|
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
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$14,461.12
|
|
|
Service Code
|
APR-DRG 6112
|
| Min. Negotiated Rate |
$13,772.50 |
| Max. Negotiated Rate |
$14,461.12 |
| Rate for Payer: BCBS Complete |
$14,461.12
|
| Rate for Payer: Mclaren Medicaid |
$13,772.50
|
| Rate for Payer: Meridian Medicaid |
$14,461.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,772.50
|
| Rate for Payer: UHCCP Medicaid |
$13,772.50
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$34,764.54
|
|
|
Service Code
|
APR-DRG 6114
|
| 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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,396.18
|
|
|
Service Code
|
APR-DRG 6141
|
| Min. Negotiated Rate |
$4,186.84 |
| Max. Negotiated Rate |
$4,396.18 |
| Rate for Payer: BCBS Complete |
$4,396.18
|
| Rate for Payer: Mclaren Medicaid |
$4,186.84
|
| Rate for Payer: Meridian Medicaid |
$4,396.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.84
|
| Rate for Payer: UHCCP Medicaid |
$4,186.84
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$29,153.63
|
|
|
Service Code
|
APR-DRG 6144
|
| Min. Negotiated Rate |
$27,765.36 |
| Max. Negotiated Rate |
$29,153.63 |
| Rate for Payer: BCBS Complete |
$29,153.63
|
| Rate for Payer: Mclaren Medicaid |
$27,765.36
|
| Rate for Payer: Meridian Medicaid |
$29,153.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,765.36
|
| Rate for Payer: UHCCP Medicaid |
$27,765.36
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$11,279.68
|
|
|
Service Code
|
APR-DRG 6142
|
| Min. Negotiated Rate |
$10,742.55 |
| Max. Negotiated Rate |
$11,279.68 |
| Rate for Payer: BCBS Complete |
$11,279.68
|
| Rate for Payer: Mclaren Medicaid |
$10,742.55
|
| Rate for Payer: Meridian Medicaid |
$11,279.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,742.55
|
| Rate for Payer: UHCCP Medicaid |
$10,742.55
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$21,576.00
|
|
|
Service Code
|
APR-DRG 6143
|
| 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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$46,738.36
|
|
|
Service Code
|
APR-DRG 6124
|
| Min. Negotiated Rate |
$44,512.72 |
| Max. Negotiated Rate |
$46,738.36 |
| Rate for Payer: BCBS Complete |
$46,738.36
|
| Rate for Payer: Mclaren Medicaid |
$44,512.72
|
| Rate for Payer: Meridian Medicaid |
$46,738.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,512.72
|
| Rate for Payer: UHCCP Medicaid |
$44,512.72
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 6121
|
| 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 RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$32,566.45
|
|
|
Service Code
|
APR-DRG 6123
|
| Min. Negotiated Rate |
$31,015.67 |
| Max. Negotiated Rate |
$32,566.45 |
| Rate for Payer: BCBS Complete |
$32,566.45
|
| Rate for Payer: Mclaren Medicaid |
$31,015.67
|
| Rate for Payer: Meridian Medicaid |
$32,566.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,015.67
|
| Rate for Payer: UHCCP Medicaid |
$31,015.67
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$17,064.13
|
|
|
Service Code
|
APR-DRG 6122
|
| Min. Negotiated Rate |
$16,251.55 |
| Max. Negotiated Rate |
$17,064.13 |
| Rate for Payer: BCBS Complete |
$17,064.13
|
| Rate for Payer: Mclaren Medicaid |
$16,251.55
|
| Rate for Payer: Meridian Medicaid |
$17,064.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,251.55
|
| Rate for Payer: UHCCP Medicaid |
$16,251.55
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$149,701.57
|
|
|
Service Code
|
APR-DRG 6094
|
| Min. Negotiated Rate |
$142,572.92 |
| Max. Negotiated Rate |
$149,701.57 |
| Rate for Payer: BCBS Complete |
$149,701.57
|
| Rate for Payer: Mclaren Medicaid |
$142,572.92
|
| Rate for Payer: Meridian Medicaid |
$149,701.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$142,572.92
|
| Rate for Payer: UHCCP Medicaid |
$142,572.92
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$26,955.54
|
|
|
Service Code
|
APR-DRG 6091
|
| Min. Negotiated Rate |
$25,671.94 |
| Max. Negotiated Rate |
$26,955.54 |
| Rate for Payer: BCBS Complete |
$26,955.54
|
| Rate for Payer: Mclaren Medicaid |
$25,671.94
|
| Rate for Payer: Meridian Medicaid |
$26,955.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,671.94
|
| Rate for Payer: UHCCP Medicaid |
$25,671.94
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$51,192.38
|
|
|
Service Code
|
APR-DRG 6093
|
| Min. Negotiated Rate |
$48,754.65 |
| Max. Negotiated Rate |
$51,192.38 |
| Rate for Payer: BCBS Complete |
$51,192.38
|
| Rate for Payer: Mclaren Medicaid |
$48,754.65
|
| Rate for Payer: Meridian Medicaid |
$51,192.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,754.65
|
| Rate for Payer: UHCCP Medicaid |
$48,754.65
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$32,508.61
|
|
|
Service Code
|
APR-DRG 6092
|
| Min. Negotiated Rate |
$30,960.58 |
| Max. Negotiated Rate |
$32,508.61 |
| Rate for Payer: BCBS Complete |
$32,508.61
|
| Rate for Payer: Mclaren Medicaid |
$30,960.58
|
| Rate for Payer: Meridian Medicaid |
$32,508.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,960.58
|
| Rate for Payer: UHCCP Medicaid |
$30,960.58
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$102,211.23
|
|
|
Service Code
|
APR-DRG 5881
|
| Min. Negotiated Rate |
$97,344.03 |
| Max. Negotiated Rate |
$102,211.23 |
| Rate for Payer: BCBS Complete |
$102,211.23
|
| Rate for Payer: Mclaren Medicaid |
$97,344.03
|
| Rate for Payer: Meridian Medicaid |
$102,211.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$97,344.03
|
| Rate for Payer: UHCCP Medicaid |
$97,344.03
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$141,834.71
|
|
|
Service Code
|
APR-DRG 5883
|
| Min. Negotiated Rate |
$135,080.68 |
| Max. Negotiated Rate |
$141,834.71 |
| Rate for Payer: BCBS Complete |
$141,834.71
|
| Rate for Payer: Mclaren Medicaid |
$135,080.68
|
| Rate for Payer: Meridian Medicaid |
$141,834.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$135,080.68
|
| Rate for Payer: UHCCP Medicaid |
$135,080.68
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$119,217.51
|
|
|
Service Code
|
APR-DRG 5882
|
| Min. Negotiated Rate |
$113,540.49 |
| Max. Negotiated Rate |
$119,217.51 |
| Rate for Payer: BCBS Complete |
$119,217.51
|
| Rate for Payer: Mclaren Medicaid |
$113,540.49
|
| Rate for Payer: Meridian Medicaid |
$119,217.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$113,540.49
|
| Rate for Payer: UHCCP Medicaid |
$113,540.49
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$214,776.63
|
|
|
Service Code
|
APR-DRG 5884
|
| Min. Negotiated Rate |
$204,549.17 |
| Max. Negotiated Rate |
$214,776.63 |
| Rate for Payer: BCBS Complete |
$214,776.63
|
| Rate for Payer: Mclaren Medicaid |
$204,549.17
|
| Rate for Payer: Meridian Medicaid |
$214,776.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$204,549.17
|
| Rate for Payer: UHCCP Medicaid |
$204,549.17
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 6263
|
| Min. Negotiated Rate |
$3,525.76 |
| Max. Negotiated Rate |
$3,702.05 |
| Rate for Payer: BCBS Complete |
$3,702.05
|
| Rate for Payer: Mclaren Medicaid |
$3,525.76
|
| Rate for Payer: Meridian Medicaid |
$3,702.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,525.76
|
| Rate for Payer: UHCCP Medicaid |
$3,525.76
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 6264
|
| Min. Negotiated Rate |
$6,720.98 |
| Max. Negotiated Rate |
$7,057.03 |
| Rate for Payer: BCBS Complete |
$7,057.03
|
| Rate for Payer: Mclaren Medicaid |
$6,720.98
|
| Rate for Payer: Meridian Medicaid |
$7,057.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,720.98
|
| Rate for Payer: UHCCP Medicaid |
$6,720.98
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$983.36
|
|
|
Service Code
|
APR-DRG 6261
|
| Min. Negotiated Rate |
$936.53 |
| Max. Negotiated Rate |
$983.36 |
| Rate for Payer: BCBS Complete |
$983.36
|
| Rate for Payer: Mclaren Medicaid |
$936.53
|
| Rate for Payer: Meridian Medicaid |
$983.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$936.53
|
| Rate for Payer: UHCCP Medicaid |
$936.53
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,561.80
|
|
|
Service Code
|
APR-DRG 6262
|
| Min. Negotiated Rate |
$1,487.43 |
| Max. Negotiated Rate |
$1,561.80 |
| Rate for Payer: BCBS Complete |
$1,561.80
|
| Rate for Payer: Mclaren Medicaid |
$1,487.43
|
| Rate for Payer: Meridian Medicaid |
$1,561.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,487.43
|
| Rate for Payer: UHCCP Medicaid |
$1,487.43
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$23,831.93
|
|
|
Service Code
|
APR-DRG 6233
|
| 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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 6232
|
| 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
|
|