|
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 INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$14,808.19
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$14,103.04 |
| Max. Negotiated Rate |
$14,808.19 |
| Rate for Payer: BCBS Complete |
$14,808.19
|
| Rate for Payer: Mclaren Medicaid |
$14,103.04
|
| Rate for Payer: Meridian Medicaid |
$14,808.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,103.04
|
| Rate for Payer: UHCCP Medicaid |
$14,103.04
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 7242
|
| 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
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$10,238.48
|
|
|
Service Code
|
APR-DRG 7243
|
| 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: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 7241
|
| 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: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$13,651.30
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$13,001.24 |
| Max. Negotiated Rate |
$13,651.30 |
| Rate for Payer: BCBS Complete |
$13,651.30
|
| Rate for Payer: Mclaren Medicaid |
$13,001.24
|
| Rate for Payer: Meridian Medicaid |
$13,651.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,001.24
|
| Rate for Payer: UHCCP Medicaid |
$13,001.24
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$4,792.83 |
| Max. Negotiated Rate |
$5,032.47 |
| Rate for Payer: BCBS Complete |
$5,032.47
|
| Rate for Payer: Mclaren Medicaid |
$4,792.83
|
| Rate for Payer: Meridian Medicaid |
$5,032.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.83
|
| Rate for Payer: UHCCP Medicaid |
$4,792.83
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,313.78
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$2,203.60 |
| Max. Negotiated Rate |
$2,313.78 |
| Rate for Payer: BCBS Complete |
$2,313.78
|
| Rate for Payer: Mclaren Medicaid |
$2,203.60
|
| Rate for Payer: Meridian Medicaid |
$2,313.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,203.60
|
| Rate for Payer: UHCCP Medicaid |
$2,203.60
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$8,676.68
|
|
|
Service Code
|
APR-DRG 8153
|
| Min. Negotiated Rate |
$8,263.50 |
| Max. Negotiated Rate |
$8,676.68 |
| Rate for Payer: BCBS Complete |
$8,676.68
|
| Rate for Payer: Mclaren Medicaid |
$8,263.50
|
| Rate for Payer: Meridian Medicaid |
$8,676.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,263.50
|
| Rate for Payer: UHCCP Medicaid |
$8,263.50
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$6,652.12
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$6,335.35 |
| Max. Negotiated Rate |
$6,652.12 |
| Rate for Payer: BCBS Complete |
$6,652.12
|
| Rate for Payer: Mclaren Medicaid |
$6,335.35
|
| Rate for Payer: Meridian Medicaid |
$6,652.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,335.35
|
| Rate for Payer: UHCCP Medicaid |
$6,335.35
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$10,007.10
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$9,530.57 |
| Max. Negotiated Rate |
$10,007.10 |
| Rate for Payer: BCBS Complete |
$10,007.10
|
| Rate for Payer: Mclaren Medicaid |
$9,530.57
|
| Rate for Payer: Meridian Medicaid |
$10,007.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,530.57
|
| Rate for Payer: UHCCP Medicaid |
$9,530.57
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 4682
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 4681
|
| 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 KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$13,824.84
|
|
|
Service Code
|
APR-DRG 4473
|
| 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 KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$10,354.17
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$9,861.11 |
| Max. Negotiated Rate |
$10,354.17 |
| Rate for Payer: BCBS Complete |
$10,354.17
|
| Rate for Payer: Mclaren Medicaid |
$9,861.11
|
| Rate for Payer: Meridian Medicaid |
$10,354.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,861.11
|
| Rate for Payer: UHCCP Medicaid |
$9,861.11
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$22,270.13
|
|
|
Service Code
|
APR-DRG 4474
|
| 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 KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$8,329.61
|
|
|
Service Code
|
APR-DRG 4471
|
| 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: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$21,228.93
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$20,218.03 |
| Max. Negotiated Rate |
$21,228.93 |
| Rate for Payer: BCBS Complete |
$21,228.93
|
| Rate for Payer: Mclaren Medicaid |
$20,218.03
|
| Rate for Payer: Meridian Medicaid |
$21,228.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,218.03
|
| Rate for Payer: UHCCP Medicaid |
$20,218.03
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$10,412.01
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$9,916.20 |
| Max. Negotiated Rate |
$10,412.01 |
| Rate for Payer: BCBS Complete |
$10,412.01
|
| Rate for Payer: Mclaren Medicaid |
$9,916.20
|
| Rate for Payer: Meridian Medicaid |
$10,412.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,916.20
|
| Rate for Payer: UHCCP Medicaid |
$9,916.20
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,610.10
|
|
|
Service Code
|
APR-DRG 4483
|
| Min. Negotiated Rate |
$12,009.62 |
| Max. Negotiated Rate |
$12,610.10 |
| Rate for Payer: BCBS Complete |
$12,610.10
|
| Rate for Payer: Mclaren Medicaid |
$12,009.62
|
| Rate for Payer: Meridian Medicaid |
$12,610.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,009.62
|
| Rate for Payer: UHCCP Medicaid |
$12,009.62
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$6,999.18
|
|
|
Service Code
|
APR-DRG 4481
|
| 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 MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$41,763.73
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$39,774.98 |
| Max. Negotiated Rate |
$41,763.73 |
| Rate for Payer: BCBS Complete |
$41,763.73
|
| Rate for Payer: Mclaren Medicaid |
$39,774.98
|
| Rate for Payer: Meridian Medicaid |
$41,763.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,774.98
|
| Rate for Payer: UHCCP Medicaid |
$39,774.98
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$31,004.65
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$29,528.24 |
| Max. Negotiated Rate |
$31,004.65 |
| Rate for Payer: BCBS Complete |
$31,004.65
|
| Rate for Payer: Mclaren Medicaid |
$29,528.24
|
| Rate for Payer: Meridian Medicaid |
$31,004.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,528.24
|
| Rate for Payer: UHCCP Medicaid |
$29,528.24
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$14,287.59
|
|
|
Service Code
|
APR-DRG 0911
|
| Min. Negotiated Rate |
$13,607.23 |
| Max. Negotiated Rate |
$14,287.59 |
| Rate for Payer: BCBS Complete |
$14,287.59
|
| Rate for Payer: Mclaren Medicaid |
$13,607.23
|
| Rate for Payer: Meridian Medicaid |
$14,287.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,607.23
|
| Rate for Payer: UHCCP Medicaid |
$13,607.23
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$43,499.06
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$41,427.68 |
| Max. Negotiated Rate |
$43,499.06 |
| Rate for Payer: BCBS Complete |
$43,499.06
|
| Rate for Payer: Mclaren Medicaid |
$41,427.68
|
| Rate for Payer: Meridian Medicaid |
$43,499.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$41,427.68
|
| Rate for Payer: UHCCP Medicaid |
$41,427.68
|
|