|
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
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$13,419.92
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$12,780.88 |
| Max. Negotiated Rate |
$13,419.92 |
| Rate for Payer: BCBS Complete |
$13,419.92
|
| Rate for Payer: Mclaren Medicaid |
$12,780.88
|
| Rate for Payer: Meridian Medicaid |
$13,419.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,780.88
|
| Rate for Payer: UHCCP Medicaid |
$12,780.88
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$6,073.67
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,784.45 |
| Max. Negotiated Rate |
$6,073.67 |
| Rate for Payer: BCBS Complete |
$6,073.67
|
| Rate for Payer: Mclaren Medicaid |
$5,784.45
|
| Rate for Payer: Meridian Medicaid |
$6,073.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,784.45
|
| Rate for Payer: UHCCP Medicaid |
$5,784.45
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$10,907.82 |
| Max. Negotiated Rate |
$11,453.21 |
| Rate for Payer: BCBS Complete |
$11,453.21
|
| Rate for Payer: Mclaren Medicaid |
$10,907.82
|
| Rate for Payer: Meridian Medicaid |
$11,453.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,907.82
|
| Rate for Payer: UHCCP Medicaid |
$10,907.82
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$3,195.22 |
| Max. Negotiated Rate |
$3,354.98 |
| Rate for Payer: BCBS Complete |
$3,354.98
|
| Rate for Payer: Mclaren Medicaid |
$3,195.22
|
| Rate for Payer: Meridian Medicaid |
$3,354.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,911.39 |
| Max. Negotiated Rate |
$4,106.96 |
| Rate for Payer: BCBS Complete |
$4,106.96
|
| Rate for Payer: Mclaren Medicaid |
$3,911.39
|
| Rate for Payer: Meridian Medicaid |
$4,106.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,911.39
|
| Rate for Payer: UHCCP Medicaid |
$3,911.39
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$7,767.69 |
| Max. Negotiated Rate |
$8,156.07 |
| Rate for Payer: BCBS Complete |
$8,156.07
|
| Rate for Payer: Mclaren Medicaid |
$7,767.69
|
| Rate for Payer: Meridian Medicaid |
$8,156.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,767.69
|
| Rate for Payer: UHCCP Medicaid |
$7,767.69
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,776.54
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,644.32 |
| Max. Negotiated Rate |
$2,776.54 |
| Rate for Payer: BCBS Complete |
$2,776.54
|
| Rate for Payer: Mclaren Medicaid |
$2,644.32
|
| Rate for Payer: Meridian Medicaid |
$2,776.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,644.32
|
| Rate for Payer: UHCCP Medicaid |
$2,644.32
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$16,890.59
|
|
|
Service Code
|
APR-DRG 3814
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 2301
|
| Min. Negotiated Rate |
$6,720.98 |
| Max. Negotiated Rate |
$7,057.03 |
| Rate for Payer: BCBS Complete |
$7,057.03
|
| Rate for Payer: Mclaren Medicaid |
$6,720.98
|
| Rate for Payer: Meridian Medicaid |
$7,057.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,720.98
|
| Rate for Payer: UHCCP Medicaid |
$6,720.98
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$26,666.31
|
|
|
Service Code
|
APR-DRG 2304
|
| Min. Negotiated Rate |
$25,396.49 |
| Max. Negotiated Rate |
$26,666.31 |
| Rate for Payer: BCBS Complete |
$26,666.31
|
| Rate for Payer: Mclaren Medicaid |
$25,396.49
|
| Rate for Payer: Meridian Medicaid |
$26,666.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,396.49
|
| Rate for Payer: UHCCP Medicaid |
$25,396.49
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 2302
|
| Min. Negotiated Rate |
$10,907.82 |
| Max. Negotiated Rate |
$11,453.21 |
| Rate for Payer: BCBS Complete |
$11,453.21
|
| Rate for Payer: Mclaren Medicaid |
$10,907.82
|
| Rate for Payer: Meridian Medicaid |
$11,453.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,907.82
|
| Rate for Payer: UHCCP Medicaid |
$10,907.82
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$16,832.75
|
|
|
Service Code
|
APR-DRG 2303
|
| Min. Negotiated Rate |
$16,031.19 |
| Max. Negotiated Rate |
$16,832.75 |
| Rate for Payer: BCBS Complete |
$16,832.75
|
| Rate for Payer: Mclaren Medicaid |
$16,031.19
|
| Rate for Payer: Meridian Medicaid |
$16,832.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,031.19
|
| Rate for Payer: UHCCP Medicaid |
$16,031.19
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$31,525.25
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$30,024.05 |
| Max. Negotiated Rate |
$31,525.25 |
| Rate for Payer: BCBS Complete |
$31,525.25
|
| Rate for Payer: Mclaren Medicaid |
$30,024.05
|
| Rate for Payer: Meridian Medicaid |
$31,525.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,024.05
|
| Rate for Payer: UHCCP Medicaid |
$30,024.05
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$18,799.46
|
|
|
Service Code
|
APR-DRG 2203
|
| Min. Negotiated Rate |
$17,904.25 |
| Max. Negotiated Rate |
$18,799.46 |
| Rate for Payer: BCBS Complete |
$18,799.46
|
| Rate for Payer: Mclaren Medicaid |
$17,904.25
|
| Rate for Payer: Meridian Medicaid |
$18,799.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,904.25
|
| Rate for Payer: UHCCP Medicaid |
$17,904.25
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$12,841.48
|
|
|
Service Code
|
APR-DRG 2202
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,908.05
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$8,483.86 |
| Max. Negotiated Rate |
$8,908.05 |
| Rate for Payer: BCBS Complete |
$8,908.05
|
| Rate for Payer: Mclaren Medicaid |
$8,483.86
|
| Rate for Payer: Meridian Medicaid |
$8,908.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,483.86
|
| Rate for Payer: UHCCP Medicaid |
$8,483.86
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 5011
|
| Min. Negotiated Rate |
$3,029.95 |
| Max. Negotiated Rate |
$3,181.45 |
| Rate for Payer: BCBS Complete |
$3,181.45
|
| Rate for Payer: Mclaren Medicaid |
$3,029.95
|
| Rate for Payer: Meridian Medicaid |
$3,181.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,029.95
|
| Rate for Payer: UHCCP Medicaid |
$3,029.95
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 5013
|
| Min. Negotiated Rate |
$5,729.36 |
| Max. Negotiated Rate |
$6,015.83 |
| Rate for Payer: BCBS Complete |
$6,015.83
|
| Rate for Payer: Mclaren Medicaid |
$5,729.36
|
| Rate for Payer: Meridian Medicaid |
$6,015.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,729.36
|
| Rate for Payer: UHCCP Medicaid |
$5,729.36
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,049.11
|
|
|
Service Code
|
APR-DRG 5012
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 5014
|
| 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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$13,824.84
|
|
|
Service Code
|
APR-DRG 2524
|
| Min. Negotiated Rate |
$13,166.51 |
| Max. Negotiated Rate |
$13,824.84 |
| Rate for Payer: BCBS Complete |
$13,824.84
|
| Rate for Payer: Mclaren Medicaid |
$13,166.51
|
| Rate for Payer: Meridian Medicaid |
$13,824.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,166.51
|
| Rate for Payer: UHCCP Medicaid |
$13,166.51
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 2522
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 2521
|
| Min. Negotiated Rate |
$3,580.85 |
| Max. Negotiated Rate |
$3,759.89 |
| Rate for Payer: BCBS Complete |
$3,759.89
|
| Rate for Payer: Mclaren Medicaid |
$3,580.85
|
| Rate for Payer: Meridian Medicaid |
$3,759.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,580.85
|
| Rate for Payer: UHCCP Medicaid |
$3,580.85
|
|