|
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
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 1421
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 2473
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$10,816.92
|
|
|
Service Code
|
APR-DRG 2474
|
| Min. Negotiated Rate |
$10,301.83 |
| Max. Negotiated Rate |
$10,816.92 |
| Rate for Payer: BCBS Complete |
$10,816.92
|
| Rate for Payer: Mclaren Medicaid |
$10,301.83
|
| Rate for Payer: Meridian Medicaid |
$10,816.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,301.83
|
| Rate for Payer: UHCCP Medicaid |
$10,301.83
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,580.85 |
| Max. Negotiated Rate |
$3,759.89 |
| Rate for Payer: BCBS Complete |
$3,759.89
|
| Rate for Payer: Mclaren Medicaid |
$3,580.85
|
| Rate for Payer: Meridian Medicaid |
$3,759.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,580.85
|
| Rate for Payer: UHCCP Medicaid |
$3,580.85
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,834.38
|
|
|
Service Code
|
APR-DRG 2471
|
| Min. Negotiated Rate |
$2,699.41 |
| Max. Negotiated Rate |
$2,834.38 |
| Rate for Payer: BCBS Complete |
$2,834.38
|
| Rate for Payer: Mclaren Medicaid |
$2,699.41
|
| Rate for Payer: Meridian Medicaid |
$2,834.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,699.41
|
| Rate for Payer: UHCCP Medicaid |
$2,699.41
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 0441
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$9,255.12
|
|
|
Service Code
|
APR-DRG 0443
|
| Min. Negotiated Rate |
$8,814.40 |
| Max. Negotiated Rate |
$9,255.12 |
| Rate for Payer: BCBS Complete |
$9,255.12
|
| Rate for Payer: Mclaren Medicaid |
$8,814.40
|
| Rate for Payer: Meridian Medicaid |
$9,255.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,814.40
|
| Rate for Payer: UHCCP Medicaid |
$8,814.40
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$14,229.75
|
|
|
Service Code
|
APR-DRG 0444
|
| Min. Negotiated Rate |
$13,552.14 |
| Max. Negotiated Rate |
$14,229.75 |
| Rate for Payer: BCBS Complete |
$14,229.75
|
| Rate for Payer: Mclaren Medicaid |
$13,552.14
|
| Rate for Payer: Meridian Medicaid |
$14,229.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,552.14
|
| Rate for Payer: UHCCP Medicaid |
$13,552.14
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 0442
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 4633
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 4632
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$8,734.52
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$8,318.59 |
| Max. Negotiated Rate |
$8,734.52 |
| Rate for Payer: BCBS Complete |
$8,734.52
|
| Rate for Payer: Mclaren Medicaid |
$8,318.59
|
| Rate for Payer: Meridian Medicaid |
$8,734.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,318.59
|
| Rate for Payer: UHCCP Medicaid |
$8,318.59
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,007.91
|
|
|
Service Code
|
APR-DRG 4631
|
| Min. Negotiated Rate |
$2,864.68 |
| Max. Negotiated Rate |
$3,007.91 |
| Rate for Payer: BCBS Complete |
$3,007.91
|
| Rate for Payer: Mclaren Medicaid |
$2,864.68
|
| Rate for Payer: Meridian Medicaid |
$3,007.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,864.68
|
| Rate for Payer: UHCCP Medicaid |
$2,864.68
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$7,982.54
|
|
|
Service Code
|
APR-DRG 4613
|
| 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: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$13,709.15
|
|
|
Service Code
|
APR-DRG 4614
|
| Min. Negotiated Rate |
$13,056.33 |
| Max. Negotiated Rate |
$13,709.15 |
| Rate for Payer: BCBS Complete |
$13,709.15
|
| Rate for Payer: Mclaren Medicaid |
$13,056.33
|
| Rate for Payer: Meridian Medicaid |
$13,709.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,056.33
|
| Rate for Payer: UHCCP Medicaid |
$13,056.33
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$4,396.18
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$4,186.84 |
| Max. Negotiated Rate |
$4,396.18 |
| Rate for Payer: BCBS Complete |
$4,396.18
|
| Rate for Payer: Mclaren Medicaid |
$4,186.84
|
| Rate for Payer: Meridian Medicaid |
$4,396.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.84
|
| Rate for Payer: UHCCP Medicaid |
$4,186.84
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 4612
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$8,213.92
|
|
|
Service Code
|
APR-DRG 4421
|
| 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 PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$24,641.76
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$23,468.34 |
| Max. Negotiated Rate |
$24,641.76 |
| Rate for Payer: BCBS Complete |
$24,641.76
|
| Rate for Payer: Mclaren Medicaid |
$23,468.34
|
| Rate for Payer: Meridian Medicaid |
$24,641.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,468.34
|
| Rate for Payer: UHCCP Medicaid |
$23,468.34
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$14,808.19
|
|
|
Service Code
|
APR-DRG 4423
|
| Min. Negotiated Rate |
$14,103.04 |
| Max. Negotiated Rate |
$14,808.19 |
| Rate for Payer: BCBS Complete |
$14,808.19
|
| Rate for Payer: Mclaren Medicaid |
$14,103.04
|
| Rate for Payer: Meridian Medicaid |
$14,808.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,103.04
|
| Rate for Payer: UHCCP Medicaid |
$14,103.04
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,660.03
|
|
|
Service Code
|
APR-DRG 4422
|
| Min. Negotiated Rate |
$9,200.03 |
| Max. Negotiated Rate |
$9,660.03 |
| Rate for Payer: BCBS Complete |
$9,660.03
|
| Rate for Payer: Mclaren Medicaid |
$9,200.03
|
| Rate for Payer: Meridian Medicaid |
$9,660.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,200.03
|
| Rate for Payer: UHCCP Medicaid |
$9,200.03
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$12,783.63
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$12,174.89 |
| Max. Negotiated Rate |
$12,783.63 |
| Rate for Payer: BCBS Complete |
$12,783.63
|
| Rate for Payer: Mclaren Medicaid |
$12,174.89
|
| Rate for Payer: Meridian Medicaid |
$12,783.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,174.89
|
| Rate for Payer: UHCCP Medicaid |
$12,174.89
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$21,055.40
|
|
|
Service Code
|
APR-DRG 4434
|
| Min. Negotiated Rate |
$20,052.76 |
| Max. Negotiated Rate |
$21,055.40 |
| Rate for Payer: BCBS Complete |
$21,055.40
|
| Rate for Payer: Mclaren Medicaid |
$20,052.76
|
| Rate for Payer: Meridian Medicaid |
$21,055.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,052.76
|
| Rate for Payer: UHCCP Medicaid |
$20,052.76
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
|
IP
|
$9,370.81
|
|
|
Service Code
|
APR-DRG 4432
|
| Min. Negotiated Rate |
$8,924.58 |
| Max. Negotiated Rate |
$9,370.81 |
| Rate for Payer: BCBS Complete |
$9,370.81
|
| Rate for Payer: Mclaren Medicaid |
$8,924.58
|
| Rate for Payer: Meridian Medicaid |
$9,370.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,924.58
|
| Rate for Payer: UHCCP Medicaid |
$8,924.58
|
|