|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 7223
|
| Min. Negotiated Rate |
$4,847.92 |
| Max. Negotiated Rate |
$5,090.32 |
| Rate for Payer: BCBS Complete |
$5,090.32
|
| Rate for Payer: Mclaren Medicaid |
$4,847.92
|
| Rate for Payer: Meridian Medicaid |
$5,090.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,847.92
|
| Rate for Payer: UHCCP Medicaid |
$4,847.92
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$7,924.70
|
|
|
Service Code
|
APR-DRG 7224
|
| Min. Negotiated Rate |
$7,547.33 |
| Max. Negotiated Rate |
$7,924.70 |
| Rate for Payer: BCBS Complete |
$7,924.70
|
| Rate for Payer: Mclaren Medicaid |
$7,547.33
|
| Rate for Payer: Meridian Medicaid |
$7,924.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,547.33
|
| Rate for Payer: UHCCP Medicaid |
$7,547.33
|
|
|
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
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$5,668.76
|
|
|
Service Code
|
APR-DRG 3141
|
| Min. Negotiated Rate |
$5,398.82 |
| Max. Negotiated Rate |
$5,668.76 |
| Rate for Payer: BCBS Complete |
$5,668.76
|
| Rate for Payer: Mclaren Medicaid |
$5,398.82
|
| Rate for Payer: Meridian Medicaid |
$5,668.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,398.82
|
| Rate for Payer: UHCCP Medicaid |
$5,398.82
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 3142
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$11,279.68
|
|
|
Service Code
|
APR-DRG 3143
|
| Min. Negotiated Rate |
$10,742.55 |
| Max. Negotiated Rate |
$11,279.68 |
| Rate for Payer: BCBS Complete |
$11,279.68
|
| Rate for Payer: Mclaren Medicaid |
$10,742.55
|
| Rate for Payer: Meridian Medicaid |
$11,279.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,742.55
|
| Rate for Payer: UHCCP Medicaid |
$10,742.55
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$18,105.33
|
|
|
Service Code
|
APR-DRG 3144
|
| Min. Negotiated Rate |
$17,243.17 |
| Max. Negotiated Rate |
$18,105.33 |
| Rate for Payer: BCBS Complete |
$18,105.33
|
| Rate for Payer: Mclaren Medicaid |
$17,243.17
|
| Rate for Payer: Meridian Medicaid |
$18,105.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,243.17
|
| Rate for Payer: UHCCP Medicaid |
$17,243.17
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 3402
|
| 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: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,007.91
|
|
|
Service Code
|
APR-DRG 3401
|
| Min. Negotiated Rate |
$2,864.68 |
| Max. Negotiated Rate |
$3,007.91 |
| Rate for Payer: BCBS Complete |
$3,007.91
|
| Rate for Payer: Mclaren Medicaid |
$2,864.68
|
| Rate for Payer: Meridian Medicaid |
$3,007.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,864.68
|
| Rate for Payer: UHCCP Medicaid |
$2,864.68
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$8,850.21
|
|
|
Service Code
|
APR-DRG 3404
|
| Min. Negotiated Rate |
$8,428.77 |
| Max. Negotiated Rate |
$8,850.21 |
| Rate for Payer: BCBS Complete |
$8,850.21
|
| Rate for Payer: Mclaren Medicaid |
$8,428.77
|
| Rate for Payer: Meridian Medicaid |
$8,850.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,428.77
|
| Rate for Payer: UHCCP Medicaid |
$8,428.77
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 3403
|
| 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: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$6,073.67
|
|
|
Service Code
|
APR-DRG 3413
|
| Min. Negotiated Rate |
$5,784.45 |
| Max. Negotiated Rate |
$6,073.67 |
| Rate for Payer: BCBS Complete |
$6,073.67
|
| Rate for Payer: Mclaren Medicaid |
$5,784.45
|
| Rate for Payer: Meridian Medicaid |
$6,073.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,784.45
|
| Rate for Payer: UHCCP Medicaid |
$5,784.45
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$11,106.14
|
|
|
Service Code
|
APR-DRG 3414
|
| Min. Negotiated Rate |
$10,577.28 |
| Max. Negotiated Rate |
$11,106.14 |
| Rate for Payer: BCBS Complete |
$11,106.14
|
| Rate for Payer: Mclaren Medicaid |
$10,577.28
|
| Rate for Payer: Meridian Medicaid |
$11,106.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,577.28
|
| Rate for Payer: UHCCP Medicaid |
$10,577.28
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 3412
|
| Min. Negotiated Rate |
$3,911.39 |
| Max. Negotiated Rate |
$4,106.96 |
| Rate for Payer: BCBS Complete |
$4,106.96
|
| Rate for Payer: Mclaren Medicaid |
$3,911.39
|
| Rate for Payer: Meridian Medicaid |
$4,106.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,911.39
|
| Rate for Payer: UHCCP Medicaid |
$3,911.39
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 3411
|
| Min. Negotiated Rate |
$3,085.04 |
| Max. Negotiated Rate |
$3,239.29 |
| Rate for Payer: BCBS Complete |
$3,239.29
|
| Rate for Payer: Mclaren Medicaid |
$3,085.04
|
| Rate for Payer: Meridian Medicaid |
$3,239.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,085.04
|
| Rate for Payer: UHCCP Medicaid |
$3,085.04
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 3422
|
| Min. Negotiated Rate |
$4,352.11 |
| Max. Negotiated Rate |
$4,569.72 |
| Rate for Payer: BCBS Complete |
$4,569.72
|
| Rate for Payer: Mclaren Medicaid |
$4,352.11
|
| Rate for Payer: Meridian Medicaid |
$4,569.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,352.11
|
| Rate for Payer: UHCCP Medicaid |
$4,352.11
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 3421
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$11,800.28
|
|
|
Service Code
|
APR-DRG 3424
|
| Min. Negotiated Rate |
$11,238.36 |
| Max. Negotiated Rate |
$11,800.28 |
| Rate for Payer: BCBS Complete |
$11,800.28
|
| Rate for Payer: Mclaren Medicaid |
$11,238.36
|
| Rate for Payer: Meridian Medicaid |
$11,800.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,238.36
|
| Rate for Payer: UHCCP Medicaid |
$11,238.36
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$6,478.58
|
|
|
Service Code
|
APR-DRG 3423
|
| Min. Negotiated Rate |
$6,170.08 |
| Max. Negotiated Rate |
$6,478.58 |
| Rate for Payer: BCBS Complete |
$6,478.58
|
| Rate for Payer: Mclaren Medicaid |
$6,170.08
|
| Rate for Payer: Meridian Medicaid |
$6,478.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,170.08
|
| Rate for Payer: UHCCP Medicaid |
$6,170.08
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$22,443.67
|
|
|
Service Code
|
APR-DRG 2324
|
| Min. Negotiated Rate |
$21,374.92 |
| Max. Negotiated Rate |
$22,443.67 |
| Rate for Payer: BCBS Complete |
$22,443.67
|
| Rate for Payer: Mclaren Medicaid |
$21,374.92
|
| Rate for Payer: Meridian Medicaid |
$22,443.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,374.92
|
| Rate for Payer: UHCCP Medicaid |
$21,374.92
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$8,792.36
|
|
|
Service Code
|
APR-DRG 2322
|
| 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: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$13,998.37
|
|
|
Service Code
|
APR-DRG 2323
|
| Min. Negotiated Rate |
$13,331.78 |
| Max. Negotiated Rate |
$13,998.37 |
| Rate for Payer: BCBS Complete |
$13,998.37
|
| Rate for Payer: Mclaren Medicaid |
$13,331.78
|
| Rate for Payer: Meridian Medicaid |
$13,998.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,331.78
|
| Rate for Payer: UHCCP Medicaid |
$13,331.78
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 2321
|
| Min. Negotiated Rate |
$6,720.98 |
| Max. Negotiated Rate |
$7,057.03 |
| Rate for Payer: BCBS Complete |
$7,057.03
|
| Rate for Payer: Mclaren Medicaid |
$6,720.98
|
| Rate for Payer: Meridian Medicaid |
$7,057.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,720.98
|
| Rate for Payer: UHCCP Medicaid |
$6,720.98
|
|
|
APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 2464
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 2462
|
| Min. Negotiated Rate |
$4,352.11 |
| Max. Negotiated Rate |
$4,569.72 |
| Rate for Payer: BCBS Complete |
$4,569.72
|
| Rate for Payer: Mclaren Medicaid |
$4,352.11
|
| Rate for Payer: Meridian Medicaid |
$4,569.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,352.11
|
| Rate for Payer: UHCCP Medicaid |
$4,352.11
|
|