|
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, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 2062
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$13,535.61
|
|
|
Service Code
|
APR-DRG 2064
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 2061
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 2063
|
| Min. Negotiated Rate |
$7,382.06 |
| Max. Negotiated Rate |
$7,751.16 |
| Rate for Payer: BCBS Complete |
$7,751.16
|
| Rate for Payer: Mclaren Medicaid |
$7,382.06
|
| Rate for Payer: Meridian Medicaid |
$7,751.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,382.06
|
| Rate for Payer: UHCCP Medicaid |
$7,382.06
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 4664
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,767.81
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$6,445.53 |
| Max. Negotiated Rate |
$6,767.81 |
| Rate for Payer: BCBS Complete |
$6,767.81
|
| Rate for Payer: Mclaren Medicaid |
$6,445.53
|
| Rate for Payer: Meridian Medicaid |
$6,767.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,445.53
|
| Rate for Payer: UHCCP Medicaid |
$6,445.53
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 4661
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 3492
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 3491
|
| 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, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,263.03
|
|
|
Service Code
|
APR-DRG 3494
|
| Min. Negotiated Rate |
$11,679.08 |
| Max. Negotiated Rate |
$12,263.03 |
| Rate for Payer: BCBS Complete |
$12,263.03
|
| Rate for Payer: Mclaren Medicaid |
$11,679.08
|
| Rate for Payer: Meridian Medicaid |
$12,263.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,679.08
|
| Rate for Payer: UHCCP Medicaid |
$11,679.08
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,404.10
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$7,051.52 |
| Max. Negotiated Rate |
$7,404.10 |
| Rate for Payer: BCBS Complete |
$7,404.10
|
| Rate for Payer: Mclaren Medicaid |
$7,051.52
|
| Rate for Payer: Meridian Medicaid |
$7,404.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,051.52
|
| Rate for Payer: UHCCP Medicaid |
$7,051.52
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,974.63
|
|
|
Service Code
|
APR-DRG 5002
|
| Min. Negotiated Rate |
$4,737.74 |
| Max. Negotiated Rate |
$4,974.63 |
| Rate for Payer: BCBS Complete |
$4,974.63
|
| Rate for Payer: Mclaren Medicaid |
$4,737.74
|
| Rate for Payer: Meridian Medicaid |
$4,974.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,737.74
|
| Rate for Payer: UHCCP Medicaid |
$4,737.74
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 5003
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 5001
|
| Min. Negotiated Rate |
$4,021.57 |
| Max. Negotiated Rate |
$4,222.65 |
| Rate for Payer: BCBS Complete |
$4,222.65
|
| Rate for Payer: Mclaren Medicaid |
$4,021.57
|
| Rate for Payer: Meridian Medicaid |
$4,222.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,021.57
|
| Rate for Payer: UHCCP Medicaid |
$4,021.57
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$11,800.28
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$11,238.36 |
| Max. Negotiated Rate |
$11,800.28 |
| Rate for Payer: BCBS Complete |
$11,800.28
|
| Rate for Payer: Mclaren Medicaid |
$11,238.36
|
| Rate for Payer: Meridian Medicaid |
$11,800.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,238.36
|
| Rate for Payer: UHCCP Medicaid |
$11,238.36
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$11,844.35 |
| Max. Negotiated Rate |
$12,436.57 |
| Rate for Payer: BCBS Complete |
$12,436.57
|
| Rate for Payer: Mclaren Medicaid |
$11,844.35
|
| Rate for Payer: Meridian Medicaid |
$12,436.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,844.35
|
| Rate for Payer: UHCCP Medicaid |
$11,844.35
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 2813
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 2812
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 2811
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 3821
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$12,031.66
|
|
|
Service Code
|
APR-DRG 3824
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$5,379.54
|
|
|
Service Code
|
APR-DRG 3822
|
| Min. Negotiated Rate |
$5,123.37 |
| Max. Negotiated Rate |
$5,379.54 |
| Rate for Payer: BCBS Complete |
$5,379.54
|
| Rate for Payer: Mclaren Medicaid |
$5,123.37
|
| Rate for Payer: Meridian Medicaid |
$5,379.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,123.37
|
| Rate for Payer: UHCCP Medicaid |
$5,123.37
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$7,230.56
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$6,886.25 |
| Max. Negotiated Rate |
$7,230.56 |
| Rate for Payer: BCBS Complete |
$7,230.56
|
| Rate for Payer: Mclaren Medicaid |
$6,886.25
|
| Rate for Payer: Meridian Medicaid |
$7,230.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,886.25
|
| Rate for Payer: UHCCP Medicaid |
$6,886.25
|
|