|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$133,794.33
|
|
|
Service Code
|
APR-DRG 0094
|
| Min. Negotiated Rate |
$127,423.17 |
| Max. Negotiated Rate |
$133,794.33 |
| Rate for Payer: BCBS Complete |
$133,794.33
|
| Rate for Payer: Mclaren Medicaid |
$127,423.17
|
| Rate for Payer: Meridian Medicaid |
$133,794.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$127,423.17
|
| Rate for Payer: UHCCP Medicaid |
$127,423.17
|
|
|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$89,948.20
|
|
|
Service Code
|
APR-DRG 0093
|
| Min. Negotiated Rate |
$85,664.95 |
| Max. Negotiated Rate |
$89,948.20 |
| Rate for Payer: BCBS Complete |
$89,948.20
|
| Rate for Payer: Mclaren Medicaid |
$85,664.95
|
| Rate for Payer: Meridian Medicaid |
$89,948.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$85,664.95
|
| Rate for Payer: UHCCP Medicaid |
$85,664.95
|
|
|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$45,118.71
|
|
|
Service Code
|
APR-DRG 0092
|
| Min. Negotiated Rate |
$42,970.20 |
| Max. Negotiated Rate |
$45,118.71 |
| Rate for Payer: BCBS Complete |
$45,118.71
|
| Rate for Payer: Mclaren Medicaid |
$42,970.20
|
| Rate for Payer: Meridian Medicaid |
$45,118.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,970.20
|
| Rate for Payer: UHCCP Medicaid |
$42,970.20
|
|
|
APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$33,029.21
|
|
|
Service Code
|
APR-DRG 0091
|
| Min. Negotiated Rate |
$31,456.39 |
| Max. Negotiated Rate |
$33,029.21 |
| Rate for Payer: BCBS Complete |
$33,029.21
|
| Rate for Payer: Mclaren Medicaid |
$31,456.39
|
| Rate for Payer: Meridian Medicaid |
$33,029.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,456.39
|
| Rate for Payer: UHCCP Medicaid |
$31,456.39
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$11,858.12
|
|
|
Service Code
|
APR-DRG 0824
|
| 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: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 0822
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$3,644.20
|
|
|
Service Code
|
APR-DRG 0821
|
| Min. Negotiated Rate |
$3,470.67 |
| Max. Negotiated Rate |
$3,644.20 |
| Rate for Payer: BCBS Complete |
$3,644.20
|
| Rate for Payer: Mclaren Medicaid |
$3,470.67
|
| Rate for Payer: Meridian Medicaid |
$3,644.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,470.67
|
| Rate for Payer: UHCCP Medicaid |
$3,470.67
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 0823
|
| Min. Negotiated Rate |
$6,610.80 |
| Max. Negotiated Rate |
$6,941.34 |
| Rate for Payer: BCBS Complete |
$6,941.34
|
| Rate for Payer: Mclaren Medicaid |
$6,610.80
|
| Rate for Payer: Meridian Medicaid |
$6,941.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,610.80
|
| Rate for Payer: UHCCP Medicaid |
$6,610.80
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$16,832.75
|
|
|
Service Code
|
APR-DRG 0923
|
| Min. Negotiated Rate |
$16,031.19 |
| Max. Negotiated Rate |
$16,832.75 |
| Rate for Payer: BCBS Complete |
$16,832.75
|
| Rate for Payer: Mclaren Medicaid |
$16,031.19
|
| Rate for Payer: Meridian Medicaid |
$16,832.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,031.19
|
| Rate for Payer: UHCCP Medicaid |
$16,031.19
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 0921
|
| Min. Negotiated Rate |
$8,704.22 |
| Max. Negotiated Rate |
$9,139.43 |
| Rate for Payer: BCBS Complete |
$9,139.43
|
| Rate for Payer: Mclaren Medicaid |
$8,704.22
|
| Rate for Payer: Meridian Medicaid |
$9,139.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,704.22
|
| Rate for Payer: UHCCP Medicaid |
$8,704.22
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 0922
|
| Min. Negotiated Rate |
$10,907.82 |
| Max. Negotiated Rate |
$11,453.21 |
| Rate for Payer: BCBS Complete |
$11,453.21
|
| Rate for Payer: Mclaren Medicaid |
$10,907.82
|
| Rate for Payer: Meridian Medicaid |
$11,453.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,907.82
|
| Rate for Payer: UHCCP Medicaid |
$10,907.82
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$29,616.38
|
|
|
Service Code
|
APR-DRG 0924
|
| Min. Negotiated Rate |
$28,206.08 |
| Max. Negotiated Rate |
$29,616.38 |
| Rate for Payer: BCBS Complete |
$29,616.38
|
| Rate for Payer: Mclaren Medicaid |
$28,206.08
|
| Rate for Payer: Meridian Medicaid |
$29,616.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,206.08
|
| Rate for Payer: UHCCP Medicaid |
$28,206.08
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,065.76
|
|
|
Service Code
|
APR-DRG 5311
|
| 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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$4,049.11
|
|
|
Service Code
|
APR-DRG 5312
|
| Min. Negotiated Rate |
$3,856.30 |
| Max. Negotiated Rate |
$4,049.11 |
| Rate for Payer: BCBS Complete |
$4,049.11
|
| Rate for Payer: Mclaren Medicaid |
$3,856.30
|
| Rate for Payer: Meridian Medicaid |
$4,049.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,856.30
|
| Rate for Payer: UHCCP Medicaid |
$3,856.30
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 5313
|
| Min. Negotiated Rate |
$6,500.62 |
| Max. Negotiated Rate |
$6,825.65 |
| Rate for Payer: BCBS Complete |
$6,825.65
|
| Rate for Payer: Mclaren Medicaid |
$6,500.62
|
| Rate for Payer: Meridian Medicaid |
$6,825.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,500.62
|
| Rate for Payer: UHCCP Medicaid |
$6,500.62
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$12,667.95
|
|
|
Service Code
|
APR-DRG 5314
|
| Min. Negotiated Rate |
$12,064.71 |
| Max. Negotiated Rate |
$12,667.95 |
| Rate for Payer: BCBS Complete |
$12,667.95
|
| Rate for Payer: Mclaren Medicaid |
$12,064.71
|
| Rate for Payer: Meridian Medicaid |
$12,667.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,064.71
|
| Rate for Payer: UHCCP Medicaid |
$12,064.71
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$12,725.79
|
|
|
Service Code
|
APR-DRG 5304
|
| Min. Negotiated Rate |
$12,119.80 |
| Max. Negotiated Rate |
$12,725.79 |
| Rate for Payer: BCBS Complete |
$12,725.79
|
| Rate for Payer: Mclaren Medicaid |
$12,119.80
|
| Rate for Payer: Meridian Medicaid |
$12,725.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,119.80
|
| Rate for Payer: UHCCP Medicaid |
$12,119.80
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 5301
|
| 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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 5302
|
| Min. Negotiated Rate |
$5,013.19 |
| Max. Negotiated Rate |
$5,263.85 |
| Rate for Payer: BCBS Complete |
$5,263.85
|
| Rate for Payer: Mclaren Medicaid |
$5,013.19
|
| Rate for Payer: Meridian Medicaid |
$5,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,013.19
|
| Rate for Payer: UHCCP Medicaid |
$5,013.19
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 5303
|
| Min. Negotiated Rate |
$7,657.51 |
| Max. Negotiated Rate |
$8,040.39 |
| Rate for Payer: BCBS Complete |
$8,040.39
|
| Rate for Payer: Mclaren Medicaid |
$7,657.51
|
| Rate for Payer: Meridian Medicaid |
$8,040.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,657.51
|
| Rate for Payer: UHCCP Medicaid |
$7,657.51
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$23,716.24
|
|
|
Service Code
|
APR-DRG 5144
|
| Min. Negotiated Rate |
$22,586.90 |
| Max. Negotiated Rate |
$23,716.24 |
| Rate for Payer: BCBS Complete |
$23,716.24
|
| Rate for Payer: Mclaren Medicaid |
$22,586.90
|
| Rate for Payer: Meridian Medicaid |
$23,716.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,586.90
|
| Rate for Payer: UHCCP Medicaid |
$22,586.90
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 5143
|
| Min. Negotiated Rate |
$10,907.82 |
| Max. Negotiated Rate |
$11,453.21 |
| Rate for Payer: BCBS Complete |
$11,453.21
|
| Rate for Payer: Mclaren Medicaid |
$10,907.82
|
| Rate for Payer: Meridian Medicaid |
$11,453.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,907.82
|
| Rate for Payer: UHCCP Medicaid |
$10,907.82
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 5141
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 5142
|
| Min. Negotiated Rate |
$8,704.22 |
| Max. Negotiated Rate |
$9,139.43 |
| Rate for Payer: BCBS Complete |
$9,139.43
|
| Rate for Payer: Mclaren Medicaid |
$8,704.22
|
| Rate for Payer: Meridian Medicaid |
$9,139.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,704.22
|
| Rate for Payer: UHCCP Medicaid |
$8,704.22
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,718.69
|
|
|
Service Code
|
APR-DRG 7221
|
| 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
|
|