|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$29,153.63
|
|
|
Service Code
|
APR-DRG 6113
|
| 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
|
$24,410.38
|
|
|
Service Code
|
APR-DRG 6143
|
| Min. Negotiated Rate |
$23,247.98 |
| Max. Negotiated Rate |
$24,410.38 |
| Rate for Payer: BCBS Complete |
$24,410.38
|
| Rate for Payer: Mclaren Medicaid |
$23,247.98
|
| Rate for Payer: Meridian Medicaid |
$24,410.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,247.98
|
| Rate for Payer: UHCCP Medicaid |
$23,247.98
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$36,152.81
|
|
|
Service Code
|
APR-DRG 6144
|
| Min. Negotiated Rate |
$34,431.25 |
| Max. Negotiated Rate |
$36,152.81 |
| Rate for Payer: BCBS Complete |
$36,152.81
|
| Rate for Payer: Mclaren Medicaid |
$34,431.25
|
| Rate for Payer: Meridian Medicaid |
$36,152.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,431.25
|
| Rate for Payer: UHCCP Medicaid |
$34,431.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 6141
|
| 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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$14,114.06
|
|
|
Service Code
|
APR-DRG 6142
|
| 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 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$43,036.31
|
|
|
Service Code
|
APR-DRG 6124
|
| Min. Negotiated Rate |
$40,986.96 |
| Max. Negotiated Rate |
$43,036.31 |
| Rate for Payer: BCBS Complete |
$43,036.31
|
| Rate for Payer: Mclaren Medicaid |
$40,986.96
|
| Rate for Payer: Meridian Medicaid |
$43,036.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,986.96
|
| Rate for Payer: UHCCP Medicaid |
$40,986.96
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$14,403.28
|
|
|
Service Code
|
APR-DRG 6121
|
| Min. Negotiated Rate |
$13,717.41 |
| Max. Negotiated Rate |
$14,403.28 |
| Rate for Payer: BCBS Complete |
$14,403.28
|
| Rate for Payer: Mclaren Medicaid |
$13,717.41
|
| Rate for Payer: Meridian Medicaid |
$14,403.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,717.41
|
| Rate for Payer: UHCCP Medicaid |
$13,717.41
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$29,847.76
|
|
|
Service Code
|
APR-DRG 6123
|
| Min. Negotiated Rate |
$28,426.44 |
| Max. Negotiated Rate |
$29,847.76 |
| Rate for Payer: BCBS Complete |
$29,847.76
|
| Rate for Payer: Mclaren Medicaid |
$28,426.44
|
| Rate for Payer: Meridian Medicaid |
$29,847.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,426.44
|
| Rate for Payer: UHCCP Medicaid |
$28,426.44
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$20,881.86
|
|
|
Service Code
|
APR-DRG 6122
|
| Min. Negotiated Rate |
$19,887.49 |
| Max. Negotiated Rate |
$20,881.86 |
| Rate for Payer: BCBS Complete |
$20,881.86
|
| Rate for Payer: Mclaren Medicaid |
$19,887.49
|
| Rate for Payer: Meridian Medicaid |
$20,881.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,887.49
|
| Rate for Payer: UHCCP Medicaid |
$19,887.49
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$30,888.96
|
|
|
Service Code
|
APR-DRG 6092
|
| Min. Negotiated Rate |
$29,418.06 |
| Max. Negotiated Rate |
$30,888.96 |
| Rate for Payer: BCBS Complete |
$30,888.96
|
| Rate for Payer: Mclaren Medicaid |
$29,418.06
|
| Rate for Payer: Meridian Medicaid |
$30,888.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,418.06
|
| Rate for Payer: UHCCP Medicaid |
$29,418.06
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$136,397.33
|
|
|
Service Code
|
APR-DRG 6094
|
| Min. Negotiated Rate |
$129,902.22 |
| Max. Negotiated Rate |
$136,397.33 |
| Rate for Payer: BCBS Complete |
$136,397.33
|
| Rate for Payer: Mclaren Medicaid |
$129,902.22
|
| Rate for Payer: Meridian Medicaid |
$136,397.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$129,902.22
|
| Rate for Payer: UHCCP Medicaid |
$129,902.22
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$47,316.80
|
|
|
Service Code
|
APR-DRG 6093
|
| Min. Negotiated Rate |
$45,063.62 |
| Max. Negotiated Rate |
$47,316.80 |
| Rate for Payer: BCBS Complete |
$47,316.80
|
| Rate for Payer: Mclaren Medicaid |
$45,063.62
|
| Rate for Payer: Meridian Medicaid |
$47,316.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,063.62
|
| Rate for Payer: UHCCP Medicaid |
$45,063.62
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$24,815.29
|
|
|
Service Code
|
APR-DRG 6091
|
| Min. Negotiated Rate |
$23,633.61 |
| Max. Negotiated Rate |
$24,815.29 |
| Rate for Payer: BCBS Complete |
$24,815.29
|
| Rate for Payer: Mclaren Medicaid |
$23,633.61
|
| Rate for Payer: Meridian Medicaid |
$24,815.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,633.61
|
| Rate for Payer: UHCCP Medicaid |
$23,633.61
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$95,790.49
|
|
|
Service Code
|
APR-DRG 5881
|
| Min. Negotiated Rate |
$91,229.04 |
| Max. Negotiated Rate |
$95,790.49 |
| Rate for Payer: BCBS Complete |
$95,790.49
|
| Rate for Payer: Mclaren Medicaid |
$91,229.04
|
| Rate for Payer: Meridian Medicaid |
$95,790.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$91,229.04
|
| Rate for Payer: UHCCP Medicaid |
$91,229.04
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$130,381.50
|
|
|
Service Code
|
APR-DRG 5883
|
| Min. Negotiated Rate |
$124,172.86 |
| Max. Negotiated Rate |
$130,381.50 |
| Rate for Payer: BCBS Complete |
$130,381.50
|
| Rate for Payer: Mclaren Medicaid |
$124,172.86
|
| Rate for Payer: Meridian Medicaid |
$130,381.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$124,172.86
|
| Rate for Payer: UHCCP Medicaid |
$124,172.86
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$195,803.63
|
|
|
Service Code
|
APR-DRG 5884
|
| Min. Negotiated Rate |
$186,479.65 |
| Max. Negotiated Rate |
$195,803.63 |
| Rate for Payer: BCBS Complete |
$195,803.63
|
| Rate for Payer: Mclaren Medicaid |
$186,479.65
|
| Rate for Payer: Meridian Medicaid |
$195,803.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$186,479.65
|
| Rate for Payer: UHCCP Medicaid |
$186,479.65
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE
|
Facility
|
IP
|
$111,755.57
|
|
|
Service Code
|
APR-DRG 5882
|
| Min. Negotiated Rate |
$106,433.88 |
| Max. Negotiated Rate |
$111,755.57 |
| Rate for Payer: BCBS Complete |
$111,755.57
|
| Rate for Payer: Mclaren Medicaid |
$106,433.88
|
| Rate for Payer: Meridian Medicaid |
$111,755.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$106,433.88
|
| Rate for Payer: UHCCP Medicaid |
$106,433.88
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$867.67
|
|
|
Service Code
|
APR-DRG 6261
|
| Min. Negotiated Rate |
$826.35 |
| Max. Negotiated Rate |
$867.67 |
| Rate for Payer: BCBS Complete |
$867.67
|
| Rate for Payer: Mclaren Medicaid |
$826.35
|
| Rate for Payer: Meridian Medicaid |
$867.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$826.35
|
| Rate for Payer: UHCCP Medicaid |
$826.35
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 6264
|
| 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 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$5,495.23
|
|
|
Service Code
|
APR-DRG 6263
|
| Min. Negotiated Rate |
$5,233.55 |
| Max. Negotiated Rate |
$5,495.23 |
| Rate for Payer: BCBS Complete |
$5,495.23
|
| Rate for Payer: Mclaren Medicaid |
$5,233.55
|
| Rate for Payer: Meridian Medicaid |
$5,495.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,233.55
|
| Rate for Payer: UHCCP Medicaid |
$5,233.55
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,908.87
|
|
|
Service Code
|
APR-DRG 6262
|
| Min. Negotiated Rate |
$1,817.97 |
| Max. Negotiated Rate |
$1,908.87 |
| Rate for Payer: BCBS Complete |
$1,908.87
|
| Rate for Payer: Mclaren Medicaid |
$1,817.97
|
| Rate for Payer: Meridian Medicaid |
$1,908.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,817.97
|
| Rate for Payer: UHCCP Medicaid |
$1,817.97
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 6232
|
| Min. Negotiated Rate |
$10,852.73 |
| Max. Negotiated Rate |
$11,395.37 |
| Rate for Payer: BCBS Complete |
$11,395.37
|
| Rate for Payer: Mclaren Medicaid |
$10,852.73
|
| Rate for Payer: Meridian Medicaid |
$11,395.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,852.73
|
| Rate for Payer: UHCCP Medicaid |
$10,852.73
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 6231
|
| 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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$30,194.83
|
|
|
Service Code
|
APR-DRG 6234
|
| 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 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$22,675.04
|
|
|
Service Code
|
APR-DRG 6233
|
| Min. Negotiated Rate |
$21,595.28 |
| Max. Negotiated Rate |
$22,675.04 |
| Rate for Payer: BCBS Complete |
$22,675.04
|
| Rate for Payer: Mclaren Medicaid |
$21,595.28
|
| Rate for Payer: Meridian Medicaid |
$22,675.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,595.28
|
| Rate for Payer: UHCCP Medicaid |
$21,595.28
|
|