|
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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$13,246.39
|
|
|
Service Code
|
APR-DRG 8104
|
| Min. Negotiated Rate |
$12,615.61 |
| Max. Negotiated Rate |
$13,246.39 |
| Rate for Payer: BCBS Complete |
$13,246.39
|
| Rate for Payer: Mclaren Medicaid |
$12,615.61
|
| Rate for Payer: Meridian Medicaid |
$13,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,615.61
|
| Rate for Payer: UHCCP Medicaid |
$12,615.61
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,883.50
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$6,555.71 |
| Max. Negotiated Rate |
$6,883.50 |
| Rate for Payer: BCBS Complete |
$6,883.50
|
| Rate for Payer: Mclaren Medicaid |
$6,555.71
|
| Rate for Payer: Meridian Medicaid |
$6,883.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,555.71
|
| Rate for Payer: UHCCP Medicaid |
$6,555.71
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 8101
|
| Min. Negotiated Rate |
$2,974.86 |
| Max. Negotiated Rate |
$3,123.60 |
| Rate for Payer: BCBS Complete |
$3,123.60
|
| Rate for Payer: Mclaren Medicaid |
$2,974.86
|
| Rate for Payer: Meridian Medicaid |
$3,123.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,974.86
|
| Rate for Payer: UHCCP Medicaid |
$2,974.86
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 8102
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 2792
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$7,461.94
|
|
|
Service Code
|
APR-DRG 2793
|
| Min. Negotiated Rate |
$7,106.61 |
| Max. Negotiated Rate |
$7,461.94 |
| Rate for Payer: BCBS Complete |
$7,461.94
|
| Rate for Payer: Mclaren Medicaid |
$7,106.61
|
| Rate for Payer: Meridian Medicaid |
$7,461.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,106.61
|
| Rate for Payer: UHCCP Medicaid |
$7,106.61
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$3,007.91
|
|
|
Service Code
|
APR-DRG 2791
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$14,229.75
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$13,552.14 |
| Max. Negotiated Rate |
$14,229.75 |
| Rate for Payer: BCBS Complete |
$14,229.75
|
| Rate for Payer: Mclaren Medicaid |
$13,552.14
|
| Rate for Payer: Meridian Medicaid |
$14,229.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,552.14
|
| Rate for Payer: UHCCP Medicaid |
$13,552.14
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$8,618.83
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$8,208.41 |
| Max. Negotiated Rate |
$8,618.83 |
| Rate for Payer: BCBS Complete |
$8,618.83
|
| Rate for Payer: Mclaren Medicaid |
$8,208.41
|
| Rate for Payer: Meridian Medicaid |
$8,618.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,208.41
|
| Rate for Payer: UHCCP Medicaid |
$8,208.41
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$22,443.67
|
|
|
Service Code
|
APR-DRG 2274
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$12,783.63
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$12,174.89 |
| Max. Negotiated Rate |
$12,783.63 |
| Rate for Payer: BCBS Complete |
$12,783.63
|
| Rate for Payer: Mclaren Medicaid |
$12,174.89
|
| Rate for Payer: Meridian Medicaid |
$12,783.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,174.89
|
| Rate for Payer: UHCCP Medicaid |
$12,174.89
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 2271
|
| 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: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$12,494.41
|
|
|
Service Code
|
APR-DRG 3083
|
| Min. Negotiated Rate |
$11,899.44 |
| Max. Negotiated Rate |
$12,494.41 |
| Rate for Payer: BCBS Complete |
$12,494.41
|
| Rate for Payer: Mclaren Medicaid |
$11,899.44
|
| Rate for Payer: Meridian Medicaid |
$12,494.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,899.44
|
| Rate for Payer: UHCCP Medicaid |
$11,899.44
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$9,833.57
|
|
|
Service Code
|
APR-DRG 3082
|
| Min. Negotiated Rate |
$9,365.30 |
| Max. Negotiated Rate |
$9,833.57 |
| Rate for Payer: BCBS Complete |
$9,833.57
|
| Rate for Payer: Mclaren Medicaid |
$9,365.30
|
| Rate for Payer: Meridian Medicaid |
$9,833.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,365.30
|
| Rate for Payer: UHCCP Medicaid |
$9,365.30
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$17,989.64
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$17,132.99 |
| Max. Negotiated Rate |
$17,989.64 |
| Rate for Payer: BCBS Complete |
$17,989.64
|
| Rate for Payer: Mclaren Medicaid |
$17,132.99
|
| Rate for Payer: Meridian Medicaid |
$17,989.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,132.99
|
| Rate for Payer: UHCCP Medicaid |
$17,132.99
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 3081
|
| Min. Negotiated Rate |
$7,271.88 |
| Max. Negotiated Rate |
$7,635.47 |
| Rate for Payer: BCBS Complete |
$7,635.47
|
| Rate for Payer: Mclaren Medicaid |
$7,271.88
|
| Rate for Payer: Meridian Medicaid |
$7,635.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,271.88
|
| Rate for Payer: UHCCP Medicaid |
$7,271.88
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$7,924.70
|
|
|
Service Code
|
APR-DRG 8923
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$13,015.01
|
|
|
Service Code
|
APR-DRG 8924
|
| Min. Negotiated Rate |
$12,395.25 |
| Max. Negotiated Rate |
$13,015.01 |
| Rate for Payer: BCBS Complete |
$13,015.01
|
| Rate for Payer: Mclaren Medicaid |
$12,395.25
|
| Rate for Payer: Meridian Medicaid |
$13,015.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,395.25
|
| Rate for Payer: UHCCP Medicaid |
$12,395.25
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$5,553.07
|
|
|
Service Code
|
APR-DRG 8922
|
| Min. Negotiated Rate |
$5,288.64 |
| Max. Negotiated Rate |
$5,553.07 |
| Rate for Payer: BCBS Complete |
$5,553.07
|
| Rate for Payer: Mclaren Medicaid |
$5,288.64
|
| Rate for Payer: Meridian Medicaid |
$5,553.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,288.64
|
| Rate for Payer: UHCCP Medicaid |
$5,288.64
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 8921
|
| Min. Negotiated Rate |
$4,297.02 |
| Max. Negotiated Rate |
$4,511.87 |
| Rate for Payer: BCBS Complete |
$4,511.87
|
| Rate for Payer: Mclaren Medicaid |
$4,297.02
|
| Rate for Payer: Meridian Medicaid |
$4,511.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,297.02
|
| Rate for Payer: UHCCP Medicaid |
$4,297.02
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$19,782.82
|
|
|
Service Code
|
APR-DRG 8904
|
| Min. Negotiated Rate |
$18,840.78 |
| Max. Negotiated Rate |
$19,782.82 |
| Rate for Payer: BCBS Complete |
$19,782.82
|
| Rate for Payer: Mclaren Medicaid |
$18,840.78
|
| Rate for Payer: Meridian Medicaid |
$19,782.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,840.78
|
| Rate for Payer: UHCCP Medicaid |
$18,840.78
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 8902
|
| Min. Negotiated Rate |
$6,114.99 |
| Max. Negotiated Rate |
$6,420.74 |
| Rate for Payer: BCBS Complete |
$6,420.74
|
| Rate for Payer: Mclaren Medicaid |
$6,114.99
|
| Rate for Payer: Meridian Medicaid |
$6,420.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,114.99
|
| Rate for Payer: UHCCP Medicaid |
$6,114.99
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 8901
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$11,106.14
|
|
|
Service Code
|
APR-DRG 8903
|
| 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
|
|