|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 0502
|
| Min. Negotiated Rate |
$8,704.22 |
| Max. Negotiated Rate |
$9,139.43 |
| Rate for Payer: BCBS Complete |
$9,139.43
|
| Rate for Payer: Mclaren Medicaid |
$8,704.22
|
| Rate for Payer: Meridian Medicaid |
$9,139.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,704.22
|
| Rate for Payer: UHCCP Medicaid |
$8,704.22
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$31,640.94
|
|
|
Service Code
|
APR-DRG 0504
|
| Min. Negotiated Rate |
$30,134.23 |
| Max. Negotiated Rate |
$31,640.94 |
| Rate for Payer: BCBS Complete |
$31,640.94
|
| Rate for Payer: Mclaren Medicaid |
$30,134.23
|
| Rate for Payer: Meridian Medicaid |
$31,640.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,134.23
|
| Rate for Payer: UHCCP Medicaid |
$30,134.23
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$11,915.97
|
|
|
Service Code
|
APR-DRG 0503
|
| 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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$22,327.98
|
|
|
Service Code
|
APR-DRG 3234
|
| Min. Negotiated Rate |
$21,264.74 |
| Max. Negotiated Rate |
$22,327.98 |
| Rate for Payer: BCBS Complete |
$22,327.98
|
| Rate for Payer: Mclaren Medicaid |
$21,264.74
|
| Rate for Payer: Meridian Medicaid |
$22,327.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,264.74
|
| Rate for Payer: UHCCP Medicaid |
$21,264.74
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$15,965.08
|
|
|
Service Code
|
APR-DRG 3233
|
| Min. Negotiated Rate |
$15,204.84 |
| Max. Negotiated Rate |
$15,965.08 |
| Rate for Payer: BCBS Complete |
$15,965.08
|
| Rate for Payer: Mclaren Medicaid |
$15,204.84
|
| Rate for Payer: Meridian Medicaid |
$15,965.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,204.84
|
| Rate for Payer: UHCCP Medicaid |
$15,204.84
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,833.56
|
|
|
Service Code
|
APR-DRG 3231
|
| Min. Negotiated Rate |
$9,365.30 |
| Max. Negotiated Rate |
$9,833.56 |
| Rate for Payer: BCBS Complete |
$9,833.56
|
| Rate for Payer: Mclaren Medicaid |
$9,365.30
|
| Rate for Payer: Meridian Medicaid |
$9,833.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,365.30
|
| Rate for Payer: UHCCP Medicaid |
$9,365.30
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$11,858.12
|
|
|
Service Code
|
APR-DRG 3232
|
| Min. Negotiated Rate |
$11,293.45 |
| Max. Negotiated Rate |
$11,858.12 |
| Rate for Payer: BCBS Complete |
$11,858.12
|
| Rate for Payer: Mclaren Medicaid |
$11,293.45
|
| Rate for Payer: Meridian Medicaid |
$11,858.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,293.45
|
| Rate for Payer: UHCCP Medicaid |
$11,293.45
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$13,015.01
|
|
|
Service Code
|
APR-DRG 3251
|
| Min. Negotiated Rate |
$12,395.25 |
| Max. Negotiated Rate |
$13,015.01 |
| Rate for Payer: BCBS Complete |
$13,015.01
|
| Rate for Payer: Mclaren Medicaid |
$12,395.25
|
| Rate for Payer: Meridian Medicaid |
$13,015.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,395.25
|
| Rate for Payer: UHCCP Medicaid |
$12,395.25
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$16,080.77
|
|
|
Service Code
|
APR-DRG 3252
|
| Min. Negotiated Rate |
$15,315.02 |
| Max. Negotiated Rate |
$16,080.77 |
| Rate for Payer: BCBS Complete |
$16,080.77
|
| Rate for Payer: Mclaren Medicaid |
$15,315.02
|
| Rate for Payer: Meridian Medicaid |
$16,080.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,315.02
|
| Rate for Payer: UHCCP Medicaid |
$15,315.02
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$24,352.53
|
|
|
Service Code
|
APR-DRG 3254
|
| Min. Negotiated Rate |
$23,192.89 |
| Max. Negotiated Rate |
$24,352.53 |
| Rate for Payer: BCBS Complete |
$24,352.53
|
| Rate for Payer: Mclaren Medicaid |
$23,192.89
|
| Rate for Payer: Meridian Medicaid |
$24,352.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,192.89
|
| Rate for Payer: UHCCP Medicaid |
$23,192.89
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$19,493.60
|
|
|
Service Code
|
APR-DRG 3253
|
| Min. Negotiated Rate |
$18,565.33 |
| Max. Negotiated Rate |
$19,493.60 |
| Rate for Payer: BCBS Complete |
$19,493.60
|
| Rate for Payer: Mclaren Medicaid |
$18,565.33
|
| Rate for Payer: Meridian Medicaid |
$19,493.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,565.33
|
| Rate for Payer: UHCCP Medicaid |
$18,565.33
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,106.14
|
|
|
Service Code
|
APR-DRG 7943
|
| Min. Negotiated Rate |
$10,577.28 |
| Max. Negotiated Rate |
$11,106.14 |
| Rate for Payer: BCBS Complete |
$11,106.14
|
| Rate for Payer: Mclaren Medicaid |
$10,577.28
|
| Rate for Payer: Meridian Medicaid |
$11,106.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,577.28
|
| Rate for Payer: UHCCP Medicaid |
$10,577.28
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 7942
|
| 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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$23,079.96
|
|
|
Service Code
|
APR-DRG 7944
|
| Min. Negotiated Rate |
$21,980.91 |
| Max. Negotiated Rate |
$23,079.96 |
| Rate for Payer: BCBS Complete |
$23,079.96
|
| Rate for Payer: Mclaren Medicaid |
$21,980.91
|
| Rate for Payer: Meridian Medicaid |
$23,079.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,980.91
|
| Rate for Payer: UHCCP Medicaid |
$21,980.91
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 7941
|
| Min. Negotiated Rate |
$5,453.91 |
| Max. Negotiated Rate |
$5,726.61 |
| Rate for Payer: BCBS Complete |
$5,726.61
|
| Rate for Payer: Mclaren Medicaid |
$5,453.91
|
| Rate for Payer: Meridian Medicaid |
$5,726.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,453.91
|
| Rate for Payer: UHCCP Medicaid |
$5,453.91
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,197.28
|
|
|
Service Code
|
APR-DRG 9522
|
| Min. Negotiated Rate |
$8,759.31 |
| Max. Negotiated Rate |
$9,197.28 |
| Rate for Payer: BCBS Complete |
$9,197.28
|
| Rate for Payer: Mclaren Medicaid |
$8,759.31
|
| Rate for Payer: Meridian Medicaid |
$9,197.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,759.31
|
| Rate for Payer: UHCCP Medicaid |
$8,759.31
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,684.59
|
|
|
Service Code
|
APR-DRG 9523
|
| Min. Negotiated Rate |
$11,128.18 |
| Max. Negotiated Rate |
$11,684.59 |
| Rate for Payer: BCBS Complete |
$11,684.59
|
| Rate for Payer: Mclaren Medicaid |
$11,128.18
|
| Rate for Payer: Meridian Medicaid |
$11,684.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,128.18
|
| Rate for Payer: UHCCP Medicaid |
$11,128.18
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,286.78
|
|
|
Service Code
|
APR-DRG 9524
|
| 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. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,767.81
|
|
|
Service Code
|
APR-DRG 9521
|
| Min. Negotiated Rate |
$6,445.53 |
| Max. Negotiated Rate |
$6,767.81 |
| Rate for Payer: BCBS Complete |
$6,767.81
|
| Rate for Payer: Mclaren Medicaid |
$6,445.53
|
| Rate for Payer: Meridian Medicaid |
$6,767.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,445.53
|
| Rate for Payer: UHCCP Medicaid |
$6,445.53
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 4264
|
| Min. Negotiated Rate |
$10,907.82 |
| Max. Negotiated Rate |
$11,453.21 |
| Rate for Payer: BCBS Complete |
$11,453.21
|
| Rate for Payer: Mclaren Medicaid |
$10,907.82
|
| Rate for Payer: Meridian Medicaid |
$11,453.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,907.82
|
| Rate for Payer: UHCCP Medicaid |
$10,907.82
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$6,478.58
|
|
|
Service Code
|
APR-DRG 4263
|
| Min. Negotiated Rate |
$6,170.08 |
| Max. Negotiated Rate |
$6,478.58 |
| Rate for Payer: BCBS Complete |
$6,478.58
|
| Rate for Payer: Mclaren Medicaid |
$6,170.08
|
| Rate for Payer: Meridian Medicaid |
$6,478.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,170.08
|
| Rate for Payer: UHCCP Medicaid |
$6,170.08
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 4261
|
| Min. Negotiated Rate |
$2,974.86 |
| Max. Negotiated Rate |
$3,123.60 |
| Rate for Payer: BCBS Complete |
$3,123.60
|
| Rate for Payer: Mclaren Medicaid |
$2,974.86
|
| Rate for Payer: Meridian Medicaid |
$3,123.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,974.86
|
| Rate for Payer: UHCCP Medicaid |
$2,974.86
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 4262
|
| 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
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,668.76
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$5,398.82 |
| Max. Negotiated Rate |
$5,668.76 |
| Rate for Payer: BCBS Complete |
$5,668.76
|
| Rate for Payer: Mclaren Medicaid |
$5,398.82
|
| Rate for Payer: Meridian Medicaid |
$5,668.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,398.82
|
| Rate for Payer: UHCCP Medicaid |
$5,398.82
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 0462
|
| Min. Negotiated Rate |
$6,610.80 |
| Max. Negotiated Rate |
$6,941.34 |
| Rate for Payer: BCBS Complete |
$6,941.34
|
| Rate for Payer: Mclaren Medicaid |
$6,610.80
|
| Rate for Payer: Meridian Medicaid |
$6,941.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,610.80
|
| Rate for Payer: UHCCP Medicaid |
$6,610.80
|
|