|
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 TRANSPLANT
|
Facility
|
IP
|
$35,053.77
|
|
|
Service Code
|
APR-DRG 4403
|
| Min. Negotiated Rate |
$33,384.54 |
| Max. Negotiated Rate |
$35,053.77 |
| Rate for Payer: BCBS Complete |
$35,053.77
|
| Rate for Payer: Mclaren Medicaid |
$33,384.54
|
| Rate for Payer: Meridian Medicaid |
$35,053.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,384.54
|
| Rate for Payer: UHCCP Medicaid |
$33,384.54
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$29,847.76
|
|
|
Service Code
|
APR-DRG 4402
|
| Min. Negotiated Rate |
$28,426.44 |
| Max. Negotiated Rate |
$29,847.76 |
| Rate for Payer: BCBS Complete |
$29,847.76
|
| Rate for Payer: Mclaren Medicaid |
$28,426.44
|
| Rate for Payer: Meridian Medicaid |
$29,847.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,426.44
|
| Rate for Payer: UHCCP Medicaid |
$28,426.44
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$51,539.45
|
|
|
Service Code
|
APR-DRG 4404
|
| Min. Negotiated Rate |
$49,085.19 |
| Max. Negotiated Rate |
$51,539.45 |
| Rate for Payer: BCBS Complete |
$51,539.45
|
| Rate for Payer: Mclaren Medicaid |
$49,085.19
|
| Rate for Payer: Meridian Medicaid |
$51,539.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$49,085.19
|
| Rate for Payer: UHCCP Medicaid |
$49,085.19
|
|
|
APR-DRG 42.00: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$27,938.89
|
|
|
Service Code
|
APR-DRG 4401
|
| Min. Negotiated Rate |
$26,608.47 |
| Max. Negotiated Rate |
$27,938.89 |
| Rate for Payer: BCBS Complete |
$27,938.89
|
| Rate for Payer: Mclaren Medicaid |
$26,608.47
|
| Rate for Payer: Meridian Medicaid |
$27,938.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,608.47
|
| Rate for Payer: UHCCP Medicaid |
$26,608.47
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$8,213.92
|
|
|
Service Code
|
APR-DRG 3131
|
| 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: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$10,932.61
|
|
|
Service Code
|
APR-DRG 3132
|
| Min. Negotiated Rate |
$10,412.01 |
| Max. Negotiated Rate |
$10,932.61 |
| Rate for Payer: BCBS Complete |
$10,932.61
|
| Rate for Payer: Mclaren Medicaid |
$10,412.01
|
| Rate for Payer: Meridian Medicaid |
$10,932.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,412.01
|
| Rate for Payer: UHCCP Medicaid |
$10,412.01
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$15,502.33
|
|
|
Service Code
|
APR-DRG 3133
|
| Min. Negotiated Rate |
$14,764.12 |
| Max. Negotiated Rate |
$15,502.33 |
| Rate for Payer: BCBS Complete |
$15,502.33
|
| Rate for Payer: Mclaren Medicaid |
$14,764.12
|
| Rate for Payer: Meridian Medicaid |
$15,502.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,764.12
|
| Rate for Payer: UHCCP Medicaid |
$14,764.12
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$22,964.27
|
|
|
Service Code
|
APR-DRG 3134
|
| Min. Negotiated Rate |
$21,870.73 |
| Max. Negotiated Rate |
$22,964.27 |
| Rate for Payer: BCBS Complete |
$22,964.27
|
| Rate for Payer: Mclaren Medicaid |
$21,870.73
|
| Rate for Payer: Meridian Medicaid |
$22,964.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,870.73
|
| Rate for Payer: UHCCP Medicaid |
$21,870.73
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$35,863.59
|
|
|
Service Code
|
APR-DRG 0011
|
| Min. Negotiated Rate |
$34,155.80 |
| Max. Negotiated Rate |
$35,863.59 |
| Rate for Payer: BCBS Complete |
$35,863.59
|
| Rate for Payer: Mclaren Medicaid |
$34,155.80
|
| Rate for Payer: Meridian Medicaid |
$35,863.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,155.80
|
| Rate for Payer: UHCCP Medicaid |
$34,155.80
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$40,838.22
|
|
|
Service Code
|
APR-DRG 0012
|
| Min. Negotiated Rate |
$38,893.54 |
| Max. Negotiated Rate |
$40,838.22 |
| Rate for Payer: BCBS Complete |
$40,838.22
|
| Rate for Payer: Mclaren Medicaid |
$38,893.54
|
| Rate for Payer: Meridian Medicaid |
$40,838.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$38,893.54
|
| Rate for Payer: UHCCP Medicaid |
$38,893.54
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$52,869.87
|
|
|
Service Code
|
APR-DRG 0013
|
| Min. Negotiated Rate |
$50,352.26 |
| Max. Negotiated Rate |
$52,869.87 |
| Rate for Payer: BCBS Complete |
$52,869.87
|
| Rate for Payer: Mclaren Medicaid |
$50,352.26
|
| Rate for Payer: Meridian Medicaid |
$52,869.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$50,352.26
|
| Rate for Payer: UHCCP Medicaid |
$50,352.26
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$101,806.32
|
|
|
Service Code
|
APR-DRG 0014
|
| Min. Negotiated Rate |
$96,958.40 |
| Max. Negotiated Rate |
$101,806.32 |
| Rate for Payer: BCBS Complete |
$101,806.32
|
| Rate for Payer: Mclaren Medicaid |
$96,958.40
|
| Rate for Payer: Meridian Medicaid |
$101,806.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$96,958.40
|
| Rate for Payer: UHCCP Medicaid |
$96,958.40
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,625.93
|
|
|
Service Code
|
APR-DRG 1813
|
| Min. Negotiated Rate |
$17,738.98 |
| Max. Negotiated Rate |
$18,625.93 |
| Rate for Payer: BCBS Complete |
$18,625.93
|
| Rate for Payer: Mclaren Medicaid |
$17,738.98
|
| Rate for Payer: Meridian Medicaid |
$18,625.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,738.98
|
| Rate for Payer: UHCCP Medicaid |
$17,738.98
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$27,071.23
|
|
|
Service Code
|
APR-DRG 1814
|
| Min. Negotiated Rate |
$25,782.12 |
| Max. Negotiated Rate |
$27,071.23 |
| Rate for Payer: BCBS Complete |
$27,071.23
|
| Rate for Payer: Mclaren Medicaid |
$25,782.12
|
| Rate for Payer: Meridian Medicaid |
$27,071.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,782.12
|
| Rate for Payer: UHCCP Medicaid |
$25,782.12
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$10,122.79
|
|
|
Service Code
|
APR-DRG 1811
|
| 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: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,940.52
|
|
|
Service Code
|
APR-DRG 1812
|
| Min. Negotiated Rate |
$13,276.69 |
| Max. Negotiated Rate |
$13,940.52 |
| Rate for Payer: BCBS Complete |
$13,940.52
|
| Rate for Payer: Mclaren Medicaid |
$13,276.69
|
| Rate for Payer: Meridian Medicaid |
$13,940.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,276.69
|
| Rate for Payer: UHCCP Medicaid |
$13,276.69
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$13,766.99
|
|
|
Service Code
|
APR-DRG 6944
|
| 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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 6941
|
| Min. Negotiated Rate |
$4,021.57 |
| Max. Negotiated Rate |
$4,222.65 |
| Rate for Payer: BCBS Complete |
$4,222.65
|
| Rate for Payer: Mclaren Medicaid |
$4,021.57
|
| Rate for Payer: Meridian Medicaid |
$4,222.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,021.57
|
| Rate for Payer: UHCCP Medicaid |
$4,021.57
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$8,329.61
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$7,932.96 |
| Max. Negotiated Rate |
$8,329.61 |
| Rate for Payer: BCBS Complete |
$8,329.61
|
| Rate for Payer: Mclaren Medicaid |
$7,932.96
|
| Rate for Payer: Meridian Medicaid |
$8,329.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.96
|
| Rate for Payer: UHCCP Medicaid |
$7,932.96
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$5,495.23
|
|
|
Service Code
|
APR-DRG 6942
|
| Min. Negotiated Rate |
$5,233.55 |
| Max. Negotiated Rate |
$5,495.23 |
| Rate for Payer: BCBS Complete |
$5,495.23
|
| Rate for Payer: Mclaren Medicaid |
$5,233.55
|
| Rate for Payer: Meridian Medicaid |
$5,495.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,233.55
|
| Rate for Payer: UHCCP Medicaid |
$5,233.55
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$8,098.23 |
| Max. Negotiated Rate |
$8,503.14 |
| Rate for Payer: BCBS Complete |
$8,503.14
|
| Rate for Payer: Mclaren Medicaid |
$8,098.23
|
| Rate for Payer: Meridian Medicaid |
$8,503.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,098.23
|
| Rate for Payer: UHCCP Medicaid |
$8,098.23
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$12,667.95
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$12,064.71 |
| Max. Negotiated Rate |
$12,667.95 |
| Rate for Payer: BCBS Complete |
$12,667.95
|
| Rate for Payer: Mclaren Medicaid |
$12,064.71
|
| Rate for Payer: Meridian Medicaid |
$12,667.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,064.71
|
| Rate for Payer: UHCCP Medicaid |
$12,064.71
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,189.36
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$5,894.63 |
| Max. Negotiated Rate |
$6,189.36 |
| Rate for Payer: BCBS Complete |
$6,189.36
|
| Rate for Payer: Mclaren Medicaid |
$5,894.63
|
| Rate for Payer: Meridian Medicaid |
$6,189.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,894.63
|
| Rate for Payer: UHCCP Medicaid |
$5,894.63
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$21,518.15
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$20,493.48 |
| Max. Negotiated Rate |
$21,518.15 |
| Rate for Payer: BCBS Complete |
$21,518.15
|
| Rate for Payer: Mclaren Medicaid |
$20,493.48
|
| Rate for Payer: Meridian Medicaid |
$21,518.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,493.48
|
| Rate for Payer: UHCCP Medicaid |
$20,493.48
|
|