|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$10,816.92
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$10,301.83 |
| Max. Negotiated Rate |
$10,816.92 |
| Rate for Payer: BCBS Complete |
$10,816.92
|
| Rate for Payer: Mclaren Medicaid |
$10,301.83
|
| Rate for Payer: Meridian Medicaid |
$10,816.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,301.83
|
| Rate for Payer: UHCCP Medicaid |
$10,301.83
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$15,907.24
|
|
|
Service Code
|
APR-DRG 0983
|
| 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: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$13,998.37
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$13,331.78 |
| Max. Negotiated Rate |
$13,998.37 |
| Rate for Payer: BCBS Complete |
$13,998.37
|
| Rate for Payer: Mclaren Medicaid |
$13,331.78
|
| Rate for Payer: Meridian Medicaid |
$13,998.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,331.78
|
| Rate for Payer: UHCCP Medicaid |
$13,331.78
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 4242
|
| 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 ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,049.12
|
|
|
Service Code
|
APR-DRG 4241
|
| Min. Negotiated Rate |
$3,856.30 |
| Max. Negotiated Rate |
$4,049.12 |
| Rate for Payer: BCBS Complete |
$4,049.12
|
| Rate for Payer: Mclaren Medicaid |
$3,856.30
|
| Rate for Payer: Meridian Medicaid |
$4,049.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,856.30
|
| Rate for Payer: UHCCP Medicaid |
$3,856.30
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 4243
|
| 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: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 2433
|
| 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: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 2432
|
| Min. Negotiated Rate |
$4,903.01 |
| Max. Negotiated Rate |
$5,148.16 |
| Rate for Payer: BCBS Complete |
$5,148.16
|
| Rate for Payer: Mclaren Medicaid |
$4,903.01
|
| Rate for Payer: Meridian Medicaid |
$5,148.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,903.01
|
| Rate for Payer: UHCCP Medicaid |
$4,903.01
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 2431
|
| 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 ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$10,701.23
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$10,191.65 |
| Max. Negotiated Rate |
$10,701.23 |
| Rate for Payer: BCBS Complete |
$10,701.23
|
| Rate for Payer: Mclaren Medicaid |
$10,191.65
|
| Rate for Payer: Meridian Medicaid |
$10,701.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,191.65
|
| Rate for Payer: UHCCP Medicaid |
$10,191.65
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,387.45
|
|
|
Service Code
|
APR-DRG 5182
|
| 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 FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,073.67
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$5,784.45 |
| Max. Negotiated Rate |
$6,073.67 |
| Rate for Payer: BCBS Complete |
$6,073.67
|
| Rate for Payer: Mclaren Medicaid |
$5,784.45
|
| Rate for Payer: Meridian Medicaid |
$6,073.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,784.45
|
| Rate for Payer: UHCCP Medicaid |
$5,784.45
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$19,609.29
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$18,675.51 |
| Max. Negotiated Rate |
$19,609.29 |
| Rate for Payer: BCBS Complete |
$19,609.29
|
| Rate for Payer: Mclaren Medicaid |
$18,675.51
|
| Rate for Payer: Meridian Medicaid |
$19,609.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,675.51
|
| Rate for Payer: UHCCP Medicaid |
$18,675.51
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,915.97
|
|
|
Service Code
|
APR-DRG 5183
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$3,525.76 |
| Max. Negotiated Rate |
$3,702.05 |
| Rate for Payer: BCBS Complete |
$3,702.05
|
| Rate for Payer: Mclaren Medicaid |
$3,525.76
|
| Rate for Payer: Meridian Medicaid |
$3,702.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,525.76
|
| Rate for Payer: UHCCP Medicaid |
$3,525.76
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$4,627.56
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$4,407.20 |
| Max. Negotiated Rate |
$4,627.56 |
| Rate for Payer: BCBS Complete |
$4,627.56
|
| Rate for Payer: Mclaren Medicaid |
$4,407.20
|
| Rate for Payer: Meridian Medicaid |
$4,627.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,407.20
|
| Rate for Payer: UHCCP Medicaid |
$4,407.20
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 2494
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$6,189.36
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$5,894.63 |
| Max. Negotiated Rate |
$6,189.36 |
| Rate for Payer: BCBS Complete |
$6,189.36
|
| Rate for Payer: Mclaren Medicaid |
$5,894.63
|
| Rate for Payer: Meridian Medicaid |
$6,189.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,894.63
|
| Rate for Payer: UHCCP Medicaid |
$5,894.63
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$8,734.52
|
|
|
Service Code
|
APR-DRG 5202
|
| Min. Negotiated Rate |
$8,318.59 |
| Max. Negotiated Rate |
$8,734.52 |
| Rate for Payer: BCBS Complete |
$8,734.52
|
| Rate for Payer: Mclaren Medicaid |
$8,318.59
|
| Rate for Payer: Meridian Medicaid |
$8,734.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,318.59
|
| Rate for Payer: UHCCP Medicaid |
$8,318.59
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$6,883.50
|
|
|
Service Code
|
APR-DRG 5201
|
| 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 GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$13,477.77
|
|
|
Service Code
|
APR-DRG 5203
|
| Min. Negotiated Rate |
$12,835.97 |
| Max. Negotiated Rate |
$13,477.77 |
| Rate for Payer: BCBS Complete |
$13,477.77
|
| Rate for Payer: Mclaren Medicaid |
$12,835.97
|
| Rate for Payer: Meridian Medicaid |
$13,477.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,835.97
|
| Rate for Payer: UHCCP Medicaid |
$12,835.97
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$25,335.89
|
|
|
Service Code
|
APR-DRG 5204
|
| Min. Negotiated Rate |
$24,129.42 |
| Max. Negotiated Rate |
$25,335.89 |
| Rate for Payer: BCBS Complete |
$25,335.89
|
| Rate for Payer: Mclaren Medicaid |
$24,129.42
|
| Rate for Payer: Meridian Medicaid |
$25,335.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,129.42
|
| Rate for Payer: UHCCP Medicaid |
$24,129.42
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,998.37
|
|
|
Service Code
|
APR-DRG 2643
|
| Min. Negotiated Rate |
$13,331.78 |
| Max. Negotiated Rate |
$13,998.37 |
| Rate for Payer: BCBS Complete |
$13,998.37
|
| Rate for Payer: Mclaren Medicaid |
$13,331.78
|
| Rate for Payer: Meridian Medicaid |
$13,998.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,331.78
|
| Rate for Payer: UHCCP Medicaid |
$13,331.78
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$7,230.56
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$6,886.25 |
| Max. Negotiated Rate |
$7,230.56 |
| Rate for Payer: BCBS Complete |
$7,230.56
|
| Rate for Payer: Mclaren Medicaid |
$6,886.25
|
| Rate for Payer: Meridian Medicaid |
$7,230.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,886.25
|
| Rate for Payer: UHCCP Medicaid |
$6,886.25
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 2641
|
| 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
|
|