|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$6,280.26 |
| Max. Negotiated Rate |
$6,594.27 |
| Rate for Payer: BCBS Complete |
$6,594.27
|
| Rate for Payer: Mclaren Medicaid |
$6,280.26
|
| Rate for Payer: Meridian Medicaid |
$6,594.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,280.26
|
| Rate for Payer: UHCCP Medicaid |
$6,280.26
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$16,080.77
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$15,315.02 |
| Max. Negotiated Rate |
$16,080.77 |
| Rate for Payer: BCBS Complete |
$16,080.77
|
| Rate for Payer: Mclaren Medicaid |
$15,315.02
|
| Rate for Payer: Meridian Medicaid |
$16,080.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,315.02
|
| Rate for Payer: UHCCP Medicaid |
$15,315.02
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$20,303.42
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$19,336.59 |
| Max. Negotiated Rate |
$20,303.42 |
| Rate for Payer: BCBS Complete |
$20,303.42
|
| Rate for Payer: Mclaren Medicaid |
$19,336.59
|
| Rate for Payer: Meridian Medicaid |
$20,303.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,336.59
|
| Rate for Payer: UHCCP Medicaid |
$19,336.59
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$33,434.12
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$31,842.02 |
| Max. Negotiated Rate |
$33,434.12 |
| Rate for Payer: BCBS Complete |
$33,434.12
|
| Rate for Payer: Mclaren Medicaid |
$31,842.02
|
| Rate for Payer: Meridian Medicaid |
$33,434.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,842.02
|
| Rate for Payer: UHCCP Medicaid |
$31,842.02
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,526.88
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$16,692.27 |
| Max. Negotiated Rate |
$17,526.88 |
| Rate for Payer: BCBS Complete |
$17,526.88
|
| Rate for Payer: Mclaren Medicaid |
$16,692.27
|
| Rate for Payer: Meridian Medicaid |
$17,526.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,692.27
|
| Rate for Payer: UHCCP Medicaid |
$16,692.27
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$26,724.16
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$25,451.58 |
| Max. Negotiated Rate |
$26,724.16 |
| Rate for Payer: BCBS Complete |
$26,724.16
|
| Rate for Payer: Mclaren Medicaid |
$25,451.58
|
| Rate for Payer: Meridian Medicaid |
$26,724.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,451.58
|
| Rate for Payer: UHCCP Medicaid |
$25,451.58
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$32,103.70
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$30,574.95 |
| Max. Negotiated Rate |
$32,103.70 |
| Rate for Payer: BCBS Complete |
$32,103.70
|
| Rate for Payer: Mclaren Medicaid |
$30,574.95
|
| Rate for Payer: Meridian Medicaid |
$32,103.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,574.95
|
| Rate for Payer: UHCCP Medicaid |
$30,574.95
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$13,188.55
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$12,560.52 |
| Max. Negotiated Rate |
$13,188.55 |
| Rate for Payer: BCBS Complete |
$13,188.55
|
| Rate for Payer: Mclaren Medicaid |
$12,560.52
|
| Rate for Payer: Meridian Medicaid |
$13,188.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,560.52
|
| Rate for Payer: UHCCP Medicaid |
$12,560.52
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$17,006.28
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$16,196.46 |
| Max. Negotiated Rate |
$17,006.28 |
| Rate for Payer: BCBS Complete |
$17,006.28
|
| Rate for Payer: Mclaren Medicaid |
$16,196.46
|
| Rate for Payer: Meridian Medicaid |
$17,006.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,196.46
|
| Rate for Payer: UHCCP Medicaid |
$16,196.46
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 2611
|
| Min. Negotiated Rate |
$8,869.49 |
| Max. Negotiated Rate |
$9,312.96 |
| Rate for Payer: BCBS Complete |
$9,312.96
|
| Rate for Payer: Mclaren Medicaid |
$8,869.49
|
| Rate for Payer: Meridian Medicaid |
$9,312.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,869.49
|
| Rate for Payer: UHCCP Medicaid |
$8,869.49
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$16,890.59
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$16,086.28 |
| Max. Negotiated Rate |
$16,890.59 |
| Rate for Payer: BCBS Complete |
$16,890.59
|
| Rate for Payer: Mclaren Medicaid |
$16,086.28
|
| Rate for Payer: Meridian Medicaid |
$16,890.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,086.28
|
| Rate for Payer: UHCCP Medicaid |
$16,086.28
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$32,219.39
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$30,685.13 |
| Max. Negotiated Rate |
$32,219.39 |
| Rate for Payer: BCBS Complete |
$32,219.39
|
| Rate for Payer: Mclaren Medicaid |
$30,685.13
|
| Rate for Payer: Meridian Medicaid |
$32,219.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,685.13
|
| Rate for Payer: UHCCP Medicaid |
$30,685.13
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$13,535.61
|
|
|
Service Code
|
APR-DRG 4411
|
| 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 BLADDER PROCEDURES
|
Facility
|
IP
|
$22,096.60
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$21,044.38 |
| Max. Negotiated Rate |
$22,096.60 |
| Rate for Payer: BCBS Complete |
$22,096.60
|
| Rate for Payer: Mclaren Medicaid |
$21,044.38
|
| Rate for Payer: Meridian Medicaid |
$22,096.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,044.38
|
| Rate for Payer: UHCCP Medicaid |
$21,044.38
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$52,580.65
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$50,076.81 |
| Max. Negotiated Rate |
$52,580.65 |
| Rate for Payer: BCBS Complete |
$52,580.65
|
| Rate for Payer: Mclaren Medicaid |
$50,076.81
|
| Rate for Payer: Meridian Medicaid |
$52,580.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$50,076.81
|
| Rate for Payer: UHCCP Medicaid |
$50,076.81
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$88,328.55
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$84,122.43 |
| Max. Negotiated Rate |
$88,328.55 |
| Rate for Payer: BCBS Complete |
$88,328.55
|
| Rate for Payer: Mclaren Medicaid |
$84,122.43
|
| Rate for Payer: Meridian Medicaid |
$88,328.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$84,122.43
|
| Rate for Payer: UHCCP Medicaid |
$84,122.43
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$29,385.01
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$27,985.72 |
| Max. Negotiated Rate |
$29,385.01 |
| Rate for Payer: BCBS Complete |
$29,385.01
|
| Rate for Payer: Mclaren Medicaid |
$27,985.72
|
| Rate for Payer: Meridian Medicaid |
$29,385.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,985.72
|
| Rate for Payer: UHCCP Medicaid |
$27,985.72
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$41,648.04
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$39,664.80 |
| Max. Negotiated Rate |
$41,648.04 |
| Rate for Payer: BCBS Complete |
$41,648.04
|
| Rate for Payer: Mclaren Medicaid |
$39,664.80
|
| Rate for Payer: Meridian Medicaid |
$41,648.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,664.80
|
| Rate for Payer: UHCCP Medicaid |
$39,664.80
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$12,089.50
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$11,513.81 |
| Max. Negotiated Rate |
$12,089.50 |
| Rate for Payer: BCBS Complete |
$12,089.50
|
| Rate for Payer: Mclaren Medicaid |
$11,513.81
|
| Rate for Payer: Meridian Medicaid |
$12,089.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,513.81
|
| Rate for Payer: UHCCP Medicaid |
$11,513.81
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,437.38
|
|
|
Service Code
|
APR-DRG 1352
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 1353
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,454.03
|
|
|
Service Code
|
APR-DRG 1351
|
| Min. Negotiated Rate |
$4,241.93 |
| Max. Negotiated Rate |
$4,454.03 |
| Rate for Payer: BCBS Complete |
$4,454.03
|
| Rate for Payer: Mclaren Medicaid |
$4,241.93
|
| Rate for Payer: Meridian Medicaid |
$4,454.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,241.93
|
| Rate for Payer: UHCCP Medicaid |
$4,241.93
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$17,584.73
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$16,747.36 |
| Max. Negotiated Rate |
$17,584.73 |
| Rate for Payer: BCBS Complete |
$17,584.73
|
| Rate for Payer: Mclaren Medicaid |
$16,747.36
|
| Rate for Payer: Meridian Medicaid |
$17,584.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,747.36
|
| Rate for Payer: UHCCP Medicaid |
$16,747.36
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$12,494.41
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$11,899.44 |
| Max. Negotiated Rate |
$12,494.41 |
| Rate for Payer: BCBS Complete |
$12,494.41
|
| Rate for Payer: Mclaren Medicaid |
$11,899.44
|
| Rate for Payer: Meridian Medicaid |
$12,494.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,899.44
|
| Rate for Payer: UHCCP Medicaid |
$11,899.44
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$32,277.23
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$30,740.22 |
| Max. Negotiated Rate |
$32,277.23 |
| Rate for Payer: BCBS Complete |
$32,277.23
|
| Rate for Payer: Mclaren Medicaid |
$30,740.22
|
| Rate for Payer: Meridian Medicaid |
$32,277.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,740.22
|
| Rate for Payer: UHCCP Medicaid |
$30,740.22
|
|