|
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
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$97,641.52
|
|
|
Service Code
|
APR-DRG 1613
|
| Min. Negotiated Rate |
$92,991.92 |
| Max. Negotiated Rate |
$97,641.52 |
| Rate for Payer: BCBS Complete |
$97,641.52
|
| Rate for Payer: Mclaren Medicaid |
$92,991.92
|
| Rate for Payer: Meridian Medicaid |
$97,641.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$92,991.92
|
| Rate for Payer: UHCCP Medicaid |
$92,991.92
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$74,735.09
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$71,176.28 |
| Max. Negotiated Rate |
$74,735.09 |
| Rate for Payer: BCBS Complete |
$74,735.09
|
| Rate for Payer: Mclaren Medicaid |
$71,176.28
|
| Rate for Payer: Meridian Medicaid |
$74,735.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$71,176.28
|
| Rate for Payer: UHCCP Medicaid |
$71,176.28
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$85,899.08
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$81,808.65 |
| Max. Negotiated Rate |
$85,899.08 |
| Rate for Payer: BCBS Complete |
$85,899.08
|
| Rate for Payer: Mclaren Medicaid |
$81,808.65
|
| Rate for Payer: Meridian Medicaid |
$85,899.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$81,808.65
|
| Rate for Payer: UHCCP Medicaid |
$81,808.65
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$162,311.67
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$154,582.54 |
| Max. Negotiated Rate |
$162,311.67 |
| Rate for Payer: BCBS Complete |
$162,311.67
|
| Rate for Payer: Mclaren Medicaid |
$154,582.54
|
| Rate for Payer: Meridian Medicaid |
$162,311.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$154,582.54
|
| Rate for Payer: UHCCP Medicaid |
$154,582.54
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 4233
|
| Min. Negotiated Rate |
$10,852.73 |
| Max. Negotiated Rate |
$11,395.37 |
| Rate for Payer: BCBS Complete |
$11,395.37
|
| Rate for Payer: Mclaren Medicaid |
$10,852.73
|
| Rate for Payer: Meridian Medicaid |
$11,395.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,852.73
|
| Rate for Payer: UHCCP Medicaid |
$10,852.73
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 4232
|
| 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: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$3,195.22 |
| Max. Negotiated Rate |
$3,354.98 |
| Rate for Payer: BCBS Complete |
$3,354.98
|
| Rate for Payer: Mclaren Medicaid |
$3,195.22
|
| Rate for Payer: Meridian Medicaid |
$3,354.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$20,014.20
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$19,061.14 |
| Max. Negotiated Rate |
$20,014.20 |
| Rate for Payer: BCBS Complete |
$20,014.20
|
| Rate for Payer: Mclaren Medicaid |
$19,061.14
|
| Rate for Payer: Meridian Medicaid |
$20,014.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,061.14
|
| Rate for Payer: UHCCP Medicaid |
$19,061.14
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 1132
|
| Min. Negotiated Rate |
$3,140.13 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$3,297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,487.31
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$2,368.87 |
| Max. Negotiated Rate |
$2,487.31 |
| Rate for Payer: BCBS Complete |
$2,487.31
|
| Rate for Payer: Mclaren Medicaid |
$2,368.87
|
| Rate for Payer: Meridian Medicaid |
$2,487.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,368.87
|
| Rate for Payer: UHCCP Medicaid |
$2,368.87
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 1134
|
| Min. Negotiated Rate |
$8,979.67 |
| Max. Negotiated Rate |
$9,428.65 |
| Rate for Payer: BCBS Complete |
$9,428.65
|
| Rate for Payer: Mclaren Medicaid |
$8,979.67
|
| Rate for Payer: Meridian Medicaid |
$9,428.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,979.67
|
| Rate for Payer: UHCCP Medicaid |
$8,979.67
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$5,013.19 |
| Max. Negotiated Rate |
$5,263.85 |
| Rate for Payer: BCBS Complete |
$5,263.85
|
| Rate for Payer: Mclaren Medicaid |
$5,013.19
|
| Rate for Payer: Meridian Medicaid |
$5,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,013.19
|
| Rate for Payer: UHCCP Medicaid |
$5,013.19
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$21,344.62
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$20,328.21 |
| Max. Negotiated Rate |
$21,344.62 |
| Rate for Payer: BCBS Complete |
$21,344.62
|
| Rate for Payer: Mclaren Medicaid |
$20,328.21
|
| Rate for Payer: Meridian Medicaid |
$21,344.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,328.21
|
| Rate for Payer: UHCCP Medicaid |
$20,328.21
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,098.23
|
|
|
Service Code
|
APR-DRG 7101
|
| 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: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,850.21
|
|
|
Service Code
|
APR-DRG 7102
|
| Min. Negotiated Rate |
$8,428.77 |
| Max. Negotiated Rate |
$8,850.21 |
| Rate for Payer: BCBS Complete |
$8,850.21
|
| Rate for Payer: Mclaren Medicaid |
$8,428.77
|
| Rate for Payer: Meridian Medicaid |
$8,850.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,428.77
|
| Rate for Payer: UHCCP Medicaid |
$8,428.77
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$14,750.35
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$14,047.95 |
| Max. Negotiated Rate |
$14,750.35 |
| Rate for Payer: BCBS Complete |
$14,750.35
|
| Rate for Payer: Mclaren Medicaid |
$14,047.95
|
| Rate for Payer: Meridian Medicaid |
$14,750.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,047.95
|
| Rate for Payer: UHCCP Medicaid |
$14,047.95
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 2453
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$11,684.59
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$11,128.18 |
| Max. Negotiated Rate |
$11,684.59 |
| Rate for Payer: BCBS Complete |
$11,684.59
|
| Rate for Payer: Mclaren Medicaid |
$11,128.18
|
| Rate for Payer: Meridian Medicaid |
$11,684.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,128.18
|
| Rate for Payer: UHCCP Medicaid |
$11,128.18
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,883.50
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$11,221.83
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$10,687.46 |
| Max. Negotiated Rate |
$11,221.83 |
| Rate for Payer: BCBS Complete |
$11,221.83
|
| Rate for Payer: Mclaren Medicaid |
$10,687.46
|
| Rate for Payer: Meridian Medicaid |
$11,221.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,687.46
|
| Rate for Payer: UHCCP Medicaid |
$10,687.46
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$20,072.04
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$19,116.23 |
| Max. Negotiated Rate |
$20,072.04 |
| Rate for Payer: BCBS Complete |
$20,072.04
|
| Rate for Payer: Mclaren Medicaid |
$19,116.23
|
| Rate for Payer: Meridian Medicaid |
$20,072.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,116.23
|
| Rate for Payer: UHCCP Medicaid |
$19,116.23
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$9,717.88
|
|
|
Service Code
|
APR-DRG 2282
|
| Min. Negotiated Rate |
$9,255.12 |
| Max. Negotiated Rate |
$9,717.88 |
| Rate for Payer: BCBS Complete |
$9,717.88
|
| Rate for Payer: Mclaren Medicaid |
$9,255.12
|
| Rate for Payer: Meridian Medicaid |
$9,717.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,255.12
|
| Rate for Payer: UHCCP Medicaid |
$9,255.12
|
|