|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$10,643.39
|
|
|
Service Code
|
APR-DRG 6212
|
| Min. Negotiated Rate |
$10,136.56 |
| Max. Negotiated Rate |
$10,643.39 |
| Rate for Payer: BCBS Complete |
$10,643.39
|
| Rate for Payer: Mclaren Medicaid |
$10,136.56
|
| Rate for Payer: Meridian Medicaid |
$10,643.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,136.56
|
| Rate for Payer: UHCCP Medicaid |
$10,136.56
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 6211
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$42,226.49
|
|
|
Service Code
|
APR-DRG 6214
|
| Min. Negotiated Rate |
$40,215.70 |
| Max. Negotiated Rate |
$42,226.49 |
| Rate for Payer: BCBS Complete |
$42,226.49
|
| Rate for Payer: Mclaren Medicaid |
$40,215.70
|
| Rate for Payer: Meridian Medicaid |
$42,226.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,215.70
|
| Rate for Payer: UHCCP Medicaid |
$40,215.70
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$21,228.93
|
|
|
Service Code
|
APR-DRG 6213
|
| Min. Negotiated Rate |
$20,218.03 |
| Max. Negotiated Rate |
$21,228.93 |
| Rate for Payer: BCBS Complete |
$21,228.93
|
| Rate for Payer: Mclaren Medicaid |
$20,218.03
|
| Rate for Payer: Meridian Medicaid |
$21,228.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,218.03
|
| Rate for Payer: UHCCP Medicaid |
$20,218.03
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$7,114.87
|
|
|
Service Code
|
APR-DRG 6251
|
| Min. Negotiated Rate |
$6,776.07 |
| Max. Negotiated Rate |
$7,114.87 |
| Rate for Payer: BCBS Complete |
$7,114.87
|
| Rate for Payer: Mclaren Medicaid |
$6,776.07
|
| Rate for Payer: Meridian Medicaid |
$7,114.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,776.07
|
| Rate for Payer: UHCCP Medicaid |
$6,776.07
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$10,354.17
|
|
|
Service Code
|
APR-DRG 6252
|
| Min. Negotiated Rate |
$9,861.11 |
| Max. Negotiated Rate |
$10,354.17 |
| Rate for Payer: BCBS Complete |
$10,354.17
|
| Rate for Payer: Mclaren Medicaid |
$9,861.11
|
| Rate for Payer: Meridian Medicaid |
$10,354.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,861.11
|
| Rate for Payer: UHCCP Medicaid |
$9,861.11
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$37,425.39
|
|
|
Service Code
|
APR-DRG 6254
|
| Min. Negotiated Rate |
$35,643.23 |
| Max. Negotiated Rate |
$37,425.39 |
| Rate for Payer: BCBS Complete |
$37,425.39
|
| Rate for Payer: Mclaren Medicaid |
$35,643.23
|
| Rate for Payer: Meridian Medicaid |
$37,425.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,643.23
|
| Rate for Payer: UHCCP Medicaid |
$35,643.23
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$17,179.82
|
|
|
Service Code
|
APR-DRG 6253
|
| Min. Negotiated Rate |
$16,361.73 |
| Max. Negotiated Rate |
$17,179.82 |
| Rate for Payer: BCBS Complete |
$17,179.82
|
| Rate for Payer: Mclaren Medicaid |
$16,361.73
|
| Rate for Payer: Meridian Medicaid |
$17,179.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,361.73
|
| Rate for Payer: UHCCP Medicaid |
$16,361.73
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$9,081.59
|
|
|
Service Code
|
APR-DRG 6221
|
| Min. Negotiated Rate |
$8,649.13 |
| Max. Negotiated Rate |
$9,081.59 |
| Rate for Payer: BCBS Complete |
$9,081.59
|
| Rate for Payer: Mclaren Medicaid |
$8,649.13
|
| Rate for Payer: Meridian Medicaid |
$9,081.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,649.13
|
| Rate for Payer: UHCCP Medicaid |
$8,649.13
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$18,741.62
|
|
|
Service Code
|
APR-DRG 6223
|
| 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 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$27,938.89
|
|
|
Service Code
|
APR-DRG 6224
|
| Min. Negotiated Rate |
$26,608.47 |
| Max. Negotiated Rate |
$27,938.89 |
| Rate for Payer: BCBS Complete |
$27,938.89
|
| Rate for Payer: Mclaren Medicaid |
$26,608.47
|
| Rate for Payer: Meridian Medicaid |
$27,938.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,608.47
|
| Rate for Payer: UHCCP Medicaid |
$26,608.47
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$13,130.70
|
|
|
Service Code
|
APR-DRG 6222
|
| Min. Negotiated Rate |
$12,505.43 |
| Max. Negotiated Rate |
$13,130.70 |
| Rate for Payer: BCBS Complete |
$13,130.70
|
| Rate for Payer: Mclaren Medicaid |
$12,505.43
|
| Rate for Payer: Meridian Medicaid |
$13,130.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,505.43
|
| Rate for Payer: UHCCP Medicaid |
$12,505.43
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$636.29
|
|
|
Service Code
|
APR-DRG 6401
|
| Min. Negotiated Rate |
$605.99 |
| Max. Negotiated Rate |
$636.29 |
| Rate for Payer: BCBS Complete |
$636.29
|
| Rate for Payer: Mclaren Medicaid |
$605.99
|
| Rate for Payer: Meridian Medicaid |
$636.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$605.99
|
| Rate for Payer: UHCCP Medicaid |
$605.99
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$983.36
|
|
|
Service Code
|
APR-DRG 6402
|
| 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 > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$11,915.97
|
|
|
Service Code
|
APR-DRG 6404
|
| Min. Negotiated Rate |
$11,348.54 |
| Max. Negotiated Rate |
$11,915.97 |
| Rate for Payer: BCBS Complete |
$11,915.97
|
| Rate for Payer: Mclaren Medicaid |
$11,348.54
|
| Rate for Payer: Meridian Medicaid |
$11,915.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,348.54
|
| Rate for Payer: UHCCP Medicaid |
$11,348.54
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$2,140.25
|
|
|
Service Code
|
APR-DRG 6403
|
| Min. Negotiated Rate |
$2,038.33 |
| Max. Negotiated Rate |
$2,140.25 |
| Rate for Payer: BCBS Complete |
$2,140.25
|
| Rate for Payer: Mclaren Medicaid |
$2,038.33
|
| Rate for Payer: Meridian Medicaid |
$2,140.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,038.33
|
| Rate for Payer: UHCCP Medicaid |
$2,038.33
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$15,270.95
|
|
|
Service Code
|
APR-DRG 6364
|
| Min. Negotiated Rate |
$14,543.76 |
| Max. Negotiated Rate |
$15,270.95 |
| Rate for Payer: BCBS Complete |
$15,270.95
|
| Rate for Payer: Mclaren Medicaid |
$14,543.76
|
| Rate for Payer: Meridian Medicaid |
$15,270.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,543.76
|
| Rate for Payer: UHCCP Medicaid |
$14,543.76
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$15,270.95
|
|
|
Service Code
|
APR-DRG 6363
|
| Min. Negotiated Rate |
$14,543.76 |
| Max. Negotiated Rate |
$15,270.95 |
| Rate for Payer: BCBS Complete |
$15,270.95
|
| Rate for Payer: Mclaren Medicaid |
$14,543.76
|
| Rate for Payer: Meridian Medicaid |
$15,270.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,543.76
|
| Rate for Payer: UHCCP Medicaid |
$14,543.76
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$7,346.25
|
|
|
Service Code
|
APR-DRG 6362
|
| Min. Negotiated Rate |
$6,996.43 |
| Max. Negotiated Rate |
$7,346.25 |
| Rate for Payer: BCBS Complete |
$7,346.25
|
| Rate for Payer: Mclaren Medicaid |
$6,996.43
|
| Rate for Payer: Meridian Medicaid |
$7,346.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,996.43
|
| Rate for Payer: UHCCP Medicaid |
$6,996.43
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 6361
|
| Min. Negotiated Rate |
$4,297.02 |
| Max. Negotiated Rate |
$4,511.87 |
| Rate for Payer: BCBS Complete |
$4,511.87
|
| Rate for Payer: Mclaren Medicaid |
$4,297.02
|
| Rate for Payer: Meridian Medicaid |
$4,511.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,297.02
|
| Rate for Payer: UHCCP Medicaid |
$4,297.02
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$16,312.15
|
|
|
Service Code
|
APR-DRG 6333
|
| Min. Negotiated Rate |
$15,535.38 |
| Max. Negotiated Rate |
$16,312.15 |
| Rate for Payer: BCBS Complete |
$16,312.15
|
| Rate for Payer: Mclaren Medicaid |
$15,535.38
|
| Rate for Payer: Meridian Medicaid |
$16,312.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,535.38
|
| Rate for Payer: UHCCP Medicaid |
$15,535.38
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$42,978.46
|
|
|
Service Code
|
APR-DRG 6334
|
| Min. Negotiated Rate |
$40,931.87 |
| Max. Negotiated Rate |
$42,978.46 |
| Rate for Payer: BCBS Complete |
$42,978.46
|
| Rate for Payer: Mclaren Medicaid |
$40,931.87
|
| Rate for Payer: Meridian Medicaid |
$42,978.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,931.87
|
| Rate for Payer: UHCCP Medicaid |
$40,931.87
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 6332
|
| 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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$1,446.11
|
|
|
Service Code
|
APR-DRG 6331
|
| Min. Negotiated Rate |
$1,377.25 |
| Max. Negotiated Rate |
$1,446.11 |
| Rate for Payer: BCBS Complete |
$1,446.11
|
| Rate for Payer: Mclaren Medicaid |
$1,377.25
|
| Rate for Payer: Meridian Medicaid |
$1,446.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,377.25
|
| Rate for Payer: UHCCP Medicaid |
$1,377.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE
|
Facility
|
IP
|
$65,595.66
|
|
|
Service Code
|
APR-DRG 6303
|
| Min. Negotiated Rate |
$62,472.06 |
| Max. Negotiated Rate |
$65,595.66 |
| Rate for Payer: BCBS Complete |
$65,595.66
|
| Rate for Payer: Mclaren Medicaid |
$62,472.06
|
| Rate for Payer: Meridian Medicaid |
$65,595.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$62,472.06
|
| Rate for Payer: UHCCP Medicaid |
$62,472.06
|
|