|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$50,556.09
|
|
|
Service Code
|
APR-DRG 5931
|
| Min. Negotiated Rate |
$48,148.66 |
| Max. Negotiated Rate |
$50,556.09 |
| Rate for Payer: BCBS Complete |
$50,556.09
|
| Rate for Payer: Mclaren Medicaid |
$48,148.66
|
| Rate for Payer: Meridian Medicaid |
$50,556.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,148.66
|
| Rate for Payer: UHCCP Medicaid |
$48,148.66
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE
|
Facility
|
IP
|
$82,544.10
|
|
|
Service Code
|
APR-DRG 5933
|
| Min. Negotiated Rate |
$78,613.43 |
| Max. Negotiated Rate |
$82,544.10 |
| Rate for Payer: BCBS Complete |
$82,544.10
|
| Rate for Payer: Mclaren Medicaid |
$78,613.43
|
| Rate for Payer: Meridian Medicaid |
$82,544.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$78,613.43
|
| Rate for Payer: UHCCP Medicaid |
$78,613.43
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 5814
|
| Min. Negotiated Rate |
$3,085.04 |
| Max. Negotiated Rate |
$3,239.29 |
| Rate for Payer: BCBS Complete |
$3,239.29
|
| Rate for Payer: Mclaren Medicaid |
$3,085.04
|
| Rate for Payer: Meridian Medicaid |
$3,239.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,085.04
|
| Rate for Payer: UHCCP Medicaid |
$3,085.04
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$578.45
|
|
|
Service Code
|
APR-DRG 5811
|
| Min. Negotiated Rate |
$550.90 |
| Max. Negotiated Rate |
$578.45 |
| Rate for Payer: BCBS Complete |
$578.45
|
| Rate for Payer: Mclaren Medicaid |
$550.90
|
| Rate for Payer: Meridian Medicaid |
$578.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$550.90
|
| Rate for Payer: UHCCP Medicaid |
$550.90
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$1,793.18
|
|
|
Service Code
|
APR-DRG 5813
|
| Min. Negotiated Rate |
$1,707.79 |
| Max. Negotiated Rate |
$1,793.18 |
| Rate for Payer: BCBS Complete |
$1,793.18
|
| Rate for Payer: Mclaren Medicaid |
$1,707.79
|
| Rate for Payer: Meridian Medicaid |
$1,793.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,707.79
|
| Rate for Payer: UHCCP Medicaid |
$1,707.79
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$925.51
|
|
|
Service Code
|
APR-DRG 5812
|
| Min. Negotiated Rate |
$881.44 |
| Max. Negotiated Rate |
$925.51 |
| Rate for Payer: BCBS Complete |
$925.51
|
| Rate for Payer: Mclaren Medicaid |
$881.44
|
| Rate for Payer: Meridian Medicaid |
$925.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$881.44
|
| Rate for Payer: UHCCP Medicaid |
$881.44
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$1,735.34
|
|
|
Service Code
|
APR-DRG 5801
|
| Min. Negotiated Rate |
$1,652.70 |
| Max. Negotiated Rate |
$1,735.34 |
| Rate for Payer: BCBS Complete |
$1,735.34
|
| Rate for Payer: Mclaren Medicaid |
$1,652.70
|
| Rate for Payer: Meridian Medicaid |
$1,735.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.70
|
| Rate for Payer: UHCCP Medicaid |
$1,652.70
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 5803
|
| Min. Negotiated Rate |
$5,068.28 |
| Max. Negotiated Rate |
$5,321.69 |
| Rate for Payer: BCBS Complete |
$5,321.69
|
| Rate for Payer: Mclaren Medicaid |
$5,068.28
|
| Rate for Payer: Meridian Medicaid |
$5,321.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,068.28
|
| Rate for Payer: UHCCP Medicaid |
$5,068.28
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$2,718.69
|
|
|
Service Code
|
APR-DRG 5802
|
| Min. Negotiated Rate |
$2,589.23 |
| Max. Negotiated Rate |
$2,718.69 |
| Rate for Payer: BCBS Complete |
$2,718.69
|
| Rate for Payer: Mclaren Medicaid |
$2,589.23
|
| Rate for Payer: Meridian Medicaid |
$2,718.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,589.23
|
| Rate for Payer: UHCCP Medicaid |
$2,589.23
|
|
|
APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 5804
|
| Min. Negotiated Rate |
$6,500.62 |
| Max. Negotiated Rate |
$6,825.65 |
| Rate for Payer: BCBS Complete |
$6,825.65
|
| Rate for Payer: Mclaren Medicaid |
$6,500.62
|
| Rate for Payer: Meridian Medicaid |
$6,825.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,500.62
|
| Rate for Payer: UHCCP Medicaid |
$6,500.62
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$182,036.64
|
|
|
Service Code
|
APR-DRG 5833
|
| Min. Negotiated Rate |
$173,368.23 |
| Max. Negotiated Rate |
$182,036.64 |
| Rate for Payer: BCBS Complete |
$182,036.64
|
| Rate for Payer: Mclaren Medicaid |
$173,368.23
|
| Rate for Payer: Meridian Medicaid |
$182,036.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$173,368.23
|
| Rate for Payer: UHCCP Medicaid |
$173,368.23
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$125,464.72
|
|
|
Service Code
|
APR-DRG 5831
|
| Min. Negotiated Rate |
$119,490.21 |
| Max. Negotiated Rate |
$125,464.72 |
| Rate for Payer: BCBS Complete |
$125,464.72
|
| Rate for Payer: Mclaren Medicaid |
$119,490.21
|
| Rate for Payer: Meridian Medicaid |
$125,464.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$119,490.21
|
| Rate for Payer: UHCCP Medicaid |
$119,490.21
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$319,648.71
|
|
|
Service Code
|
APR-DRG 5834
|
| Min. Negotiated Rate |
$304,427.34 |
| Max. Negotiated Rate |
$319,648.71 |
| Rate for Payer: BCBS Complete |
$319,648.71
|
| Rate for Payer: Mclaren Medicaid |
$304,427.34
|
| Rate for Payer: Meridian Medicaid |
$319,648.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$304,427.34
|
| Rate for Payer: UHCCP Medicaid |
$304,427.34
|
|
|
APR-DRG 42.00: NEONATE WITH ECMO
|
Facility
|
IP
|
$139,810.16
|
|
|
Service Code
|
APR-DRG 5832
|
| Min. Negotiated Rate |
$133,152.53 |
| Max. Negotiated Rate |
$139,810.16 |
| Rate for Payer: BCBS Complete |
$139,810.16
|
| Rate for Payer: Mclaren Medicaid |
$133,152.53
|
| Rate for Payer: Meridian Medicaid |
$139,810.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$133,152.53
|
| Rate for Payer: UHCCP Medicaid |
$133,152.53
|
|
|
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
|
$15,907.24
|
|
|
Service Code
|
APR-DRG 4624
|
| Min. Negotiated Rate |
$15,149.75 |
| Max. Negotiated Rate |
$15,907.24 |
| Rate for Payer: BCBS Complete |
$15,907.24
|
| Rate for Payer: Mclaren Medicaid |
$15,149.75
|
| Rate for Payer: Meridian Medicaid |
$15,907.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,149.75
|
| Rate for Payer: UHCCP Medicaid |
$15,149.75
|
|
|
APR-DRG 42.00: NEPHRITIS AND NEPHROSIS
|
Facility
|
IP
|
$8,908.05
|
|
|
Service Code
|
APR-DRG 4623
|
| Min. Negotiated Rate |
$8,483.86 |
| Max. Negotiated Rate |
$8,908.05 |
| Rate for Payer: BCBS Complete |
$8,908.05
|
| Rate for Payer: Mclaren Medicaid |
$8,483.86
|
| Rate for Payer: Meridian Medicaid |
$8,908.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,483.86
|
| Rate for Payer: UHCCP Medicaid |
$8,483.86
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 0413
|
| Min. Negotiated Rate |
$7,767.69 |
| Max. Negotiated Rate |
$8,156.07 |
| Rate for Payer: BCBS Complete |
$8,156.07
|
| Rate for Payer: Mclaren Medicaid |
$7,767.69
|
| Rate for Payer: Meridian Medicaid |
$8,156.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,767.69
|
| Rate for Payer: UHCCP Medicaid |
$7,767.69
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$11,742.43
|
|
|
Service Code
|
APR-DRG 0414
|
| Min. Negotiated Rate |
$11,183.27 |
| Max. Negotiated Rate |
$11,742.43 |
| Rate for Payer: BCBS Complete |
$11,742.43
|
| Rate for Payer: Mclaren Medicaid |
$11,183.27
|
| Rate for Payer: Meridian Medicaid |
$11,742.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,183.27
|
| Rate for Payer: UHCCP Medicaid |
$11,183.27
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 0412
|
| Min. Negotiated Rate |
$5,619.18 |
| Max. Negotiated Rate |
$5,900.14 |
| Rate for Payer: BCBS Complete |
$5,900.14
|
| Rate for Payer: Mclaren Medicaid |
$5,619.18
|
| Rate for Payer: Meridian Medicaid |
$5,900.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,619.18
|
| Rate for Payer: UHCCP Medicaid |
$5,619.18
|
|
|
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$12,841.48
|
|
|
Service Code
|
APR-DRG 0503
|
| Min. Negotiated Rate |
$12,229.98 |
| Max. Negotiated Rate |
$12,841.48 |
| Rate for Payer: BCBS Complete |
$12,841.48
|
| Rate for Payer: Mclaren Medicaid |
$12,229.98
|
| Rate for Payer: Meridian Medicaid |
$12,841.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,229.98
|
| Rate for Payer: UHCCP Medicaid |
$12,229.98
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$8,445.30
|
|
|
Service Code
|
APR-DRG 0502
|
| Min. Negotiated Rate |
$8,043.14 |
| Max. Negotiated Rate |
$8,445.30 |
| Rate for Payer: BCBS Complete |
$8,445.30
|
| Rate for Payer: Mclaren Medicaid |
$8,043.14
|
| Rate for Payer: Meridian Medicaid |
$8,445.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,043.14
|
| Rate for Payer: UHCCP Medicaid |
$8,043.14
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$22,038.75
|
|
|
Service Code
|
APR-DRG 0504
|
| Min. Negotiated Rate |
$20,989.29 |
| Max. Negotiated Rate |
$22,038.75 |
| Rate for Payer: BCBS Complete |
$22,038.75
|
| Rate for Payer: Mclaren Medicaid |
$20,989.29
|
| Rate for Payer: Meridian Medicaid |
$22,038.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,989.29
|
| Rate for Payer: UHCCP Medicaid |
$20,989.29
|
|