|
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
|
|
|
APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$3,586.36
|
|
|
Service Code
|
APR-DRG 2461
|
| Min. Negotiated Rate |
$3,415.58 |
| Max. Negotiated Rate |
$3,586.36 |
| Rate for Payer: BCBS Complete |
$3,586.36
|
| Rate for Payer: Mclaren Medicaid |
$3,415.58
|
| Rate for Payer: Meridian Medicaid |
$3,586.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,415.58
|
| Rate for Payer: UHCCP Medicaid |
$3,415.58
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$19,377.91
|
|
|
Service Code
|
APR-DRG 8512
|
| Min. Negotiated Rate |
$18,455.15 |
| Max. Negotiated Rate |
$19,377.91 |
| Rate for Payer: BCBS Complete |
$19,377.91
|
| Rate for Payer: Mclaren Medicaid |
$18,455.15
|
| Rate for Payer: Meridian Medicaid |
$19,377.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,455.15
|
| Rate for Payer: UHCCP Medicaid |
$18,455.15
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$62,703.44
|
|
|
Service Code
|
APR-DRG 8514
|
| Min. Negotiated Rate |
$59,717.56 |
| Max. Negotiated Rate |
$62,703.44 |
| Rate for Payer: BCBS Complete |
$62,703.44
|
| Rate for Payer: Mclaren Medicaid |
$59,717.56
|
| Rate for Payer: Meridian Medicaid |
$62,703.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$59,717.56
|
| Rate for Payer: UHCCP Medicaid |
$59,717.56
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$11,337.52
|
|
|
Service Code
|
APR-DRG 8511
|
| Min. Negotiated Rate |
$10,797.64 |
| Max. Negotiated Rate |
$11,337.52 |
| Rate for Payer: BCBS Complete |
$11,337.52
|
| Rate for Payer: Mclaren Medicaid |
$10,797.64
|
| Rate for Payer: Meridian Medicaid |
$11,337.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,797.64
|
| Rate for Payer: UHCCP Medicaid |
$10,797.64
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$62,703.44
|
|
|
Service Code
|
APR-DRG 8513
|
| Min. Negotiated Rate |
$59,717.56 |
| Max. Negotiated Rate |
$62,703.44 |
| Rate for Payer: BCBS Complete |
$62,703.44
|
| Rate for Payer: Mclaren Medicaid |
$59,717.56
|
| Rate for Payer: Meridian Medicaid |
$62,703.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$59,717.56
|
| Rate for Payer: UHCCP Medicaid |
$59,717.56
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$31,004.65
|
|
|
Service Code
|
APR-DRG 4284
|
| Min. Negotiated Rate |
$29,528.24 |
| Max. Negotiated Rate |
$31,004.65 |
| Rate for Payer: BCBS Complete |
$31,004.65
|
| Rate for Payer: Mclaren Medicaid |
$29,528.24
|
| Rate for Payer: Meridian Medicaid |
$31,004.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,528.24
|
| Rate for Payer: UHCCP Medicaid |
$29,528.24
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$18,278.86
|
|
|
Service Code
|
APR-DRG 4283
|
| Min. Negotiated Rate |
$17,408.44 |
| Max. Negotiated Rate |
$18,278.86 |
| Rate for Payer: BCBS Complete |
$18,278.86
|
| Rate for Payer: Mclaren Medicaid |
$17,408.44
|
| Rate for Payer: Meridian Medicaid |
$18,278.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,408.44
|
| Rate for Payer: UHCCP Medicaid |
$17,408.44
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 4281
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$6,652.12
|
|
|
Service Code
|
APR-DRG 4282
|
| Min. Negotiated Rate |
$6,335.35 |
| Max. Negotiated Rate |
$6,652.12 |
| Rate for Payer: BCBS Complete |
$6,652.12
|
| Rate for Payer: Mclaren Medicaid |
$6,335.35
|
| Rate for Payer: Meridian Medicaid |
$6,652.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,335.35
|
| Rate for Payer: UHCCP Medicaid |
$6,335.35
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$11,511.06
|
|
|
Service Code
|
APR-DRG 3163
|
| Min. Negotiated Rate |
$10,962.91 |
| Max. Negotiated Rate |
$11,511.06 |
| Rate for Payer: BCBS Complete |
$11,511.06
|
| Rate for Payer: Mclaren Medicaid |
$10,962.91
|
| Rate for Payer: Meridian Medicaid |
$11,511.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,962.91
|
| Rate for Payer: UHCCP Medicaid |
$10,962.91
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$7,693.32
|
|
|
Service Code
|
APR-DRG 3162
|
| 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
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 3161
|
| 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: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$18,278.86
|
|
|
Service Code
|
APR-DRG 3164
|
| Min. Negotiated Rate |
$17,408.44 |
| Max. Negotiated Rate |
$18,278.86 |
| Rate for Payer: BCBS Complete |
$18,278.86
|
| Rate for Payer: Mclaren Medicaid |
$17,408.44
|
| Rate for Payer: Meridian Medicaid |
$18,278.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,408.44
|
| Rate for Payer: UHCCP Medicaid |
$17,408.44
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$9,255.12
|
|
|
Service Code
|
APR-DRG 0553
|
| Min. Negotiated Rate |
$8,814.40 |
| Max. Negotiated Rate |
$9,255.12 |
| Rate for Payer: BCBS Complete |
$9,255.12
|
| Rate for Payer: Mclaren Medicaid |
$8,814.40
|
| Rate for Payer: Meridian Medicaid |
$9,255.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,814.40
|
| Rate for Payer: UHCCP Medicaid |
$8,814.40
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 0551
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$5,957.98
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$5,674.27 |
| Max. Negotiated Rate |
$5,957.98 |
| Rate for Payer: BCBS Complete |
$5,957.98
|
| Rate for Payer: Mclaren Medicaid |
$5,674.27
|
| Rate for Payer: Meridian Medicaid |
$5,957.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,674.27
|
| Rate for Payer: UHCCP Medicaid |
$5,674.27
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$16,022.93
|
|
|
Service Code
|
APR-DRG 0554
|
| Min. Negotiated Rate |
$15,259.93 |
| Max. Negotiated Rate |
$16,022.93 |
| Rate for Payer: BCBS Complete |
$16,022.93
|
| Rate for Payer: Mclaren Medicaid |
$15,259.93
|
| Rate for Payer: Meridian Medicaid |
$16,022.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,259.93
|
| Rate for Payer: UHCCP Medicaid |
$15,259.93
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$75,429.23
|
|
|
Service Code
|
APR-DRG 0022
|
| Min. Negotiated Rate |
$71,837.36 |
| Max. Negotiated Rate |
$75,429.23 |
| Rate for Payer: BCBS Complete |
$75,429.23
|
| Rate for Payer: Mclaren Medicaid |
$71,837.36
|
| Rate for Payer: Meridian Medicaid |
$75,429.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$71,837.36
|
| Rate for Payer: UHCCP Medicaid |
$71,837.36
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$182,904.31
|
|
|
Service Code
|
APR-DRG 0024
|
| Min. Negotiated Rate |
$174,194.58 |
| Max. Negotiated Rate |
$182,904.31 |
| Rate for Payer: BCBS Complete |
$182,904.31
|
| Rate for Payer: Mclaren Medicaid |
$174,194.58
|
| Rate for Payer: Meridian Medicaid |
$182,904.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$174,194.58
|
| Rate for Payer: UHCCP Medicaid |
$174,194.58
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$99,608.23
|
|
|
Service Code
|
APR-DRG 0023
|
| Min. Negotiated Rate |
$94,864.98 |
| Max. Negotiated Rate |
$99,608.23 |
| Rate for Payer: BCBS Complete |
$99,608.23
|
| Rate for Payer: Mclaren Medicaid |
$94,864.98
|
| Rate for Payer: Meridian Medicaid |
$99,608.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$94,864.98
|
| Rate for Payer: UHCCP Medicaid |
$94,864.98
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$66,694.71
|
|
|
Service Code
|
APR-DRG 0021
|
| Min. Negotiated Rate |
$63,518.77 |
| Max. Negotiated Rate |
$66,694.71 |
| Rate for Payer: BCBS Complete |
$66,694.71
|
| Rate for Payer: Mclaren Medicaid |
$63,518.77
|
| Rate for Payer: Meridian Medicaid |
$66,694.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,518.77
|
| Rate for Payer: UHCCP Medicaid |
$63,518.77
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 1942
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$13,477.77
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$12,835.97 |
| Max. Negotiated Rate |
$13,477.77 |
| Rate for Payer: BCBS Complete |
$13,477.77
|
| Rate for Payer: Mclaren Medicaid |
$12,835.97
|
| Rate for Payer: Meridian Medicaid |
$13,477.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,835.97
|
| Rate for Payer: UHCCP Medicaid |
$12,835.97
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$3,065.76
|
|
|
Service Code
|
APR-DRG 1941
|
| 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
|
|