|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$11,742.43
|
|
|
Service Code
|
APR-DRG 4214
|
| Min. Negotiated Rate |
$11,183.27 |
| Max. Negotiated Rate |
$11,742.43 |
| Rate for Payer: BCBS Complete |
$11,742.43
|
| Rate for Payer: Mclaren Medicaid |
$11,183.27
|
| Rate for Payer: Meridian Medicaid |
$11,742.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,183.27
|
| Rate for Payer: UHCCP Medicaid |
$11,183.27
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$6,883.50
|
|
|
Service Code
|
APR-DRG 4213
|
| Min. Negotiated Rate |
$6,555.71 |
| Max. Negotiated Rate |
$6,883.50 |
| Rate for Payer: BCBS Complete |
$6,883.50
|
| Rate for Payer: Mclaren Medicaid |
$6,555.71
|
| Rate for Payer: Meridian Medicaid |
$6,883.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,555.71
|
| Rate for Payer: UHCCP Medicaid |
$6,555.71
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$3,007.91
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$2,864.68 |
| Max. Negotiated Rate |
$3,007.91 |
| Rate for Payer: BCBS Complete |
$3,007.91
|
| Rate for Payer: Mclaren Medicaid |
$2,864.68
|
| Rate for Payer: Meridian Medicaid |
$3,007.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,864.68
|
| Rate for Payer: UHCCP Medicaid |
$2,864.68
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$4,396.18
|
|
|
Service Code
|
APR-DRG 4212
|
| Min. Negotiated Rate |
$4,186.84 |
| Max. Negotiated Rate |
$4,396.18 |
| Rate for Payer: BCBS Complete |
$4,396.18
|
| Rate for Payer: Mclaren Medicaid |
$4,186.84
|
| Rate for Payer: Meridian Medicaid |
$4,396.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.84
|
| Rate for Payer: UHCCP Medicaid |
$4,186.84
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$13,709.15
|
|
|
Service Code
|
APR-DRG 3622
|
| Min. Negotiated Rate |
$13,056.33 |
| Max. Negotiated Rate |
$13,709.15 |
| Rate for Payer: BCBS Complete |
$13,709.15
|
| Rate for Payer: Mclaren Medicaid |
$13,056.33
|
| Rate for Payer: Meridian Medicaid |
$13,709.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,056.33
|
| Rate for Payer: UHCCP Medicaid |
$13,056.33
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 3621
|
| Min. Negotiated Rate |
$8,704.22 |
| Max. Negotiated Rate |
$9,139.43 |
| Rate for Payer: BCBS Complete |
$9,139.43
|
| Rate for Payer: Mclaren Medicaid |
$8,704.22
|
| Rate for Payer: Meridian Medicaid |
$9,139.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,704.22
|
| Rate for Payer: UHCCP Medicaid |
$8,704.22
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$17,758.26
|
|
|
Service Code
|
APR-DRG 3624
|
| Min. Negotiated Rate |
$16,912.63 |
| Max. Negotiated Rate |
$17,758.26 |
| Rate for Payer: BCBS Complete |
$17,758.26
|
| Rate for Payer: Mclaren Medicaid |
$16,912.63
|
| Rate for Payer: Meridian Medicaid |
$17,758.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,912.63
|
| Rate for Payer: UHCCP Medicaid |
$16,912.63
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$14,229.75
|
|
|
Service Code
|
APR-DRG 3623
|
| Min. Negotiated Rate |
$13,552.14 |
| Max. Negotiated Rate |
$14,229.75 |
| Rate for Payer: BCBS Complete |
$14,229.75
|
| Rate for Payer: Mclaren Medicaid |
$13,552.14
|
| Rate for Payer: Meridian Medicaid |
$14,229.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,552.14
|
| Rate for Payer: UHCCP Medicaid |
$13,552.14
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,610.92
|
|
|
Service Code
|
APR-DRG 5323
|
| 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
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$9,081.59
|
|
|
Service Code
|
APR-DRG 5324
|
| Min. Negotiated Rate |
$8,649.13 |
| Max. Negotiated Rate |
$9,081.59 |
| Rate for Payer: BCBS Complete |
$9,081.59
|
| Rate for Payer: Mclaren Medicaid |
$8,649.13
|
| Rate for Payer: Meridian Medicaid |
$9,081.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,649.13
|
| Rate for Payer: UHCCP Medicaid |
$8,649.13
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$3,007.91
|
|
|
Service Code
|
APR-DRG 5321
|
| Min. Negotiated Rate |
$2,864.68 |
| Max. Negotiated Rate |
$3,007.91 |
| Rate for Payer: BCBS Complete |
$3,007.91
|
| Rate for Payer: Mclaren Medicaid |
$2,864.68
|
| Rate for Payer: Meridian Medicaid |
$3,007.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,864.68
|
| Rate for Payer: UHCCP Medicaid |
$2,864.68
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 5322
|
| Min. Negotiated Rate |
$3,801.21 |
| Max. Negotiated Rate |
$3,991.27 |
| Rate for Payer: BCBS Complete |
$3,991.27
|
| Rate for Payer: Mclaren Medicaid |
$3,801.21
|
| Rate for Payer: Meridian Medicaid |
$3,991.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,801.21
|
| Rate for Payer: UHCCP Medicaid |
$3,801.21
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 7402
|
| Min. Negotiated Rate |
$8,098.23 |
| Max. Negotiated Rate |
$8,503.14 |
| Rate for Payer: BCBS Complete |
$8,503.14
|
| Rate for Payer: Mclaren Medicaid |
$8,098.23
|
| Rate for Payer: Meridian Medicaid |
$8,503.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,098.23
|
| Rate for Payer: UHCCP Medicaid |
$8,098.23
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 7401
|
| 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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$32,392.92
|
|
|
Service Code
|
APR-DRG 7404
|
| Min. Negotiated Rate |
$30,850.40 |
| Max. Negotiated Rate |
$32,392.92 |
| Rate for Payer: BCBS Complete |
$32,392.92
|
| Rate for Payer: Mclaren Medicaid |
$30,850.40
|
| Rate for Payer: Meridian Medicaid |
$32,392.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,850.40
|
| Rate for Payer: UHCCP Medicaid |
$30,850.40
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$14,923.88
|
|
|
Service Code
|
APR-DRG 7403
|
| Min. Negotiated Rate |
$14,213.22 |
| Max. Negotiated Rate |
$14,923.88 |
| Rate for Payer: BCBS Complete |
$14,923.88
|
| Rate for Payer: Mclaren Medicaid |
$14,213.22
|
| Rate for Payer: Meridian Medicaid |
$14,923.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,213.22
|
| Rate for Payer: UHCCP Medicaid |
$14,213.22
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 0544
|
| Min. Negotiated Rate |
$8,704.22 |
| Max. Negotiated Rate |
$9,139.43 |
| Rate for Payer: BCBS Complete |
$9,139.43
|
| Rate for Payer: Mclaren Medicaid |
$8,704.22
|
| Rate for Payer: Meridian Medicaid |
$9,139.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,704.22
|
| Rate for Payer: UHCCP Medicaid |
$8,704.22
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 0542
|
| 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: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$6,247.21
|
|
|
Service Code
|
APR-DRG 0543
|
| Min. Negotiated Rate |
$5,949.72 |
| Max. Negotiated Rate |
$6,247.21 |
| Rate for Payer: BCBS Complete |
$6,247.21
|
| Rate for Payer: Mclaren Medicaid |
$5,949.72
|
| Rate for Payer: Meridian Medicaid |
$6,247.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,949.72
|
| Rate for Payer: UHCCP Medicaid |
$5,949.72
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 0541
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$21,865.22
|
|
|
Service Code
|
APR-DRG 7934
|
| Min. Negotiated Rate |
$20,824.02 |
| Max. Negotiated Rate |
$21,865.22 |
| Rate for Payer: BCBS Complete |
$21,865.22
|
| Rate for Payer: Mclaren Medicaid |
$20,824.02
|
| Rate for Payer: Meridian Medicaid |
$21,865.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,824.02
|
| Rate for Payer: UHCCP Medicaid |
$20,824.02
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,792.36
|
|
|
Service Code
|
APR-DRG 7932
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$12,552.26
|
|
|
Service Code
|
APR-DRG 7933
|
| Min. Negotiated Rate |
$11,954.53 |
| Max. Negotiated Rate |
$12,552.26 |
| Rate for Payer: BCBS Complete |
$12,552.26
|
| Rate for Payer: Mclaren Medicaid |
$11,954.53
|
| Rate for Payer: Meridian Medicaid |
$12,552.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,954.53
|
| Rate for Payer: UHCCP Medicaid |
$11,954.53
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 7931
|
| Min. Negotiated Rate |
$6,280.26 |
| Max. Negotiated Rate |
$6,594.27 |
| Rate for Payer: BCBS Complete |
$6,594.27
|
| Rate for Payer: Mclaren Medicaid |
$6,280.26
|
| Rate for Payer: Meridian Medicaid |
$6,594.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,280.26
|
| Rate for Payer: UHCCP Medicaid |
$6,280.26
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,236.85
|
|
|
Service Code
|
APR-DRG 9514
|
| Min. Negotiated Rate |
$23,082.71 |
| Max. Negotiated Rate |
$24,236.85 |
| Rate for Payer: BCBS Complete |
$24,236.85
|
| Rate for Payer: Mclaren Medicaid |
$23,082.71
|
| Rate for Payer: Meridian Medicaid |
$24,236.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,082.71
|
| Rate for Payer: UHCCP Medicaid |
$23,082.71
|
|