|
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
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$14,114.06
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$13,441.96 |
| Max. Negotiated Rate |
$14,114.06 |
| Rate for Payer: BCBS Complete |
$14,114.06
|
| Rate for Payer: Mclaren Medicaid |
$13,441.96
|
| Rate for Payer: Meridian Medicaid |
$14,114.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,441.96
|
| Rate for Payer: UHCCP Medicaid |
$13,441.96
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$35,227.30
|
|
|
Service Code
|
APR-DRG 6033
|
| Min. Negotiated Rate |
$33,549.81 |
| Max. Negotiated Rate |
$35,227.30 |
| Rate for Payer: BCBS Complete |
$35,227.30
|
| Rate for Payer: Mclaren Medicaid |
$33,549.81
|
| Rate for Payer: Meridian Medicaid |
$35,227.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,549.81
|
| Rate for Payer: UHCCP Medicaid |
$33,549.81
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 6031
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$62,182.84
|
|
|
Service Code
|
APR-DRG 6034
|
| Min. Negotiated Rate |
$59,221.75 |
| Max. Negotiated Rate |
$62,182.84 |
| Rate for Payer: BCBS Complete |
$62,182.84
|
| Rate for Payer: Mclaren Medicaid |
$59,221.75
|
| Rate for Payer: Meridian Medicaid |
$62,182.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$59,221.75
|
| Rate for Payer: UHCCP Medicaid |
$59,221.75
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$28,748.72
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$27,379.73 |
| Max. Negotiated Rate |
$28,748.72 |
| Rate for Payer: BCBS Complete |
$28,748.72
|
| Rate for Payer: Mclaren Medicaid |
$27,379.73
|
| Rate for Payer: Meridian Medicaid |
$28,748.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,379.73
|
| Rate for Payer: UHCCP Medicaid |
$27,379.73
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$35,169.46
|
|
|
Service Code
|
APR-DRG 6021
|
| Min. Negotiated Rate |
$33,494.72 |
| Max. Negotiated Rate |
$35,169.46 |
| Rate for Payer: BCBS Complete |
$35,169.46
|
| Rate for Payer: Mclaren Medicaid |
$33,494.72
|
| Rate for Payer: Meridian Medicaid |
$35,169.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,494.72
|
| Rate for Payer: UHCCP Medicaid |
$33,494.72
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$59,059.23
|
|
|
Service Code
|
APR-DRG 6023
|
| Min. Negotiated Rate |
$56,246.89 |
| Max. Negotiated Rate |
$59,059.23 |
| Rate for Payer: BCBS Complete |
$59,059.23
|
| Rate for Payer: Mclaren Medicaid |
$56,246.89
|
| Rate for Payer: Meridian Medicaid |
$59,059.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$56,246.89
|
| Rate for Payer: UHCCP Medicaid |
$56,246.89
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$85,031.41
|
|
|
Service Code
|
APR-DRG 6024
|
| Min. Negotiated Rate |
$80,982.30 |
| Max. Negotiated Rate |
$85,031.41 |
| Rate for Payer: BCBS Complete |
$85,031.41
|
| Rate for Payer: Mclaren Medicaid |
$80,982.30
|
| Rate for Payer: Meridian Medicaid |
$85,031.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$80,982.30
|
| Rate for Payer: UHCCP Medicaid |
$80,982.30
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$47,201.11
|
|
|
Service Code
|
APR-DRG 6022
|
| Min. Negotiated Rate |
$44,953.44 |
| Max. Negotiated Rate |
$47,201.11 |
| Rate for Payer: BCBS Complete |
$47,201.11
|
| Rate for Payer: Mclaren Medicaid |
$44,953.44
|
| Rate for Payer: Meridian Medicaid |
$47,201.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,953.44
|
| Rate for Payer: UHCCP Medicaid |
$44,953.44
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$22,385.82
|
|
|
Service Code
|
APR-DRG 6082
|
| Min. Negotiated Rate |
$21,319.83 |
| Max. Negotiated Rate |
$22,385.82 |
| Rate for Payer: BCBS Complete |
$22,385.82
|
| Rate for Payer: Mclaren Medicaid |
$21,319.83
|
| Rate for Payer: Meridian Medicaid |
$22,385.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,319.83
|
| Rate for Payer: UHCCP Medicaid |
$21,319.83
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$37,483.24
|
|
|
Service Code
|
APR-DRG 6084
|
| Min. Negotiated Rate |
$35,698.32 |
| Max. Negotiated Rate |
$37,483.24 |
| Rate for Payer: BCBS Complete |
$37,483.24
|
| Rate for Payer: Mclaren Medicaid |
$35,698.32
|
| Rate for Payer: Meridian Medicaid |
$37,483.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,698.32
|
| Rate for Payer: UHCCP Medicaid |
$35,698.32
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$32,335.08
|
|
|
Service Code
|
APR-DRG 6083
|
| Min. Negotiated Rate |
$30,795.31 |
| Max. Negotiated Rate |
$32,335.08 |
| Rate for Payer: BCBS Complete |
$32,335.08
|
| Rate for Payer: Mclaren Medicaid |
$30,795.31
|
| Rate for Payer: Meridian Medicaid |
$32,335.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,795.31
|
| Rate for Payer: UHCCP Medicaid |
$30,795.31
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$12,899.32
|
|
|
Service Code
|
APR-DRG 6081
|
| Min. Negotiated Rate |
$12,285.07 |
| Max. Negotiated Rate |
$12,899.32 |
| Rate for Payer: BCBS Complete |
$12,899.32
|
| Rate for Payer: Mclaren Medicaid |
$12,285.07
|
| Rate for Payer: Meridian Medicaid |
$12,899.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,285.07
|
| Rate for Payer: UHCCP Medicaid |
$12,285.07
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$45,060.87
|
|
|
Service Code
|
APR-DRG 6073
|
| Min. Negotiated Rate |
$42,915.11 |
| Max. Negotiated Rate |
$45,060.87 |
| Rate for Payer: BCBS Complete |
$45,060.87
|
| Rate for Payer: Mclaren Medicaid |
$42,915.11
|
| Rate for Payer: Meridian Medicaid |
$45,060.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,915.11
|
| Rate for Payer: UHCCP Medicaid |
$42,915.11
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$24,063.31
|
|
|
Service Code
|
APR-DRG 6071
|
| 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
|
$33,665.50
|
|
|
Service Code
|
APR-DRG 6072
|
| Min. Negotiated Rate |
$32,062.38 |
| Max. Negotiated Rate |
$33,665.50 |
| Rate for Payer: BCBS Complete |
$33,665.50
|
| Rate for Payer: Mclaren Medicaid |
$32,062.38
|
| Rate for Payer: Meridian Medicaid |
$33,665.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,062.38
|
| Rate for Payer: UHCCP Medicaid |
$32,062.38
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$65,711.35
|
|
|
Service Code
|
APR-DRG 6074
|
| Min. Negotiated Rate |
$62,582.24 |
| Max. Negotiated Rate |
$65,711.35 |
| Rate for Payer: BCBS Complete |
$65,711.35
|
| Rate for Payer: Mclaren Medicaid |
$62,582.24
|
| Rate for Payer: Meridian Medicaid |
$65,711.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$62,582.24
|
| Rate for Payer: UHCCP Medicaid |
$62,582.24
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$54,142.45
|
|
|
Service Code
|
APR-DRG 6134
|
| Min. Negotiated Rate |
$51,564.24 |
| Max. Negotiated Rate |
$54,142.45 |
| Rate for Payer: BCBS Complete |
$54,142.45
|
| Rate for Payer: Mclaren Medicaid |
$51,564.24
|
| Rate for Payer: Meridian Medicaid |
$54,142.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$51,564.24
|
| Rate for Payer: UHCCP Medicaid |
$51,564.24
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$29,269.32
|
|
|
Service Code
|
APR-DRG 6133
|
| Min. Negotiated Rate |
$27,875.54 |
| Max. Negotiated Rate |
$29,269.32 |
| Rate for Payer: BCBS Complete |
$29,269.32
|
| Rate for Payer: Mclaren Medicaid |
$27,875.54
|
| Rate for Payer: Meridian Medicaid |
$29,269.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,875.54
|
| Rate for Payer: UHCCP Medicaid |
$27,875.54
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 6131
|
| Min. Negotiated Rate |
$10,522.19 |
| Max. Negotiated Rate |
$11,048.30 |
| Rate for Payer: BCBS Complete |
$11,048.30
|
| Rate for Payer: Mclaren Medicaid |
$10,522.19
|
| Rate for Payer: Meridian Medicaid |
$11,048.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,522.19
|
| Rate for Payer: UHCCP Medicaid |
$10,522.19
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$17,237.66
|
|
|
Service Code
|
APR-DRG 6132
|
| Min. Negotiated Rate |
$16,416.82 |
| Max. Negotiated Rate |
$17,237.66 |
| Rate for Payer: BCBS Complete |
$17,237.66
|
| Rate for Payer: Mclaren Medicaid |
$16,416.82
|
| Rate for Payer: Meridian Medicaid |
$17,237.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,416.82
|
| Rate for Payer: UHCCP Medicaid |
$16,416.82
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$54,663.05
|
|
|
Service Code
|
APR-DRG 6114
|
| Min. Negotiated Rate |
$52,060.05 |
| Max. Negotiated Rate |
$54,663.05 |
| Rate for Payer: BCBS Complete |
$54,663.05
|
| Rate for Payer: Mclaren Medicaid |
$52,060.05
|
| Rate for Payer: Meridian Medicaid |
$54,663.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$52,060.05
|
| Rate for Payer: UHCCP Medicaid |
$52,060.05
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$17,931.79
|
|
|
Service Code
|
APR-DRG 6112
|
| Min. Negotiated Rate |
$17,077.90 |
| Max. Negotiated Rate |
$17,931.79 |
| Rate for Payer: BCBS Complete |
$17,931.79
|
| Rate for Payer: Mclaren Medicaid |
$17,077.90
|
| Rate for Payer: Meridian Medicaid |
$17,931.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,077.90
|
| Rate for Payer: UHCCP Medicaid |
$17,077.90
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$9,370.81
|
|
|
Service Code
|
APR-DRG 6111
|
| Min. Negotiated Rate |
$8,924.58 |
| Max. Negotiated Rate |
$9,370.81 |
| Rate for Payer: BCBS Complete |
$9,370.81
|
| Rate for Payer: Mclaren Medicaid |
$8,924.58
|
| Rate for Payer: Meridian Medicaid |
$9,370.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,924.58
|
| Rate for Payer: UHCCP Medicaid |
$8,924.58
|
|