|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$89,543.29
|
|
|
Service Code
|
APR-DRG 5933
|
| Min. Negotiated Rate |
$85,279.32 |
| Max. Negotiated Rate |
$89,543.29 |
| Rate for Payer: BCBS Complete |
$89,543.29
|
| Rate for Payer: Mclaren Medicaid |
$85,279.32
|
| Rate for Payer: Meridian Medicaid |
$89,543.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$85,279.32
|
| Rate for Payer: UHCCP Medicaid |
$85,279.32
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$33,781.19
|
|
|
Service Code
|
APR-DRG 5931
|
| Min. Negotiated Rate |
$32,172.56 |
| Max. Negotiated Rate |
$33,781.19 |
| Rate for Payer: BCBS Complete |
$33,781.19
|
| Rate for Payer: Mclaren Medicaid |
$32,172.56
|
| Rate for Payer: Meridian Medicaid |
$33,781.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,172.56
|
| Rate for Payer: UHCCP Medicaid |
$32,172.56
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$123,208.78
|
|
|
Service Code
|
APR-DRG 5934
|
| Min. Negotiated Rate |
$117,341.70 |
| Max. Negotiated Rate |
$123,208.78 |
| Rate for Payer: BCBS Complete |
$123,208.78
|
| Rate for Payer: Mclaren Medicaid |
$117,341.70
|
| Rate for Payer: Meridian Medicaid |
$123,208.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$117,341.70
|
| Rate for Payer: UHCCP Medicaid |
$117,341.70
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$57,670.97
|
|
|
Service Code
|
APR-DRG 5932
|
| Min. Negotiated Rate |
$54,924.73 |
| Max. Negotiated Rate |
$57,670.97 |
| Rate for Payer: BCBS Complete |
$57,670.97
|
| Rate for Payer: Mclaren Medicaid |
$54,924.73
|
| Rate for Payer: Meridian Medicaid |
$57,670.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$54,924.73
|
| Rate for Payer: UHCCP Medicaid |
$54,924.73
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$11,511.06
|
|
|
Service Code
|
APR-DRG 5814
|
| Min. Negotiated Rate |
$10,962.91 |
| Max. Negotiated Rate |
$11,511.06 |
| Rate for Payer: BCBS Complete |
$11,511.06
|
| Rate for Payer: Mclaren Medicaid |
$10,962.91
|
| Rate for Payer: Meridian Medicaid |
$11,511.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,962.91
|
| Rate for Payer: UHCCP Medicaid |
$10,962.91
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$694.13
|
|
|
Service Code
|
APR-DRG 5811
|
| Min. Negotiated Rate |
$661.08 |
| Max. Negotiated Rate |
$694.13 |
| Rate for Payer: BCBS Complete |
$694.13
|
| Rate for Payer: Mclaren Medicaid |
$661.08
|
| Rate for Payer: Meridian Medicaid |
$694.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$661.08
|
| Rate for Payer: UHCCP Medicaid |
$661.08
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$1,099.05
|
|
|
Service Code
|
APR-DRG 5812
|
| Min. Negotiated Rate |
$1,046.71 |
| Max. Negotiated Rate |
$1,099.05 |
| Rate for Payer: BCBS Complete |
$1,099.05
|
| Rate for Payer: Mclaren Medicaid |
$1,046.71
|
| Rate for Payer: Meridian Medicaid |
$1,099.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,046.71
|
| Rate for Payer: UHCCP Medicaid |
$1,046.71
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$2,371.62
|
|
|
Service Code
|
APR-DRG 5813
|
| Min. Negotiated Rate |
$2,258.69 |
| Max. Negotiated Rate |
$2,371.62 |
| Rate for Payer: BCBS Complete |
$2,371.62
|
| Rate for Payer: Mclaren Medicaid |
$2,258.69
|
| Rate for Payer: Meridian Medicaid |
$2,371.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,258.69
|
| Rate for Payer: UHCCP Medicaid |
$2,258.69
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$2,892.22
|
|
|
Service Code
|
APR-DRG 5802
|
| Min. Negotiated Rate |
$2,754.50 |
| Max. Negotiated Rate |
$2,892.22 |
| Rate for Payer: BCBS Complete |
$2,892.22
|
| Rate for Payer: Mclaren Medicaid |
$2,754.50
|
| Rate for Payer: Meridian Medicaid |
$2,892.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,754.50
|
| Rate for Payer: UHCCP Medicaid |
$2,754.50
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$7,346.25
|
|
|
Service Code
|
APR-DRG 5804
|
| 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, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$1,908.87
|
|
|
Service Code
|
APR-DRG 5801
|
| 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, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$5,553.07
|
|
|
Service Code
|
APR-DRG 5803
|
| Min. Negotiated Rate |
$5,288.64 |
| Max. Negotiated Rate |
$5,553.07 |
| Rate for Payer: BCBS Complete |
$5,553.07
|
| Rate for Payer: Mclaren Medicaid |
$5,288.64
|
| Rate for Payer: Meridian Medicaid |
$5,553.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,288.64
|
| Rate for Payer: UHCCP Medicaid |
$5,288.64
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$199,505.68
|
|
|
Service Code
|
APR-DRG 5833
|
| Min. Negotiated Rate |
$190,005.41 |
| Max. Negotiated Rate |
$199,505.68 |
| Rate for Payer: BCBS Complete |
$199,505.68
|
| Rate for Payer: Mclaren Medicaid |
$190,005.41
|
| Rate for Payer: Meridian Medicaid |
$199,505.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$190,005.41
|
| Rate for Payer: UHCCP Medicaid |
$190,005.41
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$99,261.16
|
|
|
Service Code
|
APR-DRG 5831
|
| Min. Negotiated Rate |
$94,534.44 |
| Max. Negotiated Rate |
$99,261.16 |
| Rate for Payer: BCBS Complete |
$99,261.16
|
| Rate for Payer: Mclaren Medicaid |
$94,534.44
|
| Rate for Payer: Meridian Medicaid |
$99,261.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$94,534.44
|
| Rate for Payer: UHCCP Medicaid |
$94,534.44
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$350,364.14
|
|
|
Service Code
|
APR-DRG 5834
|
| Min. Negotiated Rate |
$333,680.13 |
| Max. Negotiated Rate |
$350,364.14 |
| Rate for Payer: BCBS Complete |
$350,364.14
|
| Rate for Payer: Mclaren Medicaid |
$333,680.13
|
| Rate for Payer: Meridian Medicaid |
$350,364.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$333,680.13
|
| Rate for Payer: UHCCP Medicaid |
$333,680.13
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$110,598.68
|
|
|
Service Code
|
APR-DRG 5832
|
| Min. Negotiated Rate |
$105,332.08 |
| Max. Negotiated Rate |
$110,598.68 |
| Rate for Payer: BCBS Complete |
$110,598.68
|
| Rate for Payer: Mclaren Medicaid |
$105,332.08
|
| Rate for Payer: Meridian Medicaid |
$110,598.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$105,332.08
|
| Rate for Payer: UHCCP Medicaid |
$105,332.08
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 4622
|
| Min. Negotiated Rate |
$4,517.38 |
| Max. Negotiated Rate |
$4,743.25 |
| Rate for Payer: BCBS Complete |
$4,743.25
|
| Rate for Payer: Mclaren Medicaid |
$4,517.38
|
| Rate for Payer: Meridian Medicaid |
$4,743.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,517.38
|
| Rate for Payer: UHCCP Medicaid |
$4,517.38
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 4621
|
| Min. Negotiated Rate |
$3,195.22 |
| Max. Negotiated Rate |
$3,354.98 |
| Rate for Payer: BCBS Complete |
$3,354.98
|
| Rate for Payer: Mclaren Medicaid |
$3,195.22
|
| Rate for Payer: Meridian Medicaid |
$3,354.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$20,303.42
|
|
|
Service Code
|
APR-DRG 4624
|
| Min. Negotiated Rate |
$19,336.59 |
| Max. Negotiated Rate |
$20,303.42 |
| Rate for Payer: BCBS Complete |
$20,303.42
|
| Rate for Payer: Mclaren Medicaid |
$19,336.59
|
| Rate for Payer: Meridian Medicaid |
$20,303.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,336.59
|
| Rate for Payer: UHCCP Medicaid |
$19,336.59
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 4623
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$8,676.68
|
|
|
Service Code
|
APR-DRG 0413
|
| Min. Negotiated Rate |
$8,263.50 |
| Max. Negotiated Rate |
$8,676.68 |
| Rate for Payer: BCBS Complete |
$8,676.68
|
| Rate for Payer: Mclaren Medicaid |
$8,263.50
|
| Rate for Payer: Meridian Medicaid |
$8,676.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,263.50
|
| Rate for Payer: UHCCP Medicaid |
$8,263.50
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 0412
|
| Min. Negotiated Rate |
$5,729.36 |
| Max. Negotiated Rate |
$6,015.83 |
| Rate for Payer: BCBS Complete |
$6,015.83
|
| Rate for Payer: Mclaren Medicaid |
$5,729.36
|
| Rate for Payer: Meridian Medicaid |
$6,015.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,729.36
|
| Rate for Payer: UHCCP Medicaid |
$5,729.36
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 0411
|
| Min. Negotiated Rate |
$4,847.92 |
| Max. Negotiated Rate |
$5,090.32 |
| Rate for Payer: BCBS Complete |
$5,090.32
|
| Rate for Payer: Mclaren Medicaid |
$4,847.92
|
| Rate for Payer: Meridian Medicaid |
$5,090.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,847.92
|
| Rate for Payer: UHCCP Medicaid |
$4,847.92
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$10,701.23
|
|
|
Service Code
|
APR-DRG 0414
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 0501
|
| Min. Negotiated Rate |
$4,021.57 |
| Max. Negotiated Rate |
$4,222.65 |
| Rate for Payer: BCBS Complete |
$4,222.65
|
| Rate for Payer: Mclaren Medicaid |
$4,021.57
|
| Rate for Payer: Meridian Medicaid |
$4,222.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,021.57
|
| Rate for Payer: UHCCP Medicaid |
$4,021.57
|
|