|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$10,852.73 |
| Max. Negotiated Rate |
$11,395.37 |
| Rate for Payer: BCBS Complete |
$11,395.37
|
| Rate for Payer: Mclaren Medicaid |
$10,852.73
|
| Rate for Payer: Meridian Medicaid |
$11,395.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,852.73
|
| Rate for Payer: UHCCP Medicaid |
$10,852.73
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,444.48
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$14,709.03 |
| Max. Negotiated Rate |
$15,444.48 |
| Rate for Payer: BCBS Complete |
$15,444.48
|
| Rate for Payer: Mclaren Medicaid |
$14,709.03
|
| Rate for Payer: Meridian Medicaid |
$15,444.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,709.03
|
| Rate for Payer: UHCCP Medicaid |
$14,709.03
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$30,946.81
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$29,473.15 |
| Max. Negotiated Rate |
$30,946.81 |
| Rate for Payer: BCBS Complete |
$30,946.81
|
| Rate for Payer: Mclaren Medicaid |
$29,473.15
|
| Rate for Payer: Meridian Medicaid |
$30,946.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,473.15
|
| Rate for Payer: UHCCP Medicaid |
$29,473.15
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$21,923.07
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$20,879.11 |
| Max. Negotiated Rate |
$21,923.07 |
| Rate for Payer: BCBS Complete |
$21,923.07
|
| Rate for Payer: Mclaren Medicaid |
$20,879.11
|
| Rate for Payer: Meridian Medicaid |
$21,923.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,879.11
|
| Rate for Payer: UHCCP Medicaid |
$20,879.11
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$11,337.52
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$10,797.64 |
| Max. Negotiated Rate |
$11,337.52 |
| Rate for Payer: BCBS Complete |
$11,337.52
|
| Rate for Payer: Mclaren Medicaid |
$10,797.64
|
| Rate for Payer: Meridian Medicaid |
$11,337.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,797.64
|
| Rate for Payer: UHCCP Medicaid |
$10,797.64
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,545.16
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,423.96 |
| Max. Negotiated Rate |
$2,545.16 |
| Rate for Payer: BCBS Complete |
$2,545.16
|
| Rate for Payer: Mclaren Medicaid |
$2,423.96
|
| Rate for Payer: Meridian Medicaid |
$2,545.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,423.96
|
| Rate for Payer: UHCCP Medicaid |
$2,423.96
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$6,114.99 |
| Max. Negotiated Rate |
$6,420.74 |
| Rate for Payer: BCBS Complete |
$6,420.74
|
| Rate for Payer: Mclaren Medicaid |
$6,114.99
|
| Rate for Payer: Meridian Medicaid |
$6,420.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,114.99
|
| Rate for Payer: UHCCP Medicaid |
$6,114.99
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$4,297.02 |
| Max. Negotiated Rate |
$4,511.87 |
| Rate for Payer: BCBS Complete |
$4,511.87
|
| Rate for Payer: Mclaren Medicaid |
$4,297.02
|
| Rate for Payer: Meridian Medicaid |
$4,511.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,297.02
|
| Rate for Payer: UHCCP Medicaid |
$4,297.02
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$5,842.29
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$5,564.09 |
| Max. Negotiated Rate |
$5,842.29 |
| Rate for Payer: BCBS Complete |
$5,842.29
|
| Rate for Payer: Mclaren Medicaid |
$5,564.09
|
| Rate for Payer: Meridian Medicaid |
$5,842.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,564.09
|
| Rate for Payer: UHCCP Medicaid |
$5,564.09
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 3813
|
| 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 SKIN DISORDERS
|
Facility
|
IP
|
$2,660.85
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,534.14 |
| Max. Negotiated Rate |
$2,660.85 |
| Rate for Payer: BCBS Complete |
$2,660.85
|
| Rate for Payer: Mclaren Medicaid |
$2,534.14
|
| Rate for Payer: Meridian Medicaid |
$2,660.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,534.14
|
| Rate for Payer: UHCCP Medicaid |
$2,534.14
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$20,476.95
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$19,501.86 |
| Max. Negotiated Rate |
$20,476.95 |
| Rate for Payer: BCBS Complete |
$20,476.95
|
| Rate for Payer: Mclaren Medicaid |
$19,501.86
|
| Rate for Payer: Meridian Medicaid |
$20,476.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,501.86
|
| Rate for Payer: UHCCP Medicaid |
$19,501.86
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$18,221.02
|
|
|
Service Code
|
APR-DRG 2303
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 2301
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 2302
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$28,980.09
|
|
|
Service Code
|
APR-DRG 2304
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$12,205.19
|
|
|
Service Code
|
APR-DRG 2202
|
| Min. Negotiated Rate |
$11,623.99 |
| Max. Negotiated Rate |
$12,205.19 |
| Rate for Payer: BCBS Complete |
$12,205.19
|
| Rate for Payer: Mclaren Medicaid |
$11,623.99
|
| Rate for Payer: Meridian Medicaid |
$12,205.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.99
|
| Rate for Payer: UHCCP Medicaid |
$11,623.99
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$28,690.87
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$27,324.64 |
| Max. Negotiated Rate |
$28,690.87 |
| Rate for Payer: BCBS Complete |
$28,690.87
|
| Rate for Payer: Mclaren Medicaid |
$27,324.64
|
| Rate for Payer: Meridian Medicaid |
$28,690.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,324.64
|
| Rate for Payer: UHCCP Medicaid |
$27,324.64
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$10,238.48
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$9,750.93 |
| Max. Negotiated Rate |
$10,238.48 |
| Rate for Payer: BCBS Complete |
$10,238.48
|
| Rate for Payer: Mclaren Medicaid |
$9,750.93
|
| Rate for Payer: Meridian Medicaid |
$10,238.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,750.93
|
| Rate for Payer: UHCCP Medicaid |
$9,750.93
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$17,526.88
|
|
|
Service Code
|
APR-DRG 2203
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 5013
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$12,031.66
|
|
|
Service Code
|
APR-DRG 5014
|
| Min. Negotiated Rate |
$11,458.72 |
| Max. Negotiated Rate |
$12,031.66 |
| Rate for Payer: BCBS Complete |
$12,031.66
|
| Rate for Payer: Mclaren Medicaid |
$11,458.72
|
| Rate for Payer: Meridian Medicaid |
$12,031.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,458.72
|
| Rate for Payer: UHCCP Medicaid |
$11,458.72
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 5012
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 5011
|
| 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
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,114.87
|
|
|
Service Code
|
APR-DRG 2523
|
| Min. Negotiated Rate |
$6,776.07 |
| Max. Negotiated Rate |
$7,114.87 |
| Rate for Payer: BCBS Complete |
$7,114.87
|
| Rate for Payer: Mclaren Medicaid |
$6,776.07
|
| Rate for Payer: Meridian Medicaid |
$7,114.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,776.07
|
| Rate for Payer: UHCCP Medicaid |
$6,776.07
|
|