|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,270.95
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$14,543.76 |
| Max. Negotiated Rate |
$15,270.95 |
| Rate for Payer: BCBS Complete |
$15,270.95
|
| Rate for Payer: Mclaren Medicaid |
$14,543.76
|
| Rate for Payer: Meridian Medicaid |
$15,270.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,543.76
|
| Rate for Payer: UHCCP Medicaid |
$14,543.76
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,221.02
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$17,353.35 |
| Max. Negotiated Rate |
$18,221.02 |
| Rate for Payer: BCBS Complete |
$18,221.02
|
| Rate for Payer: Mclaren Medicaid |
$17,353.35
|
| Rate for Payer: Meridian Medicaid |
$18,221.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,353.35
|
| Rate for Payer: UHCCP Medicaid |
$17,353.35
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$32,913.52
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$31,346.21 |
| Max. Negotiated Rate |
$32,913.52 |
| Rate for Payer: BCBS Complete |
$32,913.52
|
| Rate for Payer: Mclaren Medicaid |
$31,346.21
|
| Rate for Payer: Meridian Medicaid |
$32,913.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,346.21
|
| Rate for Payer: UHCCP Medicaid |
$31,346.21
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$23,022.11
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$21,925.82 |
| Max. Negotiated Rate |
$23,022.11 |
| Rate for Payer: BCBS Complete |
$23,022.11
|
| Rate for Payer: Mclaren Medicaid |
$21,925.82
|
| Rate for Payer: Meridian Medicaid |
$23,022.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,925.82
|
| Rate for Payer: UHCCP Medicaid |
$21,925.82
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$30,888.96
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$29,418.06 |
| Max. Negotiated Rate |
$30,888.96 |
| Rate for Payer: BCBS Complete |
$30,888.96
|
| Rate for Payer: Mclaren Medicaid |
$29,418.06
|
| Rate for Payer: Meridian Medicaid |
$30,888.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,418.06
|
| Rate for Payer: UHCCP Medicaid |
$29,418.06
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$16,254.30
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$15,480.29 |
| Max. Negotiated Rate |
$16,254.30 |
| Rate for Payer: BCBS Complete |
$16,254.30
|
| Rate for Payer: Mclaren Medicaid |
$15,480.29
|
| Rate for Payer: Meridian Medicaid |
$16,254.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,480.29
|
| Rate for Payer: UHCCP Medicaid |
$15,480.29
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 2611
|
| 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: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$13,246.39
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$12,615.61 |
| Max. Negotiated Rate |
$13,246.39 |
| Rate for Payer: BCBS Complete |
$13,246.39
|
| Rate for Payer: Mclaren Medicaid |
$12,615.61
|
| Rate for Payer: Meridian Medicaid |
$13,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,615.61
|
| Rate for Payer: UHCCP Medicaid |
$12,615.61
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$28,980.09
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$27,600.09 |
| Max. Negotiated Rate |
$28,980.09 |
| Rate for Payer: BCBS Complete |
$28,980.09
|
| Rate for Payer: Mclaren Medicaid |
$27,600.09
|
| Rate for Payer: Meridian Medicaid |
$28,980.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,600.09
|
| Rate for Payer: UHCCP Medicaid |
$27,600.09
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 4411
|
| 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: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$19,898.51
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$18,950.96 |
| Max. Negotiated Rate |
$19,898.51 |
| Rate for Payer: BCBS Complete |
$19,898.51
|
| Rate for Payer: Mclaren Medicaid |
$18,950.96
|
| Rate for Payer: Meridian Medicaid |
$19,898.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,950.96
|
| Rate for Payer: UHCCP Medicaid |
$18,950.96
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$15,386.64
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$14,653.94 |
| Max. Negotiated Rate |
$15,386.64 |
| Rate for Payer: BCBS Complete |
$15,386.64
|
| Rate for Payer: Mclaren Medicaid |
$14,653.94
|
| Rate for Payer: Meridian Medicaid |
$15,386.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,653.94
|
| Rate for Payer: UHCCP Medicaid |
$14,653.94
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$27,186.92
|
|
|
Service Code
|
APR-DRG 1602
|
| 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: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$36,326.35
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$34,596.52 |
| Max. Negotiated Rate |
$36,326.35 |
| Rate for Payer: BCBS Complete |
$36,326.35
|
| Rate for Payer: Mclaren Medicaid |
$34,596.52
|
| Rate for Payer: Meridian Medicaid |
$36,326.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,596.52
|
| Rate for Payer: UHCCP Medicaid |
$34,596.52
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$78,379.30
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$74,646.95 |
| Max. Negotiated Rate |
$78,379.30 |
| Rate for Payer: BCBS Complete |
$78,379.30
|
| Rate for Payer: Mclaren Medicaid |
$74,646.95
|
| Rate for Payer: Meridian Medicaid |
$78,379.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$74,646.95
|
| Rate for Payer: UHCCP Medicaid |
$74,646.95
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$19,262.22
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$18,344.97 |
| Max. Negotiated Rate |
$19,262.22 |
| Rate for Payer: BCBS Complete |
$19,262.22
|
| Rate for Payer: Mclaren Medicaid |
$18,344.97
|
| Rate for Payer: Meridian Medicaid |
$19,262.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,344.97
|
| Rate for Payer: UHCCP Medicaid |
$18,344.97
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 1352
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 1351
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$13,015.01
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$12,395.25 |
| Max. Negotiated Rate |
$13,015.01 |
| Rate for Payer: BCBS Complete |
$13,015.01
|
| Rate for Payer: Mclaren Medicaid |
$12,395.25
|
| Rate for Payer: Meridian Medicaid |
$13,015.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,395.25
|
| Rate for Payer: UHCCP Medicaid |
$12,395.25
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$7,346.25
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$6,996.43 |
| Max. Negotiated Rate |
$7,346.25 |
| Rate for Payer: BCBS Complete |
$7,346.25
|
| Rate for Payer: Mclaren Medicaid |
$6,996.43
|
| Rate for Payer: Meridian Medicaid |
$7,346.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,996.43
|
| Rate for Payer: UHCCP Medicaid |
$6,996.43
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$13,535.61
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$12,891.06 |
| Max. Negotiated Rate |
$13,535.61 |
| Rate for Payer: BCBS Complete |
$13,535.61
|
| Rate for Payer: Mclaren Medicaid |
$12,891.06
|
| Rate for Payer: Meridian Medicaid |
$13,535.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,891.06
|
| Rate for Payer: UHCCP Medicaid |
$12,891.06
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$23,195.64
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$22,091.09 |
| Max. Negotiated Rate |
$23,195.64 |
| Rate for Payer: BCBS Complete |
$23,195.64
|
| Rate for Payer: Mclaren Medicaid |
$22,091.09
|
| Rate for Payer: Meridian Medicaid |
$23,195.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,091.09
|
| Rate for Payer: UHCCP Medicaid |
$22,091.09
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$31,062.50
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$29,583.33 |
| Max. Negotiated Rate |
$31,062.50 |
| Rate for Payer: BCBS Complete |
$31,062.50
|
| Rate for Payer: Mclaren Medicaid |
$29,583.33
|
| Rate for Payer: Meridian Medicaid |
$31,062.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,583.33
|
| Rate for Payer: UHCCP Medicaid |
$29,583.33
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$10,354.17
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$9,861.11 |
| Max. Negotiated Rate |
$10,354.17 |
| Rate for Payer: BCBS Complete |
$10,354.17
|
| Rate for Payer: Mclaren Medicaid |
$9,861.11
|
| Rate for Payer: Meridian Medicaid |
$10,354.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,861.11
|
| Rate for Payer: UHCCP Medicaid |
$9,861.11
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$14,171.90
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$13,497.05 |
| Max. Negotiated Rate |
$14,171.90 |
| Rate for Payer: BCBS Complete |
$14,171.90
|
| Rate for Payer: Mclaren Medicaid |
$13,497.05
|
| Rate for Payer: Meridian Medicaid |
$14,171.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,497.05
|
| Rate for Payer: UHCCP Medicaid |
$13,497.05
|
|