|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$51,655.14
|
|
|
Service Code
|
APR-DRG 8634
|
| Min. Negotiated Rate |
$49,195.37 |
| Max. Negotiated Rate |
$51,655.14 |
| Rate for Payer: BCBS Complete |
$51,655.14
|
| Rate for Payer: Mclaren Medicaid |
$49,195.37
|
| Rate for Payer: Meridian Medicaid |
$51,655.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$49,195.37
|
| Rate for Payer: UHCCP Medicaid |
$49,195.37
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$13,766.99
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$13,111.42 |
| Max. Negotiated Rate |
$13,766.99 |
| Rate for Payer: BCBS Complete |
$13,766.99
|
| Rate for Payer: Mclaren Medicaid |
$13,111.42
|
| Rate for Payer: Meridian Medicaid |
$13,766.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,111.42
|
| Rate for Payer: UHCCP Medicaid |
$13,111.42
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$24,121.16
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$22,972.53 |
| Max. Negotiated Rate |
$24,121.16 |
| Rate for Payer: BCBS Complete |
$24,121.16
|
| Rate for Payer: Mclaren Medicaid |
$22,972.53
|
| Rate for Payer: Meridian Medicaid |
$24,121.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,972.53
|
| Rate for Payer: UHCCP Medicaid |
$22,972.53
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 8631
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$28,343.80
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$26,994.10 |
| Max. Negotiated Rate |
$28,343.80 |
| Rate for Payer: BCBS Complete |
$28,343.80
|
| Rate for Payer: Mclaren Medicaid |
$26,994.10
|
| Rate for Payer: Meridian Medicaid |
$28,343.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,994.10
|
| Rate for Payer: UHCCP Medicaid |
$26,994.10
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$38,293.06
|
|
|
Service Code
|
APR-DRG 6033
|
| Min. Negotiated Rate |
$36,469.58 |
| Max. Negotiated Rate |
$38,293.06 |
| Rate for Payer: BCBS Complete |
$38,293.06
|
| Rate for Payer: Mclaren Medicaid |
$36,469.58
|
| Rate for Payer: Meridian Medicaid |
$38,293.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,469.58
|
| Rate for Payer: UHCCP Medicaid |
$36,469.58
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$66,926.09
|
|
|
Service Code
|
APR-DRG 6034
|
| Min. Negotiated Rate |
$63,739.13 |
| Max. Negotiated Rate |
$66,926.09 |
| Rate for Payer: BCBS Complete |
$66,926.09
|
| Rate for Payer: Mclaren Medicaid |
$63,739.13
|
| Rate for Payer: Meridian Medicaid |
$66,926.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,739.13
|
| Rate for Payer: UHCCP Medicaid |
$63,739.13
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 6031
|
| Min. Negotiated Rate |
$4,131.75 |
| Max. Negotiated Rate |
$4,338.34 |
| Rate for Payer: BCBS Complete |
$4,338.34
|
| Rate for Payer: Mclaren Medicaid |
$4,131.75
|
| Rate for Payer: Meridian Medicaid |
$4,338.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,131.75
|
| Rate for Payer: UHCCP Medicaid |
$4,131.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$28,922.25
|
|
|
Service Code
|
APR-DRG 6021
|
| Min. Negotiated Rate |
$27,545.00 |
| Max. Negotiated Rate |
$28,922.25 |
| Rate for Payer: BCBS Complete |
$28,922.25
|
| Rate for Payer: Mclaren Medicaid |
$27,545.00
|
| Rate for Payer: Meridian Medicaid |
$28,922.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,545.00
|
| Rate for Payer: UHCCP Medicaid |
$27,545.00
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$59,521.99
|
|
|
Service Code
|
APR-DRG 6024
|
| Min. Negotiated Rate |
$56,687.61 |
| Max. Negotiated Rate |
$59,521.99 |
| Rate for Payer: BCBS Complete |
$59,521.99
|
| Rate for Payer: Mclaren Medicaid |
$56,687.61
|
| Rate for Payer: Meridian Medicaid |
$59,521.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$56,687.61
|
| Rate for Payer: UHCCP Medicaid |
$56,687.61
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$32,913.52
|
|
|
Service Code
|
APR-DRG 6022
|
| Min. Negotiated Rate |
$31,346.21 |
| Max. Negotiated Rate |
$32,913.52 |
| Rate for Payer: BCBS Complete |
$32,913.52
|
| Rate for Payer: Mclaren Medicaid |
$31,346.21
|
| Rate for Payer: Meridian Medicaid |
$32,913.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,346.21
|
| Rate for Payer: UHCCP Medicaid |
$31,346.21
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$41,069.60
|
|
|
Service Code
|
APR-DRG 6023
|
| Min. Negotiated Rate |
$39,113.90 |
| Max. Negotiated Rate |
$41,069.60 |
| Rate for Payer: BCBS Complete |
$41,069.60
|
| Rate for Payer: Mclaren Medicaid |
$39,113.90
|
| Rate for Payer: Meridian Medicaid |
$41,069.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,113.90
|
| Rate for Payer: UHCCP Medicaid |
$39,113.90
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$27,881.05
|
|
|
Service Code
|
APR-DRG 6084
|
| Min. Negotiated Rate |
$26,553.38 |
| Max. Negotiated Rate |
$27,881.05 |
| Rate for Payer: BCBS Complete |
$27,881.05
|
| Rate for Payer: Mclaren Medicaid |
$26,553.38
|
| Rate for Payer: Meridian Medicaid |
$27,881.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,553.38
|
| Rate for Payer: UHCCP Medicaid |
$26,553.38
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 6081
|
| Min. Negotiated Rate |
$9,144.94 |
| Max. Negotiated Rate |
$9,602.19 |
| Rate for Payer: BCBS Complete |
$9,602.19
|
| Rate for Payer: Mclaren Medicaid |
$9,144.94
|
| Rate for Payer: Meridian Medicaid |
$9,602.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,144.94
|
| Rate for Payer: UHCCP Medicaid |
$9,144.94
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$16,601.37
|
|
|
Service Code
|
APR-DRG 6082
|
| Min. Negotiated Rate |
$15,810.83 |
| Max. Negotiated Rate |
$16,601.37 |
| Rate for Payer: BCBS Complete |
$16,601.37
|
| Rate for Payer: Mclaren Medicaid |
$15,810.83
|
| Rate for Payer: Meridian Medicaid |
$16,601.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,810.83
|
| Rate for Payer: UHCCP Medicaid |
$15,810.83
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$24,063.31
|
|
|
Service Code
|
APR-DRG 6083
|
| Min. Negotiated Rate |
$22,917.44 |
| Max. Negotiated Rate |
$24,063.31 |
| Rate for Payer: BCBS Complete |
$24,063.31
|
| Rate for Payer: Mclaren Medicaid |
$22,917.44
|
| Rate for Payer: Meridian Medicaid |
$24,063.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,917.44
|
| Rate for Payer: UHCCP Medicaid |
$22,917.44
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$16,138.62
|
|
|
Service Code
|
APR-DRG 6071
|
| Min. Negotiated Rate |
$15,370.11 |
| Max. Negotiated Rate |
$16,138.62 |
| Rate for Payer: BCBS Complete |
$16,138.62
|
| Rate for Payer: Mclaren Medicaid |
$15,370.11
|
| Rate for Payer: Meridian Medicaid |
$16,138.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,370.11
|
| Rate for Payer: UHCCP Medicaid |
$15,370.11
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$22,790.73
|
|
|
Service Code
|
APR-DRG 6072
|
| Min. Negotiated Rate |
$21,705.46 |
| Max. Negotiated Rate |
$22,790.73 |
| Rate for Payer: BCBS Complete |
$22,790.73
|
| Rate for Payer: Mclaren Medicaid |
$21,705.46
|
| Rate for Payer: Meridian Medicaid |
$22,790.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,705.46
|
| Rate for Payer: UHCCP Medicaid |
$21,705.46
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$44,598.11
|
|
|
Service Code
|
APR-DRG 6074
|
| Min. Negotiated Rate |
$42,474.39 |
| Max. Negotiated Rate |
$44,598.11 |
| Rate for Payer: BCBS Complete |
$44,598.11
|
| Rate for Payer: Mclaren Medicaid |
$42,474.39
|
| Rate for Payer: Meridian Medicaid |
$44,598.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,474.39
|
| Rate for Payer: UHCCP Medicaid |
$42,474.39
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$30,194.83
|
|
|
Service Code
|
APR-DRG 6073
|
| Min. Negotiated Rate |
$28,756.98 |
| Max. Negotiated Rate |
$30,194.83 |
| Rate for Payer: BCBS Complete |
$30,194.83
|
| Rate for Payer: Mclaren Medicaid |
$28,756.98
|
| Rate for Payer: Meridian Medicaid |
$30,194.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,756.98
|
| Rate for Payer: UHCCP Medicaid |
$28,756.98
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$59,290.61
|
|
|
Service Code
|
APR-DRG 6134
|
| Min. Negotiated Rate |
$56,467.25 |
| Max. Negotiated Rate |
$59,290.61 |
| Rate for Payer: BCBS Complete |
$59,290.61
|
| Rate for Payer: Mclaren Medicaid |
$56,467.25
|
| Rate for Payer: Meridian Medicaid |
$59,290.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$56,467.25
|
| Rate for Payer: UHCCP Medicaid |
$56,467.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 6131
|
| Min. Negotiated Rate |
$4,792.83 |
| Max. Negotiated Rate |
$5,032.47 |
| Rate for Payer: BCBS Complete |
$5,032.47
|
| Rate for Payer: Mclaren Medicaid |
$4,792.83
|
| Rate for Payer: Meridian Medicaid |
$5,032.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.83
|
| Rate for Payer: UHCCP Medicaid |
$4,792.83
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$18,741.62
|
|
|
Service Code
|
APR-DRG 6132
|
| Min. Negotiated Rate |
$17,849.16 |
| Max. Negotiated Rate |
$18,741.62 |
| Rate for Payer: BCBS Complete |
$18,741.62
|
| Rate for Payer: Mclaren Medicaid |
$17,849.16
|
| Rate for Payer: Meridian Medicaid |
$18,741.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,849.16
|
| Rate for Payer: UHCCP Medicaid |
$17,849.16
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$29,037.94
|
|
|
Service Code
|
APR-DRG 6133
|
| Min. Negotiated Rate |
$27,655.18 |
| Max. Negotiated Rate |
$29,037.94 |
| Rate for Payer: BCBS Complete |
$29,037.94
|
| Rate for Payer: Mclaren Medicaid |
$27,655.18
|
| Rate for Payer: Meridian Medicaid |
$29,037.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,655.18
|
| Rate for Payer: UHCCP Medicaid |
$27,655.18
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$18,336.71
|
|
|
Service Code
|
APR-DRG 6113
|
| Min. Negotiated Rate |
$17,463.53 |
| Max. Negotiated Rate |
$18,336.71 |
| Rate for Payer: BCBS Complete |
$18,336.71
|
| Rate for Payer: Mclaren Medicaid |
$17,463.53
|
| Rate for Payer: Meridian Medicaid |
$18,336.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,463.53
|
| Rate for Payer: UHCCP Medicaid |
$17,463.53
|
|