|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$9,255.12
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$8,814.40 |
| Max. Negotiated Rate |
$9,255.12 |
| Rate for Payer: BCBS Complete |
$9,255.12
|
| Rate for Payer: Mclaren Medicaid |
$8,814.40
|
| Rate for Payer: Meridian Medicaid |
$9,255.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,814.40
|
| Rate for Payer: UHCCP Medicaid |
$8,814.40
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 3821
|
| 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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,759.08
|
|
|
Service Code
|
APR-DRG 4214
|
| Min. Negotiated Rate |
$10,246.74 |
| Max. Negotiated Rate |
$10,759.08 |
| Rate for Payer: BCBS Complete |
$10,759.08
|
| Rate for Payer: Mclaren Medicaid |
$10,246.74
|
| Rate for Payer: Meridian Medicaid |
$10,759.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,246.74
|
| Rate for Payer: UHCCP Medicaid |
$10,246.74
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$5,553.07
|
|
|
Service Code
|
APR-DRG 4212
|
| Min. Negotiated Rate |
$5,288.64 |
| Max. Negotiated Rate |
$5,553.07 |
| Rate for Payer: BCBS Complete |
$5,553.07
|
| Rate for Payer: Mclaren Medicaid |
$5,288.64
|
| Rate for Payer: Meridian Medicaid |
$5,553.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,288.64
|
| Rate for Payer: UHCCP Medicaid |
$5,288.64
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,950.07
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$2,809.59 |
| Max. Negotiated Rate |
$2,950.07 |
| Rate for Payer: BCBS Complete |
$2,950.07
|
| Rate for Payer: Mclaren Medicaid |
$2,809.59
|
| Rate for Payer: Meridian Medicaid |
$2,950.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,809.59
|
| Rate for Payer: UHCCP Medicaid |
$2,809.59
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 4213
|
| 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: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$15,618.02
|
|
|
Service Code
|
APR-DRG 3623
|
| Min. Negotiated Rate |
$14,874.30 |
| Max. Negotiated Rate |
$15,618.02 |
| Rate for Payer: BCBS Complete |
$15,618.02
|
| Rate for Payer: Mclaren Medicaid |
$14,874.30
|
| Rate for Payer: Meridian Medicaid |
$15,618.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,874.30
|
| Rate for Payer: UHCCP Medicaid |
$14,874.30
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$15,155.26
|
|
|
Service Code
|
APR-DRG 3622
|
| Min. Negotiated Rate |
$14,433.58 |
| Max. Negotiated Rate |
$15,155.26 |
| Rate for Payer: BCBS Complete |
$15,155.26
|
| Rate for Payer: Mclaren Medicaid |
$14,433.58
|
| Rate for Payer: Meridian Medicaid |
$15,155.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,433.58
|
| Rate for Payer: UHCCP Medicaid |
$14,433.58
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$11,337.52
|
|
|
Service Code
|
APR-DRG 3621
|
| 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: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$18,683.77
|
|
|
Service Code
|
APR-DRG 3624
|
| Min. Negotiated Rate |
$17,794.07 |
| Max. Negotiated Rate |
$18,683.77 |
| Rate for Payer: BCBS Complete |
$18,683.77
|
| Rate for Payer: Mclaren Medicaid |
$17,794.07
|
| Rate for Payer: Meridian Medicaid |
$18,683.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,794.07
|
| Rate for Payer: UHCCP Medicaid |
$17,794.07
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 5322
|
| 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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 5323
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,255.94
|
|
|
Service Code
|
APR-DRG 5321
|
| Min. Negotiated Rate |
$2,148.51 |
| Max. Negotiated Rate |
$2,255.94 |
| Rate for Payer: BCBS Complete |
$2,255.94
|
| Rate for Payer: Mclaren Medicaid |
$2,148.51
|
| Rate for Payer: Meridian Medicaid |
$2,255.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,148.51
|
| Rate for Payer: UHCCP Medicaid |
$2,148.51
|
|
|
APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$10,180.63
|
|
|
Service Code
|
APR-DRG 5324
|
| Min. Negotiated Rate |
$9,695.84 |
| Max. Negotiated Rate |
$10,180.63 |
| Rate for Payer: BCBS Complete |
$10,180.63
|
| Rate for Payer: Mclaren Medicaid |
$9,695.84
|
| Rate for Payer: Meridian Medicaid |
$10,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,695.84
|
| Rate for Payer: UHCCP Medicaid |
$9,695.84
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$32,624.30
|
|
|
Service Code
|
APR-DRG 7404
|
| Min. Negotiated Rate |
$31,070.76 |
| Max. Negotiated Rate |
$32,624.30 |
| Rate for Payer: BCBS Complete |
$32,624.30
|
| Rate for Payer: Mclaren Medicaid |
$31,070.76
|
| Rate for Payer: Meridian Medicaid |
$32,624.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,070.76
|
| Rate for Payer: UHCCP Medicaid |
$31,070.76
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$9,197.28
|
|
|
Service Code
|
APR-DRG 7402
|
| Min. Negotiated Rate |
$8,759.31 |
| Max. Negotiated Rate |
$9,197.28 |
| Rate for Payer: BCBS Complete |
$9,197.28
|
| Rate for Payer: Mclaren Medicaid |
$8,759.31
|
| Rate for Payer: Meridian Medicaid |
$9,197.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,759.31
|
| Rate for Payer: UHCCP Medicaid |
$8,759.31
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$16,369.99
|
|
|
Service Code
|
APR-DRG 7403
|
| Min. Negotiated Rate |
$15,590.47 |
| Max. Negotiated Rate |
$16,369.99 |
| Rate for Payer: BCBS Complete |
$16,369.99
|
| Rate for Payer: Mclaren Medicaid |
$15,590.47
|
| Rate for Payer: Meridian Medicaid |
$16,369.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,590.47
|
| Rate for Payer: UHCCP Medicaid |
$15,590.47
|
|
|
APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,553.07
|
|
|
Service Code
|
APR-DRG 7401
|
| Min. Negotiated Rate |
$5,288.64 |
| Max. Negotiated Rate |
$5,553.07 |
| Rate for Payer: BCBS Complete |
$5,553.07
|
| Rate for Payer: Mclaren Medicaid |
$5,288.64
|
| Rate for Payer: Meridian Medicaid |
$5,553.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,288.64
|
| Rate for Payer: UHCCP Medicaid |
$5,288.64
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 0541
|
| 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: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$5,379.54
|
|
|
Service Code
|
APR-DRG 0542
|
| 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: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$8,792.36
|
|
|
Service Code
|
APR-DRG 0544
|
| 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: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 0543
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$23,774.09
|
|
|
Service Code
|
APR-DRG 7934
|
| Min. Negotiated Rate |
$22,641.99 |
| Max. Negotiated Rate |
$23,774.09 |
| Rate for Payer: BCBS Complete |
$23,774.09
|
| Rate for Payer: Mclaren Medicaid |
$22,641.99
|
| Rate for Payer: Meridian Medicaid |
$23,774.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,641.99
|
| Rate for Payer: UHCCP Medicaid |
$22,641.99
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$13,651.30
|
|
|
Service Code
|
APR-DRG 7933
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,544.34
|
|
|
Service Code
|
APR-DRG 7932
|
| Min. Negotiated Rate |
$9,089.85 |
| Max. Negotiated Rate |
$9,544.34 |
| Rate for Payer: BCBS Complete |
$9,544.34
|
| Rate for Payer: Mclaren Medicaid |
$9,089.85
|
| Rate for Payer: Meridian Medicaid |
$9,544.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,089.85
|
| Rate for Payer: UHCCP Medicaid |
$9,089.85
|
|