|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 2522
|
| Min. Negotiated Rate |
$5,839.54 |
| Max. Negotiated Rate |
$6,131.52 |
| Rate for Payer: BCBS Complete |
$6,131.52
|
| Rate for Payer: Mclaren Medicaid |
$5,839.54
|
| Rate for Payer: Meridian Medicaid |
$6,131.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,839.54
|
| Rate for Payer: UHCCP Medicaid |
$5,839.54
|
|
|
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
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,973.81
|
|
|
Service Code
|
APR-DRG 2524
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$13,651.30
|
|
|
Service Code
|
APR-DRG 2064
|
| Min. Negotiated Rate |
$13,001.24 |
| Max. Negotiated Rate |
$13,651.30 |
| Rate for Payer: BCBS Complete |
$13,651.30
|
| Rate for Payer: Mclaren Medicaid |
$13,001.24
|
| Rate for Payer: Meridian Medicaid |
$13,651.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,001.24
|
| Rate for Payer: UHCCP Medicaid |
$13,001.24
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 2061
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 2062
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,461.94
|
|
|
Service Code
|
APR-DRG 2063
|
| Min. Negotiated Rate |
$7,106.61 |
| Max. Negotiated Rate |
$7,461.94 |
| Rate for Payer: BCBS Complete |
$7,461.94
|
| Rate for Payer: Mclaren Medicaid |
$7,106.61
|
| Rate for Payer: Meridian Medicaid |
$7,461.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,106.61
|
| Rate for Payer: UHCCP Medicaid |
$7,106.61
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$6,610.80 |
| Max. Negotiated Rate |
$6,941.34 |
| Rate for Payer: BCBS Complete |
$6,941.34
|
| Rate for Payer: Mclaren Medicaid |
$6,610.80
|
| Rate for Payer: Meridian Medicaid |
$6,941.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,610.80
|
| Rate for Payer: UHCCP Medicaid |
$6,610.80
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$4,517.38 |
| Max. Negotiated Rate |
$4,743.25 |
| Rate for Payer: BCBS Complete |
$4,743.25
|
| Rate for Payer: Mclaren Medicaid |
$4,517.38
|
| Rate for Payer: Meridian Medicaid |
$4,743.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,517.38
|
| Rate for Payer: UHCCP Medicaid |
$4,517.38
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,586.36
|
|
|
Service Code
|
APR-DRG 4661
|
| Min. Negotiated Rate |
$3,415.58 |
| Max. Negotiated Rate |
$3,586.36 |
| Rate for Payer: BCBS Complete |
$3,586.36
|
| Rate for Payer: Mclaren Medicaid |
$3,415.58
|
| Rate for Payer: Meridian Medicaid |
$3,586.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,415.58
|
| Rate for Payer: UHCCP Medicaid |
$3,415.58
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$9,949.25
|
|
|
Service Code
|
APR-DRG 4664
|
| Min. Negotiated Rate |
$9,475.48 |
| Max. Negotiated Rate |
$9,949.25 |
| Rate for Payer: BCBS Complete |
$9,949.25
|
| Rate for Payer: Mclaren Medicaid |
$9,475.48
|
| Rate for Payer: Meridian Medicaid |
$9,949.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,475.48
|
| Rate for Payer: UHCCP Medicaid |
$9,475.48
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,652.12
|
|
|
Service Code
|
APR-DRG 3492
|
| Min. Negotiated Rate |
$6,335.35 |
| Max. Negotiated Rate |
$6,652.12 |
| Rate for Payer: BCBS Complete |
$6,652.12
|
| Rate for Payer: Mclaren Medicaid |
$6,335.35
|
| Rate for Payer: Meridian Medicaid |
$6,652.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,335.35
|
| Rate for Payer: UHCCP Medicaid |
$6,335.35
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,999.18
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$6,665.89 |
| Max. Negotiated Rate |
$6,999.18 |
| Rate for Payer: BCBS Complete |
$6,999.18
|
| Rate for Payer: Mclaren Medicaid |
$6,665.89
|
| Rate for Payer: Meridian Medicaid |
$6,999.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,665.89
|
| Rate for Payer: UHCCP Medicaid |
$6,665.89
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,205.19
|
|
|
Service Code
|
APR-DRG 3494
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 3491
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 5001
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 5002
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$17,931.80
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$17,077.90 |
| Max. Negotiated Rate |
$17,931.80 |
| Rate for Payer: BCBS Complete |
$17,931.80
|
| Rate for Payer: Mclaren Medicaid |
$17,077.90
|
| Rate for Payer: Meridian Medicaid |
$17,931.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,077.90
|
| Rate for Payer: UHCCP Medicaid |
$17,077.90
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 5003
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$11,684.59
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$11,128.18 |
| Max. Negotiated Rate |
$11,684.59 |
| Rate for Payer: BCBS Complete |
$11,684.59
|
| Rate for Payer: Mclaren Medicaid |
$11,128.18
|
| Rate for Payer: Meridian Medicaid |
$11,684.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,128.18
|
| Rate for Payer: UHCCP Medicaid |
$11,128.18
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 2811
|
| Min. Negotiated Rate |
$5,013.19 |
| Max. Negotiated Rate |
$5,263.85 |
| Rate for Payer: BCBS Complete |
$5,263.85
|
| Rate for Payer: Mclaren Medicaid |
$5,013.19
|
| Rate for Payer: Meridian Medicaid |
$5,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,013.19
|
| Rate for Payer: UHCCP Medicaid |
$5,013.19
|
|
|
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
|
$7,866.85
|
|
|
Service Code
|
APR-DRG 2813
|
| Min. Negotiated Rate |
$7,492.24 |
| Max. Negotiated Rate |
$7,866.85 |
| Rate for Payer: BCBS Complete |
$7,866.85
|
| Rate for Payer: Mclaren Medicaid |
$7,492.24
|
| Rate for Payer: Meridian Medicaid |
$7,866.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,492.24
|
| Rate for Payer: UHCCP Medicaid |
$7,492.24
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$15,328.79
|
|
|
Service Code
|
APR-DRG 3824
|
| Min. Negotiated Rate |
$14,598.85 |
| Max. Negotiated Rate |
$15,328.79 |
| Rate for Payer: BCBS Complete |
$15,328.79
|
| Rate for Payer: Mclaren Medicaid |
$14,598.85
|
| Rate for Payer: Meridian Medicaid |
$15,328.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,598.85
|
| Rate for Payer: UHCCP Medicaid |
$14,598.85
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$5,610.92
|
|
|
Service Code
|
APR-DRG 3822
|
| Min. Negotiated Rate |
$5,343.73 |
| Max. Negotiated Rate |
$5,610.92 |
| Rate for Payer: BCBS Complete |
$5,610.92
|
| Rate for Payer: Mclaren Medicaid |
$5,343.73
|
| Rate for Payer: Meridian Medicaid |
$5,610.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,343.73
|
| Rate for Payer: UHCCP Medicaid |
$5,343.73
|
|