|
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-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$14,750.35
|
|
|
Service Code
|
APR-DRG 3233
|
| Min. Negotiated Rate |
$14,047.95 |
| Max. Negotiated Rate |
$14,750.35 |
| Rate for Payer: BCBS Complete |
$14,750.35
|
| Rate for Payer: Mclaren Medicaid |
$14,047.95
|
| Rate for Payer: Meridian Medicaid |
$14,750.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,047.95
|
| Rate for Payer: UHCCP Medicaid |
$14,047.95
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$10,990.45
|
|
|
Service Code
|
APR-DRG 3232
|
| Min. Negotiated Rate |
$10,467.10 |
| Max. Negotiated Rate |
$10,990.45 |
| Rate for Payer: BCBS Complete |
$10,990.45
|
| Rate for Payer: Mclaren Medicaid |
$10,467.10
|
| Rate for Payer: Meridian Medicaid |
$10,990.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,467.10
|
| Rate for Payer: UHCCP Medicaid |
$10,467.10
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$20,650.49
|
|
|
Service Code
|
APR-DRG 3234
|
| Min. Negotiated Rate |
$19,667.13 |
| Max. Negotiated Rate |
$20,650.49 |
| Rate for Payer: BCBS Complete |
$20,650.49
|
| Rate for Payer: Mclaren Medicaid |
$19,667.13
|
| Rate for Payer: Meridian Medicaid |
$20,650.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,667.13
|
| Rate for Payer: UHCCP Medicaid |
$19,667.13
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,081.59
|
|
|
Service Code
|
APR-DRG 3231
|
| 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: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$14,866.04
|
|
|
Service Code
|
APR-DRG 3252
|
| Min. Negotiated Rate |
$14,158.13 |
| Max. Negotiated Rate |
$14,866.04 |
| Rate for Payer: BCBS Complete |
$14,866.04
|
| Rate for Payer: Mclaren Medicaid |
$14,158.13
|
| Rate for Payer: Meridian Medicaid |
$14,866.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,158.13
|
| Rate for Payer: UHCCP Medicaid |
$14,158.13
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$17,989.64
|
|
|
Service Code
|
APR-DRG 3253
|
| Min. Negotiated Rate |
$17,132.99 |
| Max. Negotiated Rate |
$17,989.64 |
| Rate for Payer: BCBS Complete |
$17,989.64
|
| Rate for Payer: Mclaren Medicaid |
$17,132.99
|
| Rate for Payer: Meridian Medicaid |
$17,989.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,132.99
|
| Rate for Payer: UHCCP Medicaid |
$17,132.99
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,973.81
|
|
|
Service Code
|
APR-DRG 3251
|
| Min. Negotiated Rate |
$11,403.63 |
| Max. Negotiated Rate |
$11,973.81 |
| Rate for Payer: BCBS Complete |
$11,973.81
|
| Rate for Payer: Mclaren Medicaid |
$11,403.63
|
| Rate for Payer: Meridian Medicaid |
$11,973.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,403.63
|
| Rate for Payer: UHCCP Medicaid |
$11,403.63
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$22,501.51
|
|
|
Service Code
|
APR-DRG 3254
|
| Min. Negotiated Rate |
$21,430.01 |
| Max. Negotiated Rate |
$22,501.51 |
| Rate for Payer: BCBS Complete |
$22,501.51
|
| Rate for Payer: Mclaren Medicaid |
$21,430.01
|
| Rate for Payer: Meridian Medicaid |
$22,501.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,430.01
|
| Rate for Payer: UHCCP Medicaid |
$21,430.01
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,114.87
|
|
|
Service Code
|
APR-DRG 7942
|
| 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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$21,286.78
|
|
|
Service Code
|
APR-DRG 7944
|
| Min. Negotiated Rate |
$20,273.12 |
| Max. Negotiated Rate |
$21,286.78 |
| Rate for Payer: BCBS Complete |
$21,286.78
|
| Rate for Payer: Mclaren Medicaid |
$20,273.12
|
| Rate for Payer: Meridian Medicaid |
$21,286.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,273.12
|
| Rate for Payer: UHCCP Medicaid |
$20,273.12
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 7941
|
| Min. Negotiated Rate |
$5,013.19 |
| Max. Negotiated Rate |
$5,263.85 |
| Rate for Payer: BCBS Complete |
$5,263.85
|
| Rate for Payer: Mclaren Medicaid |
$5,013.19
|
| Rate for Payer: Meridian Medicaid |
$5,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,013.19
|
| Rate for Payer: UHCCP Medicaid |
$5,013.19
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,238.48
|
|
|
Service Code
|
APR-DRG 7943
|
| Min. Negotiated Rate |
$9,750.93 |
| Max. Negotiated Rate |
$10,238.48 |
| Rate for Payer: BCBS Complete |
$10,238.48
|
| Rate for Payer: Mclaren Medicaid |
$9,750.93
|
| Rate for Payer: Meridian Medicaid |
$10,238.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,750.93
|
| Rate for Payer: UHCCP Medicaid |
$9,750.93
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,038.75
|
|
|
Service Code
|
APR-DRG 9524
|
| 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
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 9521
|
| 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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$12,667.95
|
|
|
Service Code
|
APR-DRG 9523
|
| Min. Negotiated Rate |
$12,064.71 |
| Max. Negotiated Rate |
$12,667.95 |
| Rate for Payer: BCBS Complete |
$12,667.95
|
| Rate for Payer: Mclaren Medicaid |
$12,064.71
|
| Rate for Payer: Meridian Medicaid |
$12,667.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,064.71
|
| Rate for Payer: UHCCP Medicaid |
$12,064.71
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,329.61
|
|
|
Service Code
|
APR-DRG 9522
|
| Min. Negotiated Rate |
$7,932.96 |
| Max. Negotiated Rate |
$8,329.61 |
| Rate for Payer: BCBS Complete |
$8,329.61
|
| Rate for Payer: Mclaren Medicaid |
$7,932.96
|
| Rate for Payer: Meridian Medicaid |
$8,329.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.96
|
| Rate for Payer: UHCCP Medicaid |
$7,932.96
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,527.70
|
|
|
Service Code
|
APR-DRG 4264
|
| Min. Negotiated Rate |
$10,026.38 |
| Max. Negotiated Rate |
$10,527.70 |
| Rate for Payer: BCBS Complete |
$10,527.70
|
| Rate for Payer: Mclaren Medicaid |
$10,026.38
|
| Rate for Payer: Meridian Medicaid |
$10,527.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,026.38
|
| Rate for Payer: UHCCP Medicaid |
$10,026.38
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$5,957.98
|
|
|
Service Code
|
APR-DRG 4263
|
| Min. Negotiated Rate |
$5,674.27 |
| Max. Negotiated Rate |
$5,957.98 |
| Rate for Payer: BCBS Complete |
$5,957.98
|
| Rate for Payer: Mclaren Medicaid |
$5,674.27
|
| Rate for Payer: Meridian Medicaid |
$5,957.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,674.27
|
| Rate for Payer: UHCCP Medicaid |
$5,674.27
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,892.22
|
|
|
Service Code
|
APR-DRG 4261
|
| 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: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 4262
|
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 0463
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$13,535.61
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$12,891.06 |
| Max. Negotiated Rate |
$13,535.61 |
| Rate for Payer: BCBS Complete |
$13,535.61
|
| Rate for Payer: Mclaren Medicaid |
$12,891.06
|
| Rate for Payer: Meridian Medicaid |
$13,535.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,891.06
|
| Rate for Payer: UHCCP Medicaid |
$12,891.06
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 0462
|
| Min. Negotiated Rate |
$5,509.00 |
| Max. Negotiated Rate |
$5,784.45 |
| Rate for Payer: BCBS Complete |
$5,784.45
|
| Rate for Payer: Mclaren Medicaid |
$5,509.00
|
| Rate for Payer: Meridian Medicaid |
$5,784.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,509.00
|
| Rate for Payer: UHCCP Medicaid |
$5,509.00
|
|