|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 6231
|
| Min. Negotiated Rate |
$3,691.03 |
| Max. Negotiated Rate |
$3,875.58 |
| Rate for Payer: BCBS Complete |
$3,875.58
|
| Rate for Payer: Mclaren Medicaid |
$3,691.03
|
| Rate for Payer: Meridian Medicaid |
$3,875.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,691.03
|
| Rate for Payer: UHCCP Medicaid |
$3,691.03
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$31,467.41
|
|
|
Service Code
|
APR-DRG 6234
|
| Min. Negotiated Rate |
$29,968.96 |
| Max. Negotiated Rate |
$31,467.41 |
| Rate for Payer: BCBS Complete |
$31,467.41
|
| Rate for Payer: Mclaren Medicaid |
$29,968.96
|
| Rate for Payer: Meridian Medicaid |
$31,467.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,968.96
|
| Rate for Payer: UHCCP Medicaid |
$29,968.96
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$1,330.42
|
|
|
Service Code
|
APR-DRG 6211
|
| Min. Negotiated Rate |
$1,267.07 |
| Max. Negotiated Rate |
$1,330.42 |
| Rate for Payer: BCBS Complete |
$1,330.42
|
| Rate for Payer: Mclaren Medicaid |
$1,267.07
|
| Rate for Payer: Meridian Medicaid |
$1,330.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,267.07
|
| Rate for Payer: UHCCP Medicaid |
$1,267.07
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 6212
|
| Min. Negotiated Rate |
$7,382.06 |
| Max. Negotiated Rate |
$7,751.16 |
| Rate for Payer: BCBS Complete |
$7,751.16
|
| Rate for Payer: Mclaren Medicaid |
$7,382.06
|
| Rate for Payer: Meridian Medicaid |
$7,751.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,382.06
|
| Rate for Payer: UHCCP Medicaid |
$7,382.06
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 6213
|
| Min. Negotiated Rate |
$8,979.67 |
| Max. Negotiated Rate |
$9,428.65 |
| Rate for Payer: BCBS Complete |
$9,428.65
|
| Rate for Payer: Mclaren Medicaid |
$8,979.67
|
| Rate for Payer: Meridian Medicaid |
$9,428.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,979.67
|
| Rate for Payer: UHCCP Medicaid |
$8,979.67
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$18,799.46
|
|
|
Service Code
|
APR-DRG 6214
|
| Min. Negotiated Rate |
$17,904.25 |
| Max. Negotiated Rate |
$18,799.46 |
| Rate for Payer: BCBS Complete |
$18,799.46
|
| Rate for Payer: Mclaren Medicaid |
$17,904.25
|
| Rate for Payer: Meridian Medicaid |
$18,799.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,904.25
|
| Rate for Payer: UHCCP Medicaid |
$17,904.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$18,625.93
|
|
|
Service Code
|
APR-DRG 6253
|
| Min. Negotiated Rate |
$17,738.98 |
| Max. Negotiated Rate |
$18,625.93 |
| Rate for Payer: BCBS Complete |
$18,625.93
|
| Rate for Payer: Mclaren Medicaid |
$17,738.98
|
| Rate for Payer: Meridian Medicaid |
$18,625.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,738.98
|
| Rate for Payer: UHCCP Medicaid |
$17,738.98
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 6252
|
| Min. Negotiated Rate |
$8,869.49 |
| Max. Negotiated Rate |
$9,312.96 |
| Rate for Payer: BCBS Complete |
$9,312.96
|
| Rate for Payer: Mclaren Medicaid |
$8,869.49
|
| Rate for Payer: Meridian Medicaid |
$9,312.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,869.49
|
| Rate for Payer: UHCCP Medicaid |
$8,869.49
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$40,606.84
|
|
|
Service Code
|
APR-DRG 6254
|
| Min. Negotiated Rate |
$38,673.18 |
| Max. Negotiated Rate |
$40,606.84 |
| Rate for Payer: BCBS Complete |
$40,606.84
|
| Rate for Payer: Mclaren Medicaid |
$38,673.18
|
| Rate for Payer: Meridian Medicaid |
$40,606.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$38,673.18
|
| Rate for Payer: UHCCP Medicaid |
$38,673.18
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 6251
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$20,476.95
|
|
|
Service Code
|
APR-DRG 6223
|
| Min. Negotiated Rate |
$19,501.86 |
| Max. Negotiated Rate |
$20,476.95 |
| Rate for Payer: BCBS Complete |
$20,476.95
|
| Rate for Payer: Mclaren Medicaid |
$19,501.86
|
| Rate for Payer: Meridian Medicaid |
$20,476.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,501.86
|
| Rate for Payer: UHCCP Medicaid |
$19,501.86
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$30,599.74
|
|
|
Service Code
|
APR-DRG 6224
|
| Min. Negotiated Rate |
$29,142.61 |
| Max. Negotiated Rate |
$30,599.74 |
| Rate for Payer: BCBS Complete |
$30,599.74
|
| Rate for Payer: Mclaren Medicaid |
$29,142.61
|
| Rate for Payer: Meridian Medicaid |
$30,599.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,142.61
|
| Rate for Payer: UHCCP Medicaid |
$29,142.61
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 6222
|
| Min. Negotiated Rate |
$8,098.23 |
| Max. Negotiated Rate |
$8,503.14 |
| Rate for Payer: BCBS Complete |
$8,503.14
|
| Rate for Payer: Mclaren Medicaid |
$8,098.23
|
| Rate for Payer: Meridian Medicaid |
$8,503.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,098.23
|
| Rate for Payer: UHCCP Medicaid |
$8,098.23
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION
|
Facility
|
IP
|
$6,709.96
|
|
|
Service Code
|
APR-DRG 6221
|
| Min. Negotiated Rate |
$6,390.44 |
| Max. Negotiated Rate |
$6,709.96 |
| Rate for Payer: BCBS Complete |
$6,709.96
|
| Rate for Payer: Mclaren Medicaid |
$6,390.44
|
| Rate for Payer: Meridian Medicaid |
$6,709.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,390.44
|
| Rate for Payer: UHCCP Medicaid |
$6,390.44
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$10,180.63
|
|
|
Service Code
|
APR-DRG 6404
|
| Min. Negotiated Rate |
$9,695.84 |
| Max. Negotiated Rate |
$10,180.63 |
| Rate for Payer: BCBS Complete |
$10,180.63
|
| Rate for Payer: Mclaren Medicaid |
$9,695.84
|
| Rate for Payer: Meridian Medicaid |
$10,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,695.84
|
| Rate for Payer: UHCCP Medicaid |
$9,695.84
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,851.02
|
|
|
Service Code
|
APR-DRG 6403
|
| Min. Negotiated Rate |
$1,762.88 |
| Max. Negotiated Rate |
$1,851.02 |
| Rate for Payer: BCBS Complete |
$1,851.02
|
| Rate for Payer: Mclaren Medicaid |
$1,762.88
|
| Rate for Payer: Meridian Medicaid |
$1,851.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,762.88
|
| Rate for Payer: UHCCP Medicaid |
$1,762.88
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$1,156.89
|
|
|
Service Code
|
APR-DRG 6402
|
| Min. Negotiated Rate |
$1,101.80 |
| Max. Negotiated Rate |
$1,156.89 |
| Rate for Payer: BCBS Complete |
$1,156.89
|
| Rate for Payer: Mclaren Medicaid |
$1,101.80
|
| Rate for Payer: Meridian Medicaid |
$1,156.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,101.80
|
| Rate for Payer: UHCCP Medicaid |
$1,101.80
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM
|
Facility
|
IP
|
$809.82
|
|
|
Service Code
|
APR-DRG 6401
|
| Min. Negotiated Rate |
$771.26 |
| Max. Negotiated Rate |
$809.82 |
| Rate for Payer: BCBS Complete |
$809.82
|
| Rate for Payer: Mclaren Medicaid |
$771.26
|
| Rate for Payer: Meridian Medicaid |
$809.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$771.26
|
| Rate for Payer: UHCCP Medicaid |
$771.26
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$10,701.23
|
|
|
Service Code
|
APR-DRG 6363
|
| Min. Negotiated Rate |
$10,191.65 |
| Max. Negotiated Rate |
$10,701.23 |
| Rate for Payer: BCBS Complete |
$10,701.23
|
| Rate for Payer: Mclaren Medicaid |
$10,191.65
|
| Rate for Payer: Meridian Medicaid |
$10,701.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,191.65
|
| Rate for Payer: UHCCP Medicaid |
$10,191.65
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$10,816.92
|
|
|
Service Code
|
APR-DRG 6364
|
| Min. Negotiated Rate |
$10,301.83 |
| Max. Negotiated Rate |
$10,816.92 |
| Rate for Payer: BCBS Complete |
$10,816.92
|
| Rate for Payer: Mclaren Medicaid |
$10,301.83
|
| Rate for Payer: Meridian Medicaid |
$10,816.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,301.83
|
| Rate for Payer: UHCCP Medicaid |
$10,301.83
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 6361
|
| Min. Negotiated Rate |
$3,305.40 |
| Max. Negotiated Rate |
$3,470.67 |
| Rate for Payer: BCBS Complete |
$3,470.67
|
| Rate for Payer: Mclaren Medicaid |
$3,305.40
|
| Rate for Payer: Meridian Medicaid |
$3,470.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 6362
|
| 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 > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$3,933.43
|
|
|
Service Code
|
APR-DRG 6332
|
| Min. Negotiated Rate |
$3,746.12 |
| Max. Negotiated Rate |
$3,933.43 |
| Rate for Payer: BCBS Complete |
$3,933.43
|
| Rate for Payer: Mclaren Medicaid |
$3,746.12
|
| Rate for Payer: Meridian Medicaid |
$3,933.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,746.12
|
| Rate for Payer: UHCCP Medicaid |
$3,746.12
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 6333
|
| 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 > 2499 GRAMS WITH MAJOR ANOMALY
|
Facility
|
IP
|
$1,214.73
|
|
|
Service Code
|
APR-DRG 6331
|
| Min. Negotiated Rate |
$1,156.89 |
| Max. Negotiated Rate |
$1,214.73 |
| Rate for Payer: BCBS Complete |
$1,214.73
|
| Rate for Payer: Mclaren Medicaid |
$1,156.89
|
| Rate for Payer: Meridian Medicaid |
$1,214.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,156.89
|
| Rate for Payer: UHCCP Medicaid |
$1,156.89
|
|