|
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 ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$12,841.48
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$12,229.98 |
| Max. Negotiated Rate |
$12,841.48 |
| Rate for Payer: BCBS Complete |
$12,841.48
|
| Rate for Payer: Mclaren Medicaid |
$12,229.98
|
| Rate for Payer: Meridian Medicaid |
$12,841.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,229.98
|
| Rate for Payer: UHCCP Medicaid |
$12,229.98
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$7,657.51 |
| Max. Negotiated Rate |
$8,040.39 |
| Rate for Payer: BCBS Complete |
$8,040.39
|
| Rate for Payer: Mclaren Medicaid |
$7,657.51
|
| Rate for Payer: Meridian Medicaid |
$8,040.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,657.51
|
| Rate for Payer: UHCCP Medicaid |
$7,657.51
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$5,619.18 |
| Max. Negotiated Rate |
$5,900.14 |
| Rate for Payer: BCBS Complete |
$5,900.14
|
| Rate for Payer: Mclaren Medicaid |
$5,619.18
|
| Rate for Payer: Meridian Medicaid |
$5,900.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,619.18
|
| Rate for Payer: UHCCP Medicaid |
$5,619.18
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$3,966.48 |
| Max. Negotiated Rate |
$4,164.80 |
| Rate for Payer: BCBS Complete |
$4,164.80
|
| Rate for Payer: Mclaren Medicaid |
$3,966.48
|
| Rate for Payer: Meridian Medicaid |
$4,164.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,966.48
|
| Rate for Payer: UHCCP Medicaid |
$3,966.48
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$4,847.92 |
| Max. Negotiated Rate |
$5,090.32 |
| Rate for Payer: BCBS Complete |
$5,090.32
|
| Rate for Payer: Mclaren Medicaid |
$4,847.92
|
| Rate for Payer: Meridian Medicaid |
$5,090.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,847.92
|
| Rate for Payer: UHCCP Medicaid |
$4,847.92
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 2483
|
| 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: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$10,527.70
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$10,026.38 |
| Max. Negotiated Rate |
$10,527.70 |
| Rate for Payer: BCBS Complete |
$10,527.70
|
| Rate for Payer: Mclaren Medicaid |
$10,026.38
|
| Rate for Payer: Meridian Medicaid |
$10,527.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,026.38
|
| Rate for Payer: UHCCP Medicaid |
$10,026.38
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$3,691.03 |
| Max. Negotiated Rate |
$3,875.58 |
| Rate for Payer: BCBS Complete |
$3,875.58
|
| Rate for Payer: Mclaren Medicaid |
$3,691.03
|
| Rate for Payer: Meridian Medicaid |
$3,875.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,691.03
|
| Rate for Payer: UHCCP Medicaid |
$3,691.03
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$8,792.36
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$8,373.68 |
| Max. Negotiated Rate |
$8,792.36 |
| Rate for Payer: BCBS Complete |
$8,792.36
|
| Rate for Payer: Mclaren Medicaid |
$8,373.68
|
| Rate for Payer: Meridian Medicaid |
$8,792.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,373.68
|
| Rate for Payer: UHCCP Medicaid |
$8,373.68
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$4,352.11 |
| Max. Negotiated Rate |
$4,569.72 |
| Rate for Payer: BCBS Complete |
$4,569.72
|
| Rate for Payer: Mclaren Medicaid |
$4,352.11
|
| Rate for Payer: Meridian Medicaid |
$4,569.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,352.11
|
| Rate for Payer: UHCCP Medicaid |
$4,352.11
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$16,774.90
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$15,976.10 |
| Max. Negotiated Rate |
$16,774.90 |
| Rate for Payer: BCBS Complete |
$16,774.90
|
| Rate for Payer: Mclaren Medicaid |
$15,976.10
|
| Rate for Payer: Meridian Medicaid |
$16,774.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,976.10
|
| Rate for Payer: UHCCP Medicaid |
$15,976.10
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$5,437.38
|
|
|
Service Code
|
APR-DRG 6602
|
| 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 LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$25,567.27
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$24,349.78 |
| Max. Negotiated Rate |
$25,567.27 |
| Rate for Payer: BCBS Complete |
$25,567.27
|
| Rate for Payer: Mclaren Medicaid |
$24,349.78
|
| Rate for Payer: Meridian Medicaid |
$25,567.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,349.78
|
| Rate for Payer: UHCCP Medicaid |
$24,349.78
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,973.81
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$11,403.63 |
| Max. Negotiated Rate |
$11,973.81 |
| Rate for Payer: BCBS Complete |
$11,973.81
|
| Rate for Payer: Mclaren Medicaid |
$11,403.63
|
| Rate for Payer: Meridian Medicaid |
$11,973.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,403.63
|
| Rate for Payer: UHCCP Medicaid |
$11,403.63
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$17,237.66
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$16,416.82 |
| Max. Negotiated Rate |
$17,237.66 |
| Rate for Payer: BCBS Complete |
$17,237.66
|
| Rate for Payer: Mclaren Medicaid |
$16,416.82
|
| Rate for Payer: Meridian Medicaid |
$17,237.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,416.82
|
| Rate for Payer: UHCCP Medicaid |
$16,416.82
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 2311
|
| 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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$15,213.10
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$14,488.67 |
| Max. Negotiated Rate |
$15,213.10 |
| Rate for Payer: BCBS Complete |
$15,213.10
|
| Rate for Payer: Mclaren Medicaid |
$14,488.67
|
| Rate for Payer: Meridian Medicaid |
$15,213.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,488.67
|
| Rate for Payer: UHCCP Medicaid |
$14,488.67
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$41,127.44
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$39,168.99 |
| Max. Negotiated Rate |
$41,127.44 |
| Rate for Payer: BCBS Complete |
$41,127.44
|
| Rate for Payer: Mclaren Medicaid |
$39,168.99
|
| Rate for Payer: Meridian Medicaid |
$41,127.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,168.99
|
| Rate for Payer: UHCCP Medicaid |
$39,168.99
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$21,691.69
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$20,658.75 |
| Max. Negotiated Rate |
$21,691.69 |
| Rate for Payer: BCBS Complete |
$21,691.69
|
| Rate for Payer: Mclaren Medicaid |
$20,658.75
|
| Rate for Payer: Meridian Medicaid |
$21,691.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,658.75
|
| Rate for Payer: UHCCP Medicaid |
$20,658.75
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$10,632.37 |
| Max. Negotiated Rate |
$11,163.99 |
| Rate for Payer: BCBS Complete |
$11,163.99
|
| Rate for Payer: Mclaren Medicaid |
$10,632.37
|
| Rate for Payer: Meridian Medicaid |
$11,163.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,632.37
|
| Rate for Payer: UHCCP Medicaid |
$10,632.37
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$10,122.79
|
|
|
Service Code
|
APR-DRG 2601
|
| 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: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$13,593.46
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$12,946.15 |
| Max. Negotiated Rate |
$13,593.46 |
| Rate for Payer: BCBS Complete |
$13,593.46
|
| Rate for Payer: Mclaren Medicaid |
$12,946.15
|
| Rate for Payer: Meridian Medicaid |
$13,593.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,946.15
|
| Rate for Payer: UHCCP Medicaid |
$12,946.15
|
|
|
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
|
$23,542.71
|
|
|
Service Code
|
APR-DRG 2604
|
| 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
|
|