Payer: UHCCP Medicaid |
$9,034.76
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$19,724.97
|
|
|
Service Code
|
APR-DRG 3244
|
| Min. Negotiated Rate |
$18,785.69 |
| Max. Negotiated Rate |
$19,724.97 |
| Rate for Payer: BCBS Complete |
$19,724.97
|
| Rate for Payer: Mclaren Medicaid |
$18,785.69
|
| Rate for Payer: Meridian Medicaid |
$19,724.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,785.69
|
| Rate for Payer: UHCCP Medicaid |
$18,785.69
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,915.97
|
|
|
Service Code
|
APR-DRG 3263
|
| Min. Negotiated Rate |
$11,348.54 |
| Max. Negotiated Rate |
$11,915.97 |
| Rate for Payer: BCBS Complete |
$11,915.97
|
| Rate for Payer: Mclaren Medicaid |
$11,348.54
|
| Rate for Payer: Meridian Medicaid |
$11,915.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,348.54
|
| Rate for Payer: UHCCP Medicaid |
$11,348.54
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$18,741.62
|
|
|
Service Code
|
APR-DRG 3264
|
| Min. Negotiated Rate |
$17,849.16 |
| Max. Negotiated Rate |
$18,741.62 |
| Rate for Payer: BCBS Complete |
$18,741.62
|
| Rate for Payer: Mclaren Medicaid |
$17,849.16
|
| Rate for Payer: Meridian Medicaid |
$18,741.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,849.16
|
| Rate for Payer: UHCCP Medicaid |
$17,849.16
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,693.32
|
|
|
Service Code
|
APR-DRG 3261
|
| 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
|
|