|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$10,585.54
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$10,081.47 |
| Max. Negotiated Rate |
$10,585.54 |
| Rate for Payer: BCBS Complete |
$10,585.54
|
| Rate for Payer: Mclaren Medicaid |
$10,081.47
|
| Rate for Payer: Meridian Medicaid |
$10,585.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,081.47
|
| Rate for Payer: UHCCP Medicaid |
$10,081.47
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$22,212.29
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$21,154.56 |
| Max. Negotiated Rate |
$22,212.29 |
| Rate for Payer: BCBS Complete |
$22,212.29
|
| Rate for Payer: Mclaren Medicaid |
$21,154.56
|
| Rate for Payer: Meridian Medicaid |
$22,212.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,154.56
|
| Rate for Payer: UHCCP Medicaid |
$21,154.56
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$27,186.92
|
|
|
Service Code
|
APR-DRG 1763
|
| Min. Negotiated Rate |
$25,892.30 |
| Max. Negotiated Rate |
$27,186.92 |
| Rate for Payer: BCBS Complete |
$27,186.92
|
| Rate for Payer: Mclaren Medicaid |
$25,892.30
|
| Rate for Payer: Meridian Medicaid |
$27,186.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,892.30
|
| Rate for Payer: UHCCP Medicaid |
$25,892.30
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$39,334.26
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$37,461.20 |
| Max. Negotiated Rate |
$39,334.26 |
| Rate for Payer: BCBS Complete |
$39,334.26
|
| Rate for Payer: Mclaren Medicaid |
$37,461.20
|
| Rate for Payer: Meridian Medicaid |
$39,334.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,461.20
|
| Rate for Payer: UHCCP Medicaid |
$37,461.20
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$11,511.06
|
|
|
Service Code
|
APR-DRG 8174
|
| 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: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 8172
|
| Min. Negotiated Rate |
$3,635.94 |
| Max. Negotiated Rate |
$3,817.74 |
| Rate for Payer: BCBS Complete |
$3,817.74
|
| Rate for Payer: Mclaren Medicaid |
$3,635.94
|
| Rate for Payer: Meridian Medicaid |
$3,817.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,635.94
|
| Rate for Payer: UHCCP Medicaid |
$3,635.94
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,603.00
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,479.05 |
| Max. Negotiated Rate |
$2,603.00 |
| Rate for Payer: BCBS Complete |
$2,603.00
|
| Rate for Payer: Mclaren Medicaid |
$2,479.05
|
| Rate for Payer: Meridian Medicaid |
$2,603.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,479.05
|
| Rate for Payer: UHCCP Medicaid |
$2,479.05
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$7,114.87
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$6,776.07 |
| Max. Negotiated Rate |
$7,114.87 |
| Rate for Payer: BCBS Complete |
$7,114.87
|
| Rate for Payer: Mclaren Medicaid |
$6,776.07
|
| Rate for Payer: Meridian Medicaid |
$7,114.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,776.07
|
| Rate for Payer: UHCCP Medicaid |
$6,776.07
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$7,461.94
|
|
|
Service Code
|
APR-DRG 1423
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$5,437.38
|
|
|
Service Code
|
APR-DRG 1422
|
| Min. Negotiated Rate |
$5,178.46 |
| Max. Negotiated Rate |
$5,437.38 |
| Rate for Payer: BCBS Complete |
$5,437.38
|
| Rate for Payer: Mclaren Medicaid |
$5,178.46
|
| Rate for Payer: Meridian Medicaid |
$5,437.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,178.46
|
| Rate for Payer: UHCCP Medicaid |
$5,178.46
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,644.20
|
|
|
Service Code
|
APR-DRG 1421
|
| Min. Negotiated Rate |
$3,470.67 |
| Max. Negotiated Rate |
$3,644.20 |
| Rate for Payer: BCBS Complete |
$3,644.20
|
| Rate for Payer: Mclaren Medicaid |
$3,470.67
|
| Rate for Payer: Meridian Medicaid |
$3,644.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,470.67
|
| Rate for Payer: UHCCP Medicaid |
$3,470.67
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$10,585.54
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$10,081.47 |
| Max. Negotiated Rate |
$10,585.54 |
| Rate for Payer: BCBS Complete |
$10,585.54
|
| Rate for Payer: Mclaren Medicaid |
$10,081.47
|
| Rate for Payer: Meridian Medicaid |
$10,585.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,081.47
|
| Rate for Payer: UHCCP Medicaid |
$10,081.47
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 2473
|
| Min. Negotiated Rate |
$5,509.00 |
| Max. Negotiated Rate |
$5,784.45 |
| Rate for Payer: BCBS Complete |
$5,784.45
|
| Rate for Payer: Mclaren Medicaid |
$5,509.00
|
| Rate for Payer: Meridian Medicaid |
$5,784.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,509.00
|
| Rate for Payer: UHCCP Medicaid |
$5,509.00
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 2474
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 2471
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$4,049.12
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,856.30 |
| Max. Negotiated Rate |
$4,049.12 |
| Rate for Payer: BCBS Complete |
$4,049.12
|
| Rate for Payer: Mclaren Medicaid |
$3,856.30
|
| Rate for Payer: Meridian Medicaid |
$4,049.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,856.30
|
| Rate for Payer: UHCCP Medicaid |
$3,856.30
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$15,444.48
|
|
|
Service Code
|
APR-DRG 0444
|
| Min. Negotiated Rate |
$14,709.03 |
| Max. Negotiated Rate |
$15,444.48 |
| Rate for Payer: BCBS Complete |
$15,444.48
|
| Rate for Payer: Mclaren Medicaid |
$14,709.03
|
| Rate for Payer: Meridian Medicaid |
$15,444.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,709.03
|
| Rate for Payer: UHCCP Medicaid |
$14,709.03
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 0441
|
| Min. Negotiated Rate |
$5,068.28 |
| Max. Negotiated Rate |
$5,321.69 |
| Rate for Payer: BCBS Complete |
$5,321.69
|
| Rate for Payer: Mclaren Medicaid |
$5,068.28
|
| Rate for Payer: Meridian Medicaid |
$5,321.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,068.28
|
| Rate for Payer: UHCCP Medicaid |
$5,068.28
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$12,263.03
|
|
|
Service Code
|
APR-DRG 0443
|
| Min. Negotiated Rate |
$11,679.08 |
| Max. Negotiated Rate |
$12,263.03 |
| Rate for Payer: BCBS Complete |
$12,263.03
|
| Rate for Payer: Mclaren Medicaid |
$11,679.08
|
| Rate for Payer: Meridian Medicaid |
$12,263.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,679.08
|
| Rate for Payer: UHCCP Medicaid |
$11,679.08
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$8,098.23
|
|
|
Service Code
|
APR-DRG 0442
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 4631
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,933.43
|
|
|
Service Code
|
APR-DRG 4632
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$8,213.92
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$7,822.78 |
| Max. Negotiated Rate |
$8,213.92 |
| Rate for Payer: BCBS Complete |
$8,213.92
|
| Rate for Payer: Mclaren Medicaid |
$7,822.78
|
| Rate for Payer: Meridian Medicaid |
$8,213.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,822.78
|
| Rate for Payer: UHCCP Medicaid |
$7,822.78
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$5,437.38
|
|
|
Service Code
|
APR-DRG 4633
|
| Min. Negotiated Rate |
$5,178.46 |
| Max. Negotiated Rate |
$5,437.38 |
| Rate for Payer: BCBS Complete |
$5,437.38
|
| Rate for Payer: Mclaren Medicaid |
$5,178.46
|
| Rate for Payer: Meridian Medicaid |
$5,437.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,178.46
|
| Rate for Payer: UHCCP Medicaid |
$5,178.46
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 4612
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|