|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$8,676.67
|
|
|
Service Code
|
APR-DRG 3262
|
| Min. Negotiated Rate |
$8,263.50 |
| Max. Negotiated Rate |
$8,676.67 |
| Rate for Payer: BCBS Complete |
$8,676.67
|
| Rate for Payer: Mclaren Medicaid |
$8,263.50
|
| Rate for Payer: Meridian Medicaid |
$8,676.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,263.50
|
| Rate for Payer: UHCCP Medicaid |
$8,263.50
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$37,425.39
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$35,643.23 |
| Max. Negotiated Rate |
$37,425.39 |
| Rate for Payer: BCBS Complete |
$37,425.39
|
| Rate for Payer: Mclaren Medicaid |
$35,643.23
|
| Rate for Payer: Meridian Medicaid |
$37,425.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,643.23
|
| Rate for Payer: UHCCP Medicaid |
$35,643.23
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,816.92
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$10,301.83 |
| Max. Negotiated Rate |
$10,816.92 |
| Rate for Payer: BCBS Complete |
$10,816.92
|
| Rate for Payer: Mclaren Medicaid |
$10,301.83
|
| Rate for Payer: Meridian Medicaid |
$10,816.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,301.83
|
| Rate for Payer: UHCCP Medicaid |
$10,301.83
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,114.06
|
|
|
Service Code
|
APR-DRG 9112
|
| 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: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$21,633.84
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$20,603.66 |
| Max. Negotiated Rate |
$21,633.84 |
| Rate for Payer: BCBS Complete |
$21,633.84
|
| Rate for Payer: Mclaren Medicaid |
$20,603.66
|
| Rate for Payer: Meridian Medicaid |
$21,633.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,603.66
|
| Rate for Payer: UHCCP Medicaid |
$20,603.66
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$27,765.36
|
|
|
Service Code
|
APR-DRG 7924
|
| Min. Negotiated Rate |
$26,443.20 |
| Max. Negotiated Rate |
$27,765.36 |
| Rate for Payer: BCBS Complete |
$27,765.36
|
| Rate for Payer: Mclaren Medicaid |
$26,443.20
|
| Rate for Payer: Meridian Medicaid |
$27,765.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,443.20
|
| Rate for Payer: UHCCP Medicaid |
$26,443.20
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 7922
|
| Min. Negotiated Rate |
$10,632.37 |
| Max. Negotiated Rate |
$11,163.99 |
| Rate for Payer: BCBS Complete |
$11,163.99
|
| Rate for Payer: Mclaren Medicaid |
$10,632.37
|
| Rate for Payer: Meridian Medicaid |
$11,163.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,632.37
|
| Rate for Payer: UHCCP Medicaid |
$10,632.37
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,792.36
|
|
|
Service Code
|
APR-DRG 7921
|
| Min. Negotiated Rate |
$8,373.68 |
| Max. Negotiated Rate |
$8,792.36 |
| Rate for Payer: BCBS Complete |
$8,792.36
|
| Rate for Payer: Mclaren Medicaid |
$8,373.68
|
| Rate for Payer: Meridian Medicaid |
$8,792.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,373.68
|
| Rate for Payer: UHCCP Medicaid |
$8,373.68
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$16,369.99
|
|
|
Service Code
|
APR-DRG 7923
|
| Min. Negotiated Rate |
$15,590.47 |
| Max. Negotiated Rate |
$16,369.99 |
| Rate for Payer: BCBS Complete |
$16,369.99
|
| Rate for Payer: Mclaren Medicaid |
$15,590.47
|
| Rate for Payer: Meridian Medicaid |
$16,369.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,590.47
|
| Rate for Payer: UHCCP Medicaid |
$15,590.47
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,973.81
|
|
|
Service Code
|
APR-DRG 9502
|
| Min. Negotiated Rate |
$11,403.63 |
| Max. Negotiated Rate |
$11,973.81 |
| Rate for Payer: BCBS Complete |
$11,973.81
|
| Rate for Payer: Mclaren Medicaid |
$11,403.63
|
| Rate for Payer: Meridian Medicaid |
$11,973.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,403.63
|
| Rate for Payer: UHCCP Medicaid |
$11,403.63
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,568.08
|
|
|
Service Code
|
APR-DRG 9503
|
| 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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$30,888.96
|
|
|
Service Code
|
APR-DRG 9504
|
| Min. Negotiated Rate |
$29,418.06 |
| Max. Negotiated Rate |
$30,888.96 |
| Rate for Payer: BCBS Complete |
$30,888.96
|
| Rate for Payer: Mclaren Medicaid |
$29,418.06
|
| Rate for Payer: Meridian Medicaid |
$30,888.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,418.06
|
| Rate for Payer: UHCCP Medicaid |
$29,418.06
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,197.28
|
|
|
Service Code
|
APR-DRG 9501
|
| 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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$10,759.08
|
|
|
Service Code
|
APR-DRG 8433
|
| Min. Negotiated Rate |
$10,246.74 |
| Max. Negotiated Rate |
$10,759.08 |
| Rate for Payer: BCBS Complete |
$10,759.08
|
| Rate for Payer: Mclaren Medicaid |
$10,246.74
|
| Rate for Payer: Meridian Medicaid |
$10,759.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,246.74
|
| Rate for Payer: UHCCP Medicaid |
$10,246.74
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 8431
|
| 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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$15,560.17
|
|
|
Service Code
|
APR-DRG 8434
|
| Min. Negotiated Rate |
$14,819.21 |
| Max. Negotiated Rate |
$15,560.17 |
| Rate for Payer: BCBS Complete |
$15,560.17
|
| Rate for Payer: Mclaren Medicaid |
$14,819.21
|
| Rate for Payer: Meridian Medicaid |
$15,560.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,819.21
|
| Rate for Payer: UHCCP Medicaid |
$14,819.21
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 8432
|
| Min. Negotiated Rate |
$5,729.36 |
| Max. Negotiated Rate |
$6,015.83 |
| Rate for Payer: BCBS Complete |
$6,015.83
|
| Rate for Payer: Mclaren Medicaid |
$5,729.36
|
| Rate for Payer: Meridian Medicaid |
$6,015.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,729.36
|
| Rate for Payer: UHCCP Medicaid |
$5,729.36
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$25,856.49
|
|
|
Service Code
|
APR-DRG 8411
|
| Min. Negotiated Rate |
$24,625.23 |
| Max. Negotiated Rate |
$25,856.49 |
| Rate for Payer: BCBS Complete |
$25,856.49
|
| Rate for Payer: Mclaren Medicaid |
$24,625.23
|
| Rate for Payer: Meridian Medicaid |
$25,856.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,625.23
|
| Rate for Payer: UHCCP Medicaid |
$24,625.23
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$121,415.61
|
|
|
Service Code
|
APR-DRG 8414
|
| Min. Negotiated Rate |
$115,633.91 |
| Max. Negotiated Rate |
$121,415.61 |
| Rate for Payer: BCBS Complete |
$121,415.61
|
| Rate for Payer: Mclaren Medicaid |
$115,633.91
|
| Rate for Payer: Meridian Medicaid |
$121,415.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$115,633.91
|
| Rate for Payer: UHCCP Medicaid |
$115,633.91
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$39,507.79
|
|
|
Service Code
|
APR-DRG 8413
|
| Min. Negotiated Rate |
$37,626.47 |
| Max. Negotiated Rate |
$39,507.79 |
| Rate for Payer: BCBS Complete |
$39,507.79
|
| Rate for Payer: Mclaren Medicaid |
$37,626.47
|
| Rate for Payer: Meridian Medicaid |
$39,507.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,626.47
|
| Rate for Payer: UHCCP Medicaid |
$37,626.47
|
|
|
APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT
|
Facility
|
IP
|
$25,856.49
|
|
|
Service Code
|
APR-DRG 8412
|
| Min. Negotiated Rate |
$24,625.23 |
| Max. Negotiated Rate |
$25,856.49 |
| Rate for Payer: BCBS Complete |
$25,856.49
|
| Rate for Payer: Mclaren Medicaid |
$24,625.23
|
| Rate for Payer: Meridian Medicaid |
$25,856.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,625.23
|
| Rate for Payer: UHCCP Medicaid |
$24,625.23
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$28,806.56
|
|
|
Service Code
|
APR-DRG 1782
|
| Min. Negotiated Rate |
$27,434.82 |
| Max. Negotiated Rate |
$28,806.56 |
| Rate for Payer: BCBS Complete |
$28,806.56
|
| Rate for Payer: Mclaren Medicaid |
$27,434.82
|
| Rate for Payer: Meridian Medicaid |
$28,806.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,434.82
|
| Rate for Payer: UHCCP Medicaid |
$27,434.82
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$35,342.99
|
|
|
Service Code
|
APR-DRG 1783
|
| Min. Negotiated Rate |
$33,659.99 |
| Max. Negotiated Rate |
$35,342.99 |
| Rate for Payer: BCBS Complete |
$35,342.99
|
| Rate for Payer: Mclaren Medicaid |
$33,659.99
|
| Rate for Payer: Meridian Medicaid |
$35,342.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,659.99
|
| Rate for Payer: UHCCP Medicaid |
$33,659.99
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$43,788.29
|
|
|
Service Code
|
APR-DRG 1784
|
| Min. Negotiated Rate |
$41,703.13 |
| Max. Negotiated Rate |
$43,788.29 |
| Rate for Payer: BCBS Complete |
$43,788.29
|
| Rate for Payer: Mclaren Medicaid |
$41,703.13
|
| Rate for Payer: Meridian Medicaid |
$43,788.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$41,703.13
|
| Rate for Payer: UHCCP Medicaid |
$41,703.13
|
|
|
APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES
|
Facility
|
IP
|
$25,914.34
|
|
|
Service Code
|
APR-DRG 1781
|
| Min. Negotiated Rate |
$24,680.32 |
| Max. Negotiated Rate |
$25,914.34 |
| Rate for Payer: BCBS Complete |
$25,914.34
|
| Rate for Payer: Mclaren Medicaid |
$24,680.32
|
| Rate for Payer: Meridian Medicaid |
$25,914.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,680.32
|
| Rate for Payer: UHCCP Medicaid |
$24,680.32
|
|