|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 8931
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 8932
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 8933
|
| Min. Negotiated Rate |
$6,941.34 |
| Max. Negotiated Rate |
$7,288.41 |
| Rate for Payer: BCBS Complete |
$7,288.41
|
| Rate for Payer: Mclaren Medicaid |
$6,941.34
|
| Rate for Payer: Meridian Medicaid |
$7,288.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,941.34
|
| Rate for Payer: UHCCP Medicaid |
$6,941.34
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 8934
|
| Min. Negotiated Rate |
$11,844.35 |
| Max. Negotiated Rate |
$12,436.57 |
| Rate for Payer: BCBS Complete |
$12,436.57
|
| Rate for Payer: Mclaren Medicaid |
$11,844.35
|
| Rate for Payer: Meridian Medicaid |
$12,436.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,844.35
|
| Rate for Payer: UHCCP Medicaid |
$11,844.35
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$10,759.08
|
|
|
Service Code
|
APR-DRG 8944
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 8941
|
| Min. Negotiated Rate |
$3,691.03 |
| Max. Negotiated Rate |
$3,875.58 |
| Rate for Payer: BCBS Complete |
$3,875.58
|
| Rate for Payer: Mclaren Medicaid |
$3,691.03
|
| Rate for Payer: Meridian Medicaid |
$3,875.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,691.03
|
| Rate for Payer: UHCCP Medicaid |
$3,691.03
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 8942
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$6,478.58
|
|
|
Service Code
|
APR-DRG 8943
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 1992
|
| Min. Negotiated Rate |
$3,801.21 |
| Max. Negotiated Rate |
$3,991.27 |
| Rate for Payer: BCBS Complete |
$3,991.27
|
| Rate for Payer: Mclaren Medicaid |
$3,801.21
|
| Rate for Payer: Meridian Medicaid |
$3,991.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,801.21
|
| Rate for Payer: UHCCP Medicaid |
$3,801.21
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$3,412.83
|
|
|
Service Code
|
APR-DRG 1991
|
| Min. Negotiated Rate |
$3,250.31 |
| Max. Negotiated Rate |
$3,412.83 |
| Rate for Payer: BCBS Complete |
$3,412.83
|
| Rate for Payer: Mclaren Medicaid |
$3,250.31
|
| Rate for Payer: Meridian Medicaid |
$3,412.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.31
|
| Rate for Payer: UHCCP Medicaid |
$3,250.31
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$11,279.68
|
|
|
Service Code
|
APR-DRG 1994
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 1993
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$4,974.63
|
|
|
Service Code
|
APR-DRG 4223
|
| Min. Negotiated Rate |
$4,737.74 |
| Max. Negotiated Rate |
$4,974.63 |
| Rate for Payer: BCBS Complete |
$4,974.63
|
| Rate for Payer: Mclaren Medicaid |
$4,737.74
|
| Rate for Payer: Meridian Medicaid |
$4,974.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,737.74
|
| Rate for Payer: UHCCP Medicaid |
$4,737.74
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$8,098.23
|
|
|
Service Code
|
APR-DRG 4224
|
| Min. Negotiated Rate |
$7,712.60 |
| Max. Negotiated Rate |
$8,098.23 |
| Rate for Payer: BCBS Complete |
$8,098.23
|
| Rate for Payer: Mclaren Medicaid |
$7,712.60
|
| Rate for Payer: Meridian Medicaid |
$8,098.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,712.60
|
| Rate for Payer: UHCCP Medicaid |
$7,712.60
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,412.83
|
|
|
Service Code
|
APR-DRG 4222
|
| Min. Negotiated Rate |
$3,250.31 |
| Max. Negotiated Rate |
$3,412.83 |
| Rate for Payer: BCBS Complete |
$3,412.83
|
| Rate for Payer: Mclaren Medicaid |
$3,250.31
|
| Rate for Payer: Meridian Medicaid |
$3,412.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.31
|
| Rate for Payer: UHCCP Medicaid |
$3,250.31
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,545.16
|
|
|
Service Code
|
APR-DRG 4221
|
| Min. Negotiated Rate |
$2,423.96 |
| Max. Negotiated Rate |
$2,545.16 |
| Rate for Payer: BCBS Complete |
$2,545.16
|
| Rate for Payer: Mclaren Medicaid |
$2,423.96
|
| Rate for Payer: Meridian Medicaid |
$2,545.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,423.96
|
| Rate for Payer: UHCCP Medicaid |
$2,423.96
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$106,896.64
|
|
|
Service Code
|
APR-DRG 1613
|
| Min. Negotiated Rate |
$101,806.32 |
| Max. Negotiated Rate |
$106,896.64 |
| Rate for Payer: BCBS Complete |
$106,896.64
|
| Rate for Payer: Mclaren Medicaid |
$101,806.32
|
| Rate for Payer: Meridian Medicaid |
$106,896.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$101,806.32
|
| Rate for Payer: UHCCP Medicaid |
$101,806.32
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$136,513.02
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$130,012.40 |
| Max. Negotiated Rate |
$136,513.02 |
| Rate for Payer: BCBS Complete |
$136,513.02
|
| Rate for Payer: Mclaren Medicaid |
$130,012.40
|
| Rate for Payer: Meridian Medicaid |
$136,513.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$130,012.40
|
| Rate for Payer: UHCCP Medicaid |
$130,012.40
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$78,668.52
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$74,922.40 |
| Max. Negotiated Rate |
$78,668.52 |
| Rate for Payer: BCBS Complete |
$78,668.52
|
| Rate for Payer: Mclaren Medicaid |
$74,922.40
|
| Rate for Payer: Meridian Medicaid |
$78,668.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$74,922.40
|
| Rate for Payer: UHCCP Medicaid |
$74,922.40
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$78,668.52
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$74,922.40 |
| Max. Negotiated Rate |
$78,668.52 |
| Rate for Payer: BCBS Complete |
$78,668.52
|
| Rate for Payer: Mclaren Medicaid |
$74,922.40
|
| Rate for Payer: Meridian Medicaid |
$78,668.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$74,922.40
|
| Rate for Payer: UHCCP Medicaid |
$74,922.40
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$3,801.21 |
| Max. Negotiated Rate |
$3,991.27 |
| Rate for Payer: BCBS Complete |
$3,991.27
|
| Rate for Payer: Mclaren Medicaid |
$3,801.21
|
| Rate for Payer: Meridian Medicaid |
$3,991.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,801.21
|
| Rate for Payer: UHCCP Medicaid |
$3,801.21
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,610.92
|
|
|
Service Code
|
APR-DRG 4232
|
| Min. Negotiated Rate |
$5,343.73 |
| Max. Negotiated Rate |
$5,610.92 |
| Rate for Payer: BCBS Complete |
$5,610.92
|
| Rate for Payer: Mclaren Medicaid |
$5,343.73
|
| Rate for Payer: Meridian Medicaid |
$5,610.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,343.73
|
| Rate for Payer: UHCCP Medicaid |
$5,343.73
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$8,560.99
|
|
|
Service Code
|
APR-DRG 4233
|
| Min. Negotiated Rate |
$8,153.32 |
| Max. Negotiated Rate |
$8,560.99 |
| Rate for Payer: BCBS Complete |
$8,560.99
|
| Rate for Payer: Mclaren Medicaid |
$8,153.32
|
| Rate for Payer: Meridian Medicaid |
$8,560.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,153.32
|
| Rate for Payer: UHCCP Medicaid |
$8,153.32
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$21,980.91
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$20,934.20 |
| Max. Negotiated Rate |
$21,980.91 |
| Rate for Payer: BCBS Complete |
$21,980.91
|
| Rate for Payer: Mclaren Medicaid |
$20,934.20
|
| Rate for Payer: Meridian Medicaid |
$21,980.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,934.20
|
| Rate for Payer: UHCCP Medicaid |
$20,934.20
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,255.94
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$2,148.51 |
| Max. Negotiated Rate |
$2,255.94 |
| Rate for Payer: BCBS Complete |
$2,255.94
|
| Rate for Payer: Mclaren Medicaid |
$2,148.51
|
| Rate for Payer: Meridian Medicaid |
$2,255.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,148.51
|
| Rate for Payer: UHCCP Medicaid |
$2,148.51
|
|