|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$10,522.19 |
| Max. Negotiated Rate |
$11,048.30 |
| Rate for Payer: BCBS Complete |
$11,048.30
|
| Rate for Payer: Mclaren Medicaid |
$10,522.19
|
| Rate for Payer: Meridian Medicaid |
$11,048.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,522.19
|
| Rate for Payer: UHCCP Medicaid |
$10,522.19
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$13,072.86
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$12,450.34 |
| Max. Negotiated Rate |
$13,072.86 |
| Rate for Payer: BCBS Complete |
$13,072.86
|
| Rate for Payer: Mclaren Medicaid |
$12,450.34
|
| Rate for Payer: Meridian Medicaid |
$13,072.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,450.34
|
| Rate for Payer: UHCCP Medicaid |
$12,450.34
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$12,089.50
|
|
|
Service Code
|
APR-DRG 4453
|
| Min. Negotiated Rate |
$11,513.81 |
| Max. Negotiated Rate |
$12,089.50 |
| Rate for Payer: BCBS Complete |
$12,089.50
|
| Rate for Payer: Mclaren Medicaid |
$11,513.81
|
| Rate for Payer: Meridian Medicaid |
$12,089.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,513.81
|
| Rate for Payer: UHCCP Medicaid |
$11,513.81
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$8,850.21
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$8,428.77 |
| Max. Negotiated Rate |
$8,850.21 |
| Rate for Payer: BCBS Complete |
$8,850.21
|
| Rate for Payer: Mclaren Medicaid |
$8,428.77
|
| Rate for Payer: Meridian Medicaid |
$8,850.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,428.77
|
| Rate for Payer: UHCCP Medicaid |
$8,428.77
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$44,308.89
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$42,198.94 |
| Max. Negotiated Rate |
$44,308.89 |
| Rate for Payer: BCBS Complete |
$44,308.89
|
| Rate for Payer: Mclaren Medicaid |
$42,198.94
|
| Rate for Payer: Meridian Medicaid |
$44,308.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,198.94
|
| Rate for Payer: UHCCP Medicaid |
$42,198.94
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$11,568.90
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$11,018.00 |
| Max. Negotiated Rate |
$11,568.90 |
| Rate for Payer: BCBS Complete |
$11,568.90
|
| Rate for Payer: Mclaren Medicaid |
$11,018.00
|
| Rate for Payer: Meridian Medicaid |
$11,568.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,018.00
|
| Rate for Payer: UHCCP Medicaid |
$11,018.00
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$24,294.69
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$23,137.80 |
| Max. Negotiated Rate |
$24,294.69 |
| Rate for Payer: BCBS Complete |
$24,294.69
|
| Rate for Payer: Mclaren Medicaid |
$23,137.80
|
| Rate for Payer: Meridian Medicaid |
$24,294.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,137.80
|
| Rate for Payer: UHCCP Medicaid |
$23,137.80
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$16,369.99
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$15,590.47 |
| Max. Negotiated Rate |
$16,369.99 |
| Rate for Payer: BCBS Complete |
$16,369.99
|
| Rate for Payer: Mclaren Medicaid |
$15,590.47
|
| Rate for Payer: Meridian Medicaid |
$16,369.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,590.47
|
| Rate for Payer: UHCCP Medicaid |
$15,590.47
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$9,949.25
|
|
|
Service Code
|
APR-DRG 6963
|
| Min. Negotiated Rate |
$9,475.48 |
| Max. Negotiated Rate |
$9,949.25 |
| Rate for Payer: BCBS Complete |
$9,949.25
|
| Rate for Payer: Mclaren Medicaid |
$9,475.48
|
| Rate for Payer: Meridian Medicaid |
$9,949.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,475.48
|
| Rate for Payer: UHCCP Medicaid |
$9,475.48
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$18,336.71
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$17,463.53 |
| Max. Negotiated Rate |
$18,336.71 |
| Rate for Payer: BCBS Complete |
$18,336.71
|
| Rate for Payer: Mclaren Medicaid |
$17,463.53
|
| Rate for Payer: Meridian Medicaid |
$18,336.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,463.53
|
| Rate for Payer: UHCCP Medicaid |
$17,463.53
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 6961
|
| 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: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 6962
|
| Min. Negotiated Rate |
$5,839.54 |
| Max. Negotiated Rate |
$6,131.52 |
| Rate for Payer: BCBS Complete |
$6,131.52
|
| Rate for Payer: Mclaren Medicaid |
$5,839.54
|
| Rate for Payer: Meridian Medicaid |
$6,131.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,839.54
|
| Rate for Payer: UHCCP Medicaid |
$5,839.54
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$12,320.88
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$11,734.17 |
| Max. Negotiated Rate |
$12,320.88 |
| Rate for Payer: BCBS Complete |
$12,320.88
|
| Rate for Payer: Mclaren Medicaid |
$11,734.17
|
| Rate for Payer: Meridian Medicaid |
$12,320.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,734.17
|
| Rate for Payer: UHCCP Medicaid |
$11,734.17
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 2071
|
| 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: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$6,941.34 |
| Max. Negotiated Rate |
$7,288.41 |
| Rate for Payer: BCBS Complete |
$7,288.41
|
| Rate for Payer: Mclaren Medicaid |
$6,941.34
|
| Rate for Payer: Meridian Medicaid |
$7,288.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,941.34
|
| Rate for Payer: UHCCP Medicaid |
$6,941.34
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$4,297.02 |
| Max. Negotiated Rate |
$4,511.87 |
| Rate for Payer: BCBS Complete |
$4,511.87
|
| Rate for Payer: Mclaren Medicaid |
$4,297.02
|
| Rate for Payer: Meridian Medicaid |
$4,511.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,297.02
|
| Rate for Payer: UHCCP Medicaid |
$4,297.02
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$9,255.12
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$8,814.40 |
| Max. Negotiated Rate |
$9,255.12 |
| Rate for Payer: BCBS Complete |
$9,255.12
|
| Rate for Payer: Mclaren Medicaid |
$8,814.40
|
| Rate for Payer: Meridian Medicaid |
$9,255.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,814.40
|
| Rate for Payer: UHCCP Medicaid |
$8,814.40
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$20,650.49
|
|
|
Service Code
|
APR-DRG 1804
|
| 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: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$9,081.59
|
|
|
Service Code
|
APR-DRG 1801
|
| 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: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$13,130.70
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$12,505.43 |
| Max. Negotiated Rate |
$13,130.70 |
| Rate for Payer: BCBS Complete |
$13,130.70
|
| Rate for Payer: Mclaren Medicaid |
$12,505.43
|
| Rate for Payer: Meridian Medicaid |
$13,130.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,505.43
|
| Rate for Payer: UHCCP Medicaid |
$12,505.43
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$6,941.34 |
| Max. Negotiated Rate |
$7,288.41 |
| Rate for Payer: BCBS Complete |
$7,288.41
|
| Rate for Payer: Mclaren Medicaid |
$6,941.34
|
| Rate for Payer: Meridian Medicaid |
$7,288.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,941.34
|
| Rate for Payer: UHCCP Medicaid |
$6,941.34
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,643.39
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$10,136.56 |
| Max. Negotiated Rate |
$10,643.39 |
| Rate for Payer: BCBS Complete |
$10,643.39
|
| Rate for Payer: Mclaren Medicaid |
$10,136.56
|
| Rate for Payer: Meridian Medicaid |
$10,643.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,136.56
|
| Rate for Payer: UHCCP Medicaid |
$10,136.56
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$3,801.21 |
| Max. Negotiated Rate |
$3,991.27 |
| Rate for Payer: BCBS Complete |
$3,991.27
|
| Rate for Payer: Mclaren Medicaid |
$3,801.21
|
| Rate for Payer: Meridian Medicaid |
$3,991.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,801.21
|
| Rate for Payer: UHCCP Medicaid |
$3,801.21
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 8132
|
| 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: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$10,469.85
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$9,971.29 |
| Max. Negotiated Rate |
$10,469.85 |
| Rate for Payer: BCBS Complete |
$10,469.85
|
| Rate for Payer: Mclaren Medicaid |
$9,971.29
|
| Rate for Payer: Meridian Medicaid |
$10,469.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,971.29
|
| Rate for Payer: UHCCP Medicaid |
$9,971.29
|
|