|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 2421
|
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,858.94
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$4,627.56 |
| Max. Negotiated Rate |
$4,858.94 |
| Rate for Payer: BCBS Complete |
$4,858.94
|
| Rate for Payer: Mclaren Medicaid |
$4,627.56
|
| Rate for Payer: Meridian Medicaid |
$4,858.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,627.56
|
| Rate for Payer: UHCCP Medicaid |
$4,627.56
|
|
|
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
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$6,709.96
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$6,390.44 |
| Max. Negotiated Rate |
$6,709.96 |
| Rate for Payer: BCBS Complete |
$6,709.96
|
| Rate for Payer: Mclaren Medicaid |
$6,390.44
|
| Rate for Payer: Meridian Medicaid |
$6,709.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,390.44
|
| Rate for Payer: UHCCP Medicaid |
$6,390.44
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,454.03
|
|
|
Service Code
|
APR-DRG 2482
|
| 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 GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$11,742.43
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$11,183.27 |
| Max. Negotiated Rate |
$11,742.43 |
| Rate for Payer: BCBS Complete |
$11,742.43
|
| Rate for Payer: Mclaren Medicaid |
$11,183.27
|
| Rate for Payer: Meridian Medicaid |
$11,742.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,183.27
|
| Rate for Payer: UHCCP Medicaid |
$11,183.27
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$3,085.04 |
| Max. Negotiated Rate |
$3,239.29 |
| Rate for Payer: BCBS Complete |
$3,239.29
|
| Rate for Payer: Mclaren Medicaid |
$3,085.04
|
| Rate for Payer: Meridian Medicaid |
$3,239.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,085.04
|
| Rate for Payer: UHCCP Medicaid |
$3,085.04
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,049.11
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$3,856.30 |
| Max. Negotiated Rate |
$4,049.11 |
| Rate for Payer: BCBS Complete |
$4,049.11
|
| Rate for Payer: Mclaren Medicaid |
$3,856.30
|
| Rate for Payer: Meridian Medicaid |
$4,049.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,856.30
|
| Rate for Payer: UHCCP Medicaid |
$3,856.30
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$8,098.23
|
|
|
Service Code
|
APR-DRG 6603
|
| 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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$15,386.64
|
|
|
Service Code
|
APR-DRG 6604
|
| 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 HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 6602
|
| Min. Negotiated Rate |
$4,903.01 |
| Max. Negotiated Rate |
$5,148.16 |
| Rate for Payer: BCBS Complete |
$5,148.16
|
| Rate for Payer: Mclaren Medicaid |
$4,903.01
|
| Rate for Payer: Meridian Medicaid |
$5,148.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,903.01
|
| Rate for Payer: UHCCP Medicaid |
$4,903.01
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$23,542.71
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$22,421.63 |
| Max. Negotiated Rate |
$23,542.71 |
| Rate for Payer: BCBS Complete |
$23,542.71
|
| Rate for Payer: Mclaren Medicaid |
$22,421.63
|
| Rate for Payer: Meridian Medicaid |
$23,542.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,421.63
|
| Rate for Payer: UHCCP Medicaid |
$22,421.63
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$15,849.39
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$15,094.66 |
| Max. Negotiated Rate |
$15,849.39 |
| Rate for Payer: BCBS Complete |
$15,849.39
|
| Rate for Payer: Mclaren Medicaid |
$15,094.66
|
| Rate for Payer: Meridian Medicaid |
$15,849.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,094.66
|
| Rate for Payer: UHCCP Medicaid |
$15,094.66
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$10,522.19 |
| Max. Negotiated Rate |
$11,048.30 |
| Rate for Payer: BCBS Complete |
$11,048.30
|
| Rate for Payer: Mclaren Medicaid |
$10,522.19
|
| Rate for Payer: Meridian Medicaid |
$11,048.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,522.19
|
| Rate for Payer: UHCCP Medicaid |
$10,522.19
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,618.83
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$8,208.41 |
| Max. Negotiated Rate |
$8,618.83 |
| Rate for Payer: BCBS Complete |
$8,618.83
|
| Rate for Payer: Mclaren Medicaid |
$8,208.41
|
| Rate for Payer: Meridian Medicaid |
$8,618.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,208.41
|
| Rate for Payer: UHCCP Medicaid |
$8,208.41
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,130.70
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$12,505.43 |
| Max. Negotiated Rate |
$13,130.70 |
| Rate for Payer: BCBS Complete |
$13,130.70
|
| Rate for Payer: Mclaren Medicaid |
$12,505.43
|
| Rate for Payer: Meridian Medicaid |
$13,130.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,505.43
|
| Rate for Payer: UHCCP Medicaid |
$12,505.43
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$38,235.21
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$36,414.49 |
| Max. Negotiated Rate |
$38,235.21 |
| Rate for Payer: BCBS Complete |
$38,235.21
|
| Rate for Payer: Mclaren Medicaid |
$36,414.49
|
| Rate for Payer: Meridian Medicaid |
$38,235.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,414.49
|
| Rate for Payer: UHCCP Medicaid |
$36,414.49
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,544.34
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$9,089.85 |
| Max. Negotiated Rate |
$9,544.34 |
| Rate for Payer: BCBS Complete |
$9,544.34
|
| Rate for Payer: Mclaren Medicaid |
$9,089.85
|
| Rate for Payer: Meridian Medicaid |
$9,544.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,089.85
|
| Rate for Payer: UHCCP Medicaid |
$9,089.85
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$20,824.02
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$19,832.40 |
| Max. Negotiated Rate |
$20,824.02 |
| Rate for Payer: BCBS Complete |
$20,824.02
|
| Rate for Payer: Mclaren Medicaid |
$19,832.40
|
| Rate for Payer: Meridian Medicaid |
$20,824.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,832.40
|
| Rate for Payer: UHCCP Medicaid |
$19,832.40
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$14,808.19
|
|
|
Service Code
|
APR-DRG 2602
|
| 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: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$33,202.74
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$31,621.66 |
| Max. Negotiated Rate |
$33,202.74 |
| Rate for Payer: BCBS Complete |
$33,202.74
|
| Rate for Payer: Mclaren Medicaid |
$31,621.66
|
| Rate for Payer: Meridian Medicaid |
$33,202.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,621.66
|
| Rate for Payer: UHCCP Medicaid |
$31,621.66
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$19,667.13
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$18,730.60 |
| Max. Negotiated Rate |
$19,667.13 |
| Rate for Payer: BCBS Complete |
$19,667.13
|
| Rate for Payer: Mclaren Medicaid |
$18,730.60
|
| Rate for Payer: Meridian Medicaid |
$19,667.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,730.60
|
| Rate for Payer: UHCCP Medicaid |
$18,730.60
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$10,874.77
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$10,356.92 |
| Max. Negotiated Rate |
$10,874.77 |
| Rate for Payer: BCBS Complete |
$10,874.77
|
| Rate for Payer: Mclaren Medicaid |
$10,356.92
|
| Rate for Payer: Meridian Medicaid |
$10,874.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,356.92
|
| Rate for Payer: UHCCP Medicaid |
$10,356.92
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$32,045.85
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$30,519.86 |
| Max. Negotiated Rate |
$32,045.85 |
| Rate for Payer: BCBS Complete |
$32,045.85
|
| Rate for Payer: Mclaren Medicaid |
$30,519.86
|
| Rate for Payer: Meridian Medicaid |
$32,045.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,519.86
|
| Rate for Payer: UHCCP Medicaid |
$30,519.86
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$20,187.73
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$19,226.41 |
| Max. Negotiated Rate |
$20,187.73 |
| Rate for Payer: BCBS Complete |
$20,187.73
|
| Rate for Payer: Mclaren Medicaid |
$19,226.41
|
| Rate for Payer: Meridian Medicaid |
$20,187.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,226.41
|
| Rate for Payer: UHCCP Medicaid |
$19,226.41
|
|