|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$6,362.90
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$6,059.90 |
| Max. Negotiated Rate |
$6,362.90 |
| Rate for Payer: BCBS Complete |
$6,362.90
|
| Rate for Payer: Mclaren Medicaid |
$6,059.90
|
| Rate for Payer: Meridian Medicaid |
$6,362.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,059.90
|
| Rate for Payer: UHCCP Medicaid |
$6,059.90
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$8,792.36
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$8,373.68 |
| Max. Negotiated Rate |
$8,792.36 |
| Rate for Payer: BCBS Complete |
$8,792.36
|
| Rate for Payer: Mclaren Medicaid |
$8,373.68
|
| Rate for Payer: Meridian Medicaid |
$8,792.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,373.68
|
| Rate for Payer: UHCCP Medicaid |
$8,373.68
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$14,923.88
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$14,213.22 |
| Max. Negotiated Rate |
$14,923.88 |
| Rate for Payer: BCBS Complete |
$14,923.88
|
| Rate for Payer: Mclaren Medicaid |
$14,213.22
|
| Rate for Payer: Meridian Medicaid |
$14,923.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,213.22
|
| Rate for Payer: UHCCP Medicaid |
$14,213.22
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$40,548.99
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$38,618.09 |
| Max. Negotiated Rate |
$40,548.99 |
| Rate for Payer: BCBS Complete |
$40,548.99
|
| Rate for Payer: Mclaren Medicaid |
$38,618.09
|
| Rate for Payer: Meridian Medicaid |
$40,548.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$38,618.09
|
| Rate for Payer: UHCCP Medicaid |
$38,618.09
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$25,740.80
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$24,515.05 |
| Max. Negotiated Rate |
$25,740.80 |
| Rate for Payer: BCBS Complete |
$25,740.80
|
| Rate for Payer: Mclaren Medicaid |
$24,515.05
|
| Rate for Payer: Meridian Medicaid |
$25,740.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,515.05
|
| Rate for Payer: UHCCP Medicaid |
$24,515.05
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$18,857.31
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$17,959.34 |
| Max. Negotiated Rate |
$18,857.31 |
| Rate for Payer: BCBS Complete |
$18,857.31
|
| Rate for Payer: Mclaren Medicaid |
$17,959.34
|
| Rate for Payer: Meridian Medicaid |
$18,857.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,959.34
|
| Rate for Payer: UHCCP Medicaid |
$17,959.34
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,668.76
|
|
|
Service Code
|
APR-DRG 6962
|
| 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: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$16,890.59
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$16,086.28 |
| Max. Negotiated Rate |
$16,890.59 |
| Rate for Payer: BCBS Complete |
$16,890.59
|
| Rate for Payer: Mclaren Medicaid |
$16,086.28
|
| Rate for Payer: Meridian Medicaid |
$16,890.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,086.28
|
| Rate for Payer: UHCCP Medicaid |
$16,086.28
|
|
|
APR-DRG 42.00: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$9,197.28
|
|
|
Service Code
|
APR-DRG 6963
|
| 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: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 6961
|
| 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 DIAGNOSES
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$4,131.75 |
| Max. Negotiated Rate |
$4,338.34 |
| Rate for Payer: BCBS Complete |
$4,338.34
|
| Rate for Payer: Mclaren Medicaid |
$4,131.75
|
| Rate for Payer: Meridian Medicaid |
$4,338.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,131.75
|
| Rate for Payer: UHCCP Medicaid |
$4,131.75
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 2071
|
| Min. Negotiated Rate |
$3,140.13 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$3,297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,800.28
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$11,238.36 |
| Max. Negotiated Rate |
$11,800.28 |
| Rate for Payer: BCBS Complete |
$11,800.28
|
| Rate for Payer: Mclaren Medicaid |
$11,238.36
|
| Rate for Payer: Meridian Medicaid |
$11,800.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,238.36
|
| Rate for Payer: UHCCP Medicaid |
$11,238.36
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$22,270.13
|
|
|
Service Code
|
APR-DRG 1804
|
| Min. Negotiated Rate |
$21,209.65 |
| Max. Negotiated Rate |
$22,270.13 |
| Rate for Payer: BCBS Complete |
$22,270.13
|
| Rate for Payer: Mclaren Medicaid |
$21,209.65
|
| Rate for Payer: Meridian Medicaid |
$22,270.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,209.65
|
| Rate for Payer: UHCCP Medicaid |
$21,209.65
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,387.45
|
|
|
Service Code
|
APR-DRG 1801
|
| Min. Negotiated Rate |
$7,988.05 |
| Max. Negotiated Rate |
$8,387.45 |
| Rate for Payer: BCBS Complete |
$8,387.45
|
| Rate for Payer: Mclaren Medicaid |
$7,988.05
|
| Rate for Payer: Meridian Medicaid |
$8,387.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,988.05
|
| Rate for Payer: UHCCP Medicaid |
$7,988.05
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$9,544.34
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$9,089.85 |
| Max. Negotiated Rate |
$9,544.34 |
| Rate for Payer: BCBS Complete |
$9,544.34
|
| Rate for Payer: Mclaren Medicaid |
$9,089.85
|
| Rate for Payer: Meridian Medicaid |
$9,544.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,089.85
|
| Rate for Payer: UHCCP Medicaid |
$9,089.85
|
|
|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$13,824.84
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$13,166.51 |
| Max. Negotiated Rate |
$13,824.84 |
| Rate for Payer: BCBS Complete |
$13,824.84
|
| Rate for Payer: Mclaren Medicaid |
$13,166.51
|
| Rate for Payer: Meridian Medicaid |
$13,824.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,166.51
|
| Rate for Payer: UHCCP Medicaid |
$13,166.51
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 8132
|
| Min. Negotiated Rate |
$4,572.47 |
| Max. Negotiated Rate |
$4,801.09 |
| Rate for Payer: BCBS Complete |
$4,801.09
|
| Rate for Payer: Mclaren Medicaid |
$4,572.47
|
| Rate for Payer: Meridian Medicaid |
$4,801.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,572.47
|
| Rate for Payer: UHCCP Medicaid |
$4,572.47
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$11,789.26 |
| Max. Negotiated Rate |
$12,378.72 |
| Rate for Payer: BCBS Complete |
$12,378.72
|
| Rate for Payer: Mclaren Medicaid |
$11,789.26
|
| Rate for Payer: Meridian Medicaid |
$12,378.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,789.26
|
| Rate for Payer: UHCCP Medicaid |
$11,789.26
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,999.18
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$6,665.89 |
| Max. Negotiated Rate |
$6,999.18 |
| Rate for Payer: BCBS Complete |
$6,999.18
|
| Rate for Payer: Mclaren Medicaid |
$6,665.89
|
| Rate for Payer: Meridian Medicaid |
$6,999.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,665.89
|
| Rate for Payer: UHCCP Medicaid |
$6,665.89
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$6,883.50
|
|
|
Service Code
|
APR-DRG 2291
|
| Min. Negotiated Rate |
$6,555.71 |
| Max. Negotiated Rate |
$6,883.50 |
| Rate for Payer: BCBS Complete |
$6,883.50
|
| Rate for Payer: Mclaren Medicaid |
$6,555.71
|
| Rate for Payer: Meridian Medicaid |
$6,883.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,555.71
|
| Rate for Payer: UHCCP Medicaid |
$6,555.71
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$14,518.97
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$13,827.59 |
| Max. Negotiated Rate |
$14,518.97 |
| Rate for Payer: BCBS Complete |
$14,518.97
|
| Rate for Payer: Mclaren Medicaid |
$13,827.59
|
| Rate for Payer: Meridian Medicaid |
$14,518.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,827.59
|
| Rate for Payer: UHCCP Medicaid |
$13,827.59
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$23,253.49
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$22,146.18 |
| Max. Negotiated Rate |
$23,253.49 |
| Rate for Payer: BCBS Complete |
$23,253.49
|
| Rate for Payer: Mclaren Medicaid |
$22,146.18
|
| Rate for Payer: Meridian Medicaid |
$23,253.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,146.18
|
| Rate for Payer: UHCCP Medicaid |
$22,146.18
|
|