|
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
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 1132
|
| 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: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$4,792.83 |
| Max. Negotiated Rate |
$5,032.47 |
| Rate for Payer: BCBS Complete |
$5,032.47
|
| Rate for Payer: Mclaren Medicaid |
$4,792.83
|
| Rate for Payer: Meridian Medicaid |
$5,032.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.83
|
| Rate for Payer: UHCCP Medicaid |
$4,792.83
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$26,261.40
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$25,010.86 |
| Max. Negotiated Rate |
$26,261.40 |
| Rate for Payer: BCBS Complete |
$26,261.40
|
| Rate for Payer: Mclaren Medicaid |
$25,010.86
|
| Rate for Payer: Meridian Medicaid |
$26,261.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,010.86
|
| Rate for Payer: UHCCP Medicaid |
$25,010.86
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$17,064.13
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$16,251.55 |
| Max. Negotiated Rate |
$17,064.13 |
| Rate for Payer: BCBS Complete |
$17,064.13
|
| Rate for Payer: Mclaren Medicaid |
$16,251.55
|
| Rate for Payer: Meridian Medicaid |
$17,064.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,251.55
|
| Rate for Payer: UHCCP Medicaid |
$16,251.55
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$11,511.06
|
|
|
Service Code
|
APR-DRG 7102
|
| 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: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,809.01
|
|
|
Service Code
|
APR-DRG 7101
|
| Min. Negotiated Rate |
$7,437.15 |
| Max. Negotiated Rate |
$7,809.01 |
| Rate for Payer: BCBS Complete |
$7,809.01
|
| Rate for Payer: Mclaren Medicaid |
$7,437.15
|
| Rate for Payer: Meridian Medicaid |
$7,809.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,437.15
|
| Rate for Payer: UHCCP Medicaid |
$7,437.15
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$3,305.40 |
| Max. Negotiated Rate |
$3,470.67 |
| Rate for Payer: BCBS Complete |
$3,470.67
|
| Rate for Payer: Mclaren Medicaid |
$3,305.40
|
| Rate for Payer: Meridian Medicaid |
$3,470.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$11,789.26 |
| Max. Negotiated Rate |
$12,378.72 |
| Rate for Payer: BCBS Complete |
$12,378.72
|
| Rate for Payer: Mclaren Medicaid |
$11,789.26
|
| Rate for Payer: Meridian Medicaid |
$12,378.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,789.26
|
| Rate for Payer: UHCCP Medicaid |
$11,789.26
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$7,230.56
|
|
|
Service Code
|
APR-DRG 2453
|
| Min. Negotiated Rate |
$6,886.25 |
| Max. Negotiated Rate |
$7,230.56 |
| Rate for Payer: BCBS Complete |
$7,230.56
|
| Rate for Payer: Mclaren Medicaid |
$6,886.25
|
| Rate for Payer: Meridian Medicaid |
$7,230.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,886.25
|
| Rate for Payer: UHCCP Medicaid |
$6,886.25
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$5,957.98
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$10,412.01
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$9,916.20 |
| Max. Negotiated Rate |
$10,412.01 |
| Rate for Payer: BCBS Complete |
$10,412.01
|
| Rate for Payer: Mclaren Medicaid |
$9,916.20
|
| Rate for Payer: Meridian Medicaid |
$10,412.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,916.20
|
| Rate for Payer: UHCCP Medicaid |
$9,916.20
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$7,461.94
|
|
|
Service Code
|
APR-DRG 2282
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$18,568.08
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$17,683.89 |
| Max. Negotiated Rate |
$18,568.08 |
| Rate for Payer: BCBS Complete |
$18,568.08
|
| Rate for Payer: Mclaren Medicaid |
$17,683.89
|
| Rate for Payer: Meridian Medicaid |
$18,568.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,683.89
|
| Rate for Payer: UHCCP Medicaid |
$17,683.89
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$26,145.71
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$24,900.68 |
| Max. Negotiated Rate |
$26,145.71 |
| Rate for Payer: BCBS Complete |
$26,145.71
|
| Rate for Payer: Mclaren Medicaid |
$24,900.68
|
| Rate for Payer: Meridian Medicaid |
$26,145.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,900.68
|
| Rate for Payer: UHCCP Medicaid |
$24,900.68
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$10,122.79
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$9,640.75 |
| Max. Negotiated Rate |
$10,122.79 |
| Rate for Payer: BCBS Complete |
$10,122.79
|
| Rate for Payer: Mclaren Medicaid |
$9,640.75
|
| Rate for Payer: Meridian Medicaid |
$10,122.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,640.75
|
| Rate for Payer: UHCCP Medicaid |
$9,640.75
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$13,766.99
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$13,111.42 |
| Max. Negotiated Rate |
$13,766.99 |
| Rate for Payer: BCBS Complete |
$13,766.99
|
| Rate for Payer: Mclaren Medicaid |
$13,111.42
|
| Rate for Payer: Meridian Medicaid |
$13,766.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,111.42
|
| Rate for Payer: UHCCP Medicaid |
$13,111.42
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$18,510.24
|
|
|
Service Code
|
APR-DRG 1763
|
| Min. Negotiated Rate |
$17,628.80 |
| Max. Negotiated Rate |
$18,510.24 |
| Rate for Payer: BCBS Complete |
$18,510.24
|
| Rate for Payer: Mclaren Medicaid |
$17,628.80
|
| Rate for Payer: Meridian Medicaid |
$18,510.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,628.80
|
| Rate for Payer: UHCCP Medicaid |
$17,628.80
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$13,304.24
|
|
|
Service Code
|
APR-DRG 8174
|
| Min. Negotiated Rate |
$12,670.70 |
| Max. Negotiated Rate |
$13,304.24 |
| Rate for Payer: BCBS Complete |
$13,304.24
|
| Rate for Payer: Mclaren Medicaid |
$12,670.70
|
| Rate for Payer: Meridian Medicaid |
$13,304.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,670.70
|
| Rate for Payer: UHCCP Medicaid |
$12,670.70
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$6,225.17 |
| Max. Negotiated Rate |
$6,536.43 |
| Rate for Payer: BCBS Complete |
$6,536.43
|
| Rate for Payer: Mclaren Medicaid |
$6,225.17
|
| Rate for Payer: Meridian Medicaid |
$6,536.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,225.17
|
| Rate for Payer: UHCCP Medicaid |
$6,225.17
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 8172
|
| Min. Negotiated Rate |
$3,305.40 |
| Max. Negotiated Rate |
$3,470.67 |
| Rate for Payer: BCBS Complete |
$3,470.67
|
| Rate for Payer: Mclaren Medicaid |
$3,305.40
|
| Rate for Payer: Meridian Medicaid |
$3,470.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,371.62
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,258.69 |
| Max. Negotiated Rate |
$2,371.62 |
| Rate for Payer: BCBS Complete |
$2,371.62
|
| Rate for Payer: Mclaren Medicaid |
$2,258.69
|
| Rate for Payer: Meridian Medicaid |
$2,371.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,258.69
|
| Rate for Payer: UHCCP Medicaid |
$2,258.69
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$12,147.34
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$11,568.90 |
| Max. Negotiated Rate |
$12,147.34 |
| Rate for Payer: BCBS Complete |
$12,147.34
|
| Rate for Payer: Mclaren Medicaid |
$11,568.90
|
| Rate for Payer: Meridian Medicaid |
$12,147.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,568.90
|
| Rate for Payer: UHCCP Medicaid |
$11,568.90
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$7,809.01
|
|
|
Service Code
|
APR-DRG 1423
|
| Min. Negotiated Rate |
$7,437.15 |
| Max. Negotiated Rate |
$7,809.01 |
| Rate for Payer: BCBS Complete |
$7,809.01
|
| Rate for Payer: Mclaren Medicaid |
$7,437.15
|
| Rate for Payer: Meridian Medicaid |
$7,809.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,437.15
|
| Rate for Payer: UHCCP Medicaid |
$7,437.15
|
|