|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$23,484.87
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$22,366.54 |
| Max. Negotiated Rate |
$23,484.87 |
| Rate for Payer: BCBS Complete |
$23,484.87
|
| Rate for Payer: Mclaren Medicaid |
$22,366.54
|
| Rate for Payer: Meridian Medicaid |
$23,484.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,366.54
|
| Rate for Payer: UHCCP Medicaid |
$22,366.54
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$8,445.30
|
|
|
Service Code
|
APR-DRG 3081
|
| Min. Negotiated Rate |
$8,043.14 |
| Max. Negotiated Rate |
$8,445.30 |
| Rate for Payer: BCBS Complete |
$8,445.30
|
| Rate for Payer: Mclaren Medicaid |
$8,043.14
|
| Rate for Payer: Meridian Medicaid |
$8,445.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,043.14
|
| Rate for Payer: UHCCP Medicaid |
$8,043.14
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 8924
|
| 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 MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 8921
|
| Min. Negotiated Rate |
$3,525.76 |
| Max. Negotiated Rate |
$3,702.05 |
| Rate for Payer: BCBS Complete |
$3,702.05
|
| Rate for Payer: Mclaren Medicaid |
$3,525.76
|
| Rate for Payer: Meridian Medicaid |
$3,702.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,525.76
|
| Rate for Payer: UHCCP Medicaid |
$3,525.76
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,627.56
|
|
|
Service Code
|
APR-DRG 8922
|
| Min. Negotiated Rate |
$4,407.20 |
| Max. Negotiated Rate |
$4,627.56 |
| Rate for Payer: BCBS Complete |
$4,627.56
|
| Rate for Payer: Mclaren Medicaid |
$4,407.20
|
| Rate for Payer: Meridian Medicaid |
$4,627.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,407.20
|
| Rate for Payer: UHCCP Medicaid |
$4,407.20
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 8923
|
| 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 MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 8901
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$15,328.79
|
|
|
Service Code
|
APR-DRG 8904
|
| Min. Negotiated Rate |
$14,598.85 |
| Max. Negotiated Rate |
$15,328.79 |
| Rate for Payer: BCBS Complete |
$15,328.79
|
| Rate for Payer: Mclaren Medicaid |
$14,598.85
|
| Rate for Payer: Meridian Medicaid |
$15,328.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,598.85
|
| Rate for Payer: UHCCP Medicaid |
$14,598.85
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 8903
|
| Min. Negotiated Rate |
$9,144.94 |
| Max. Negotiated Rate |
$9,602.19 |
| Rate for Payer: BCBS Complete |
$9,602.19
|
| Rate for Payer: Mclaren Medicaid |
$9,144.94
|
| Rate for Payer: Meridian Medicaid |
$9,602.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,144.94
|
| Rate for Payer: UHCCP Medicaid |
$9,144.94
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 8902
|
| Min. Negotiated Rate |
$6,831.16 |
| Max. Negotiated Rate |
$7,172.72 |
| Rate for Payer: BCBS Complete |
$7,172.72
|
| Rate for Payer: Mclaren Medicaid |
$6,831.16
|
| Rate for Payer: Meridian Medicaid |
$7,172.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,831.16
|
| Rate for Payer: UHCCP Medicaid |
$6,831.16
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 8931
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$11,568.90
|
|
|
Service Code
|
APR-DRG 8934
|
| Min. Negotiated Rate |
$11,018.00 |
| Max. Negotiated Rate |
$11,568.90 |
| Rate for Payer: BCBS Complete |
$11,568.90
|
| Rate for Payer: Mclaren Medicaid |
$11,018.00
|
| Rate for Payer: Meridian Medicaid |
$11,568.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,018.00
|
| Rate for Payer: UHCCP Medicaid |
$11,018.00
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 8933
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 8932
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$7,577.63
|
|
|
Service Code
|
APR-DRG 8944
|
| Min. Negotiated Rate |
$7,216.79 |
| Max. Negotiated Rate |
$7,577.63 |
| Rate for Payer: BCBS Complete |
$7,577.63
|
| Rate for Payer: Mclaren Medicaid |
$7,216.79
|
| Rate for Payer: Meridian Medicaid |
$7,577.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,216.79
|
| Rate for Payer: UHCCP Medicaid |
$7,216.79
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$3,933.43
|
|
|
Service Code
|
APR-DRG 8941
|
| Min. Negotiated Rate |
$3,746.12 |
| Max. Negotiated Rate |
$3,933.43 |
| Rate for Payer: BCBS Complete |
$3,933.43
|
| Rate for Payer: Mclaren Medicaid |
$3,746.12
|
| Rate for Payer: Meridian Medicaid |
$3,933.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,746.12
|
| Rate for Payer: UHCCP Medicaid |
$3,746.12
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 8942
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 8943
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 1992
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 1994
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$6,073.67
|
|
|
Service Code
|
APR-DRG 1993
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 1991
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,313.78
|
|
|
Service Code
|
APR-DRG 4221
|
| Min. Negotiated Rate |
$2,203.60 |
| Max. Negotiated Rate |
$2,313.78 |
| Rate for Payer: BCBS Complete |
$2,313.78
|
| Rate for Payer: Mclaren Medicaid |
$2,203.60
|
| Rate for Payer: Meridian Medicaid |
$2,313.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,203.60
|
| Rate for Payer: UHCCP Medicaid |
$2,203.60
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,982.54
|
|
|
Service Code
|
APR-DRG 4224
|
| Min. Negotiated Rate |
$7,602.42 |
| Max. Negotiated Rate |
$7,982.54 |
| Rate for Payer: BCBS Complete |
$7,982.54
|
| Rate for Payer: Mclaren Medicaid |
$7,602.42
|
| Rate for Payer: Meridian Medicaid |
$7,982.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,602.42
|
| Rate for Payer: UHCCP Medicaid |
$7,602.42
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,065.76
|
|
|
Service Code
|
APR-DRG 4222
|
| 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
|
|