|
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. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,412.01
|
|
|
Service Code
|
APR-DRG 9512
|
| Min. Negotiated Rate |
$9,916.20 |
| Max. Negotiated Rate |
$10,412.01 |
| Rate for Payer: BCBS Complete |
$10,412.01
|
| Rate for Payer: Mclaren Medicaid |
$9,916.20
|
| Rate for Payer: Meridian Medicaid |
$10,412.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,916.20
|
| Rate for Payer: UHCCP Medicaid |
$9,916.20
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,617.20
|
|
|
Service Code
|
APR-DRG 9514
|
| Min. Negotiated Rate |
$21,540.19 |
| Max. Negotiated Rate |
$22,617.20 |
| Rate for Payer: BCBS Complete |
$22,617.20
|
| Rate for Payer: Mclaren Medicaid |
$21,540.19
|
| Rate for Payer: Meridian Medicaid |
$22,617.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,540.19
|
| Rate for Payer: UHCCP Medicaid |
$21,540.19
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,924.70
|
|
|
Service Code
|
APR-DRG 9511
|
| Min. Negotiated Rate |
$7,547.33 |
| Max. Negotiated Rate |
$7,924.70 |
| Rate for Payer: BCBS Complete |
$7,924.70
|
| Rate for Payer: Mclaren Medicaid |
$7,547.33
|
| Rate for Payer: Meridian Medicaid |
$7,924.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,547.33
|
| Rate for Payer: UHCCP Medicaid |
$7,547.33
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$14,171.90
|
|
|
Service Code
|
APR-DRG 9513
|
| Min. Negotiated Rate |
$13,497.05 |
| Max. Negotiated Rate |
$14,171.90 |
| Rate for Payer: BCBS Complete |
$14,171.90
|
| Rate for Payer: Mclaren Medicaid |
$13,497.05
|
| Rate for Payer: Meridian Medicaid |
$14,171.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,497.05
|
| Rate for Payer: UHCCP Medicaid |
$13,497.05
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$39,102.88
|
|
|
Service Code
|
APR-DRG 2994
|
| Min. Negotiated Rate |
$37,240.84 |
| Max. Negotiated Rate |
$39,102.88 |
| Rate for Payer: BCBS Complete |
$39,102.88
|
| Rate for Payer: Mclaren Medicaid |
$37,240.84
|
| Rate for Payer: Meridian Medicaid |
$39,102.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,240.84
|
| Rate for Payer: UHCCP Medicaid |
$37,240.84
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$30,541.90
|
|
|
Service Code
|
APR-DRG 2993
|
| Min. Negotiated Rate |
$29,087.52 |
| Max. Negotiated Rate |
$30,541.90 |
| Rate for Payer: BCBS Complete |
$30,541.90
|
| Rate for Payer: Mclaren Medicaid |
$29,087.52
|
| Rate for Payer: Meridian Medicaid |
$30,541.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,087.52
|
| Rate for Payer: UHCCP Medicaid |
$29,087.52
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$18,683.77
|
|
|
Service Code
|
APR-DRG 2991
|
| 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: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$22,501.51
|
|
|
Service Code
|
APR-DRG 2992
|
| Min. Negotiated Rate |
$21,430.01 |
| Max. Negotiated Rate |
$22,501.51 |
| Rate for Payer: BCBS Complete |
$22,501.51
|
| Rate for Payer: Mclaren Medicaid |
$21,430.01
|
| Rate for Payer: Meridian Medicaid |
$22,501.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,430.01
|
| Rate for Payer: UHCCP Medicaid |
$21,430.01
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$26,492.78
|
|
|
Service Code
|
APR-DRG 0434
|
| Min. Negotiated Rate |
$25,231.22 |
| Max. Negotiated Rate |
$26,492.78 |
| Rate for Payer: BCBS Complete |
$26,492.78
|
| Rate for Payer: Mclaren Medicaid |
$25,231.22
|
| Rate for Payer: Meridian Medicaid |
$26,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,231.22
|
| Rate for Payer: UHCCP Medicaid |
$25,231.22
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 0432
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$13,593.46
|
|
|
Service Code
|
APR-DRG 0433
|
| Min. Negotiated Rate |
$12,946.15 |
| Max. Negotiated Rate |
$13,593.46 |
| Rate for Payer: BCBS Complete |
$13,593.46
|
| Rate for Payer: Mclaren Medicaid |
$12,946.15
|
| Rate for Payer: Meridian Medicaid |
$13,593.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,946.15
|
| Rate for Payer: UHCCP Medicaid |
$12,946.15
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 0431
|
| Min. Negotiated Rate |
$5,453.91 |
| Max. Negotiated Rate |
$5,726.61 |
| Rate for Payer: BCBS Complete |
$5,726.61
|
| Rate for Payer: Mclaren Medicaid |
$5,453.91
|
| Rate for Payer: Meridian Medicaid |
$5,726.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,453.91
|
| Rate for Payer: UHCCP Medicaid |
$5,453.91
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$10,990.46
|
|
|
Service Code
|
APR-DRG 9303
|
| Min. Negotiated Rate |
$10,467.10 |
| Max. Negotiated Rate |
$10,990.46 |
| Rate for Payer: BCBS Complete |
$10,990.46
|
| Rate for Payer: Mclaren Medicaid |
$10,467.10
|
| Rate for Payer: Meridian Medicaid |
$10,990.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,467.10
|
| Rate for Payer: UHCCP Medicaid |
$10,467.10
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$14,866.04
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$14,158.13 |
| Max. Negotiated Rate |
$14,866.04 |
| Rate for Payer: BCBS Complete |
$14,866.04
|
| Rate for Payer: Mclaren Medicaid |
$14,158.13
|
| Rate for Payer: Meridian Medicaid |
$14,866.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,158.13
|
| Rate for Payer: UHCCP Medicaid |
$14,158.13
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 9301
|
| Min. Negotiated Rate |
$4,572.47 |
| Max. Negotiated Rate |
$4,801.09 |
| Rate for Payer: BCBS Complete |
$4,801.09
|
| Rate for Payer: Mclaren Medicaid |
$4,572.47
|
| Rate for Payer: Meridian Medicaid |
$4,801.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,572.47
|
| Rate for Payer: UHCCP Medicaid |
$4,572.47
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$6,073.67
|
|
|
Service Code
|
APR-DRG 9302
|
| Min. Negotiated Rate |
$5,784.45 |
| Max. Negotiated Rate |
$6,073.67 |
| Rate for Payer: BCBS Complete |
$6,073.67
|
| Rate for Payer: Mclaren Medicaid |
$5,784.45
|
| Rate for Payer: Meridian Medicaid |
$6,073.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,784.45
|
| Rate for Payer: UHCCP Medicaid |
$5,784.45
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$22,327.98
|
|
|
Service Code
|
APR-DRG 9123
|
| Min. Negotiated Rate |
$21,264.74 |
| Max. Negotiated Rate |
$22,327.98 |
| Rate for Payer: BCBS Complete |
$22,327.98
|
| Rate for Payer: Mclaren Medicaid |
$21,264.74
|
| Rate for Payer: Meridian Medicaid |
$22,327.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,264.74
|
| Rate for Payer: UHCCP Medicaid |
$21,264.74
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$33,954.72
|
|
|
Service Code
|
APR-DRG 9124
|
| Min. Negotiated Rate |
$32,337.83 |
| Max. Negotiated Rate |
$33,954.72 |
| Rate for Payer: BCBS Complete |
$33,954.72
|
| Rate for Payer: Mclaren Medicaid |
$32,337.83
|
| Rate for Payer: Meridian Medicaid |
$33,954.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,337.83
|
| Rate for Payer: UHCCP Medicaid |
$32,337.83
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,494.41
|
|
|
Service Code
|
APR-DRG 9121
|
| Min. Negotiated Rate |
$11,899.44 |
| Max. Negotiated Rate |
$12,494.41 |
| Rate for Payer: BCBS Complete |
$12,494.41
|
| Rate for Payer: Mclaren Medicaid |
$11,899.44
|
| Rate for Payer: Meridian Medicaid |
$12,494.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,899.44
|
| Rate for Payer: UHCCP Medicaid |
$11,899.44
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$16,832.75
|
|
|
Service Code
|
APR-DRG 9122
|
| Min. Negotiated Rate |
$16,031.19 |
| Max. Negotiated Rate |
$16,832.75 |
| Rate for Payer: BCBS Complete |
$16,832.75
|
| Rate for Payer: Mclaren Medicaid |
$16,031.19
|
| Rate for Payer: Meridian Medicaid |
$16,832.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,031.19
|
| Rate for Payer: UHCCP Medicaid |
$16,031.19
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$10,701.23
|
|
|
Service Code
|
APR-DRG 3433
|
| Min. Negotiated Rate |
$10,191.65 |
| Max. Negotiated Rate |
$10,701.23 |
| Rate for Payer: BCBS Complete |
$10,701.23
|
| Rate for Payer: Mclaren Medicaid |
$10,191.65
|
| Rate for Payer: Meridian Medicaid |
$10,701.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,191.65
|
| Rate for Payer: UHCCP Medicaid |
$10,191.65
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 3432
|
| Min. Negotiated Rate |
$6,941.34 |
| Max. Negotiated Rate |
$7,288.41 |
| Rate for Payer: BCBS Complete |
$7,288.41
|
| Rate for Payer: Mclaren Medicaid |
$6,941.34
|
| Rate for Payer: Meridian Medicaid |
$7,288.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,941.34
|
| Rate for Payer: UHCCP Medicaid |
$6,941.34
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 3431
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$17,006.28
|
|
|
Service Code
|
APR-DRG 3434
|
| Min. Negotiated Rate |
$16,196.46 |
| Max. Negotiated Rate |
$17,006.28 |
| Rate for Payer: BCBS Complete |
$17,006.28
|
| Rate for Payer: Mclaren Medicaid |
$16,196.46
|
| Rate for Payer: Meridian Medicaid |
$17,006.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,196.46
|
| Rate for Payer: UHCCP Medicaid |
$16,196.46
|
|