|
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
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,949.25
|
|
|
Service Code
|
APR-DRG 9512
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$14,634.66
|
|
|
Service Code
|
APR-DRG 9513
|
| Min. Negotiated Rate |
$13,937.77 |
| Max. Negotiated Rate |
$14,634.66 |
| Rate for Payer: BCBS Complete |
$14,634.66
|
| Rate for Payer: Mclaren Medicaid |
$13,937.77
|
| Rate for Payer: Meridian Medicaid |
$14,634.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,937.77
|
| Rate for Payer: UHCCP Medicaid |
$13,937.77
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$25,972.18
|
|
|
Service Code
|
APR-DRG 2992
|
| Min. Negotiated Rate |
$24,735.41 |
| Max. Negotiated Rate |
$25,972.18 |
| Rate for Payer: BCBS Complete |
$25,972.18
|
| Rate for Payer: Mclaren Medicaid |
$24,735.41
|
| Rate for Payer: Meridian Medicaid |
$25,972.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,735.41
|
| Rate for Payer: UHCCP Medicaid |
$24,735.41
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$21,576.00
|
|
|
Service Code
|
APR-DRG 2991
|
| Min. Negotiated Rate |
$20,548.57 |
| Max. Negotiated Rate |
$21,576.00 |
| Rate for Payer: BCBS Complete |
$21,576.00
|
| Rate for Payer: Mclaren Medicaid |
$20,548.57
|
| Rate for Payer: Meridian Medicaid |
$21,576.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,548.57
|
| Rate for Payer: UHCCP Medicaid |
$20,548.57
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$35,285.14
|
|
|
Service Code
|
APR-DRG 2993
|
| Min. Negotiated Rate |
$33,604.90 |
| Max. Negotiated Rate |
$35,285.14 |
| Rate for Payer: BCBS Complete |
$35,285.14
|
| Rate for Payer: Mclaren Medicaid |
$33,604.90
|
| Rate for Payer: Meridian Medicaid |
$35,285.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,604.90
|
| Rate for Payer: UHCCP Medicaid |
$33,604.90
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$45,118.71
|
|
|
Service Code
|
APR-DRG 2994
|
| Min. Negotiated Rate |
$42,970.20 |
| Max. Negotiated Rate |
$45,118.71 |
| Rate for Payer: BCBS Complete |
$45,118.71
|
| Rate for Payer: Mclaren Medicaid |
$42,970.20
|
| Rate for Payer: Meridian Medicaid |
$45,118.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,970.20
|
| Rate for Payer: UHCCP Medicaid |
$42,970.20
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 0432
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$13,419.92
|
|
|
Service Code
|
APR-DRG 0433
|
| Min. Negotiated Rate |
$12,780.88 |
| Max. Negotiated Rate |
$13,419.92 |
| Rate for Payer: BCBS Complete |
$13,419.92
|
| Rate for Payer: Mclaren Medicaid |
$12,780.88
|
| Rate for Payer: Meridian Medicaid |
$13,419.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,780.88
|
| Rate for Payer: UHCCP Medicaid |
$12,780.88
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$23,831.93
|
|
|
Service Code
|
APR-DRG 0434
|
| Min. Negotiated Rate |
$22,697.08 |
| Max. Negotiated Rate |
$23,831.93 |
| Rate for Payer: BCBS Complete |
$23,831.93
|
| Rate for Payer: Mclaren Medicaid |
$22,697.08
|
| Rate for Payer: Meridian Medicaid |
$23,831.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,697.08
|
| Rate for Payer: UHCCP Medicaid |
$22,697.08
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$6,189.36
|
|
|
Service Code
|
APR-DRG 0431
|
| Min. Negotiated Rate |
$5,894.63 |
| Max. Negotiated Rate |
$6,189.36 |
| Rate for Payer: BCBS Complete |
$6,189.36
|
| Rate for Payer: Mclaren Medicaid |
$5,894.63
|
| Rate for Payer: Meridian Medicaid |
$6,189.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,894.63
|
| Rate for Payer: UHCCP Medicaid |
$5,894.63
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$5,206.01
|
|
|
Service Code
|
APR-DRG 9301
|
| Min. Negotiated Rate |
$4,958.10 |
| Max. Negotiated Rate |
$5,206.01 |
| Rate for Payer: BCBS Complete |
$5,206.01
|
| Rate for Payer: Mclaren Medicaid |
$4,958.10
|
| Rate for Payer: Meridian Medicaid |
$5,206.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,958.10
|
| Rate for Payer: UHCCP Medicaid |
$4,958.10
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$10,180.63
|
|
|
Service Code
|
APR-DRG 9303
|
| 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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$18,047.48
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$17,188.08 |
| Max. Negotiated Rate |
$18,047.48 |
| Rate for Payer: BCBS Complete |
$18,047.48
|
| Rate for Payer: Mclaren Medicaid |
$17,188.08
|
| Rate for Payer: Meridian Medicaid |
$18,047.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,188.08
|
| Rate for Payer: UHCCP Medicaid |
$17,188.08
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 9302
|
| 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: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,684.59
|
|
|
Service Code
|
APR-DRG 9121
|
| 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: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$34,764.54
|
|
|
Service Code
|
APR-DRG 9124
|
| Min. Negotiated Rate |
$33,109.09 |
| Max. Negotiated Rate |
$34,764.54 |
| Rate for Payer: BCBS Complete |
$34,764.54
|
| Rate for Payer: Mclaren Medicaid |
$33,109.09
|
| Rate for Payer: Meridian Medicaid |
$34,764.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,109.09
|
| Rate for Payer: UHCCP Medicaid |
$33,109.09
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$22,038.75
|
|
|
Service Code
|
APR-DRG 9123
|
| Min. Negotiated Rate |
$20,989.29 |
| Max. Negotiated Rate |
$22,038.75 |
| Rate for Payer: BCBS Complete |
$22,038.75
|
| Rate for Payer: Mclaren Medicaid |
$20,989.29
|
| Rate for Payer: Meridian Medicaid |
$22,038.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,989.29
|
| Rate for Payer: UHCCP Medicaid |
$20,989.29
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,733.70
|
|
|
Service Code
|
APR-DRG 9122
|
| Min. Negotiated Rate |
$14,984.48 |
| Max. Negotiated Rate |
$15,733.70 |
| Rate for Payer: BCBS Complete |
$15,733.70
|
| Rate for Payer: Mclaren Medicaid |
$14,984.48
|
| Rate for Payer: Meridian Medicaid |
$15,733.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,984.48
|
| Rate for Payer: UHCCP Medicaid |
$14,984.48
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 3431
|
| Min. Negotiated Rate |
$5,068.28 |
| Max. Negotiated Rate |
$5,321.69 |
| Rate for Payer: BCBS Complete |
$5,321.69
|
| Rate for Payer: Mclaren Medicaid |
$5,068.28
|
| Rate for Payer: Meridian Medicaid |
$5,321.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,068.28
|
| Rate for Payer: UHCCP Medicaid |
$5,068.28
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 3432
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$14,866.04
|
|
|
Service Code
|
APR-DRG 3434
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$9,544.34
|
|
|
Service Code
|
APR-DRG 3433
|
| 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
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 8631
|
| 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: NEONATAL AFTERCARE
|
Facility
|
IP
|
$27,360.45
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$26,057.57 |
| Max. Negotiated Rate |
$27,360.45 |
| Rate for Payer: BCBS Complete |
$27,360.45
|
| Rate for Payer: Mclaren Medicaid |
$26,057.57
|
| Rate for Payer: Meridian Medicaid |
$27,360.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,057.57
|
| Rate for Payer: UHCCP Medicaid |
$26,057.57
|
|