|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 7242
|
| Min. Negotiated Rate |
$4,352.11 |
| Max. Negotiated Rate |
$4,569.72 |
| Rate for Payer: BCBS Complete |
$4,569.72
|
| Rate for Payer: Mclaren Medicaid |
$4,352.11
|
| Rate for Payer: Meridian Medicaid |
$4,569.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,352.11
|
| Rate for Payer: UHCCP Medicaid |
$4,352.11
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$3,029.95 |
| Max. Negotiated Rate |
$3,181.45 |
| Rate for Payer: BCBS Complete |
$3,181.45
|
| Rate for Payer: Mclaren Medicaid |
$3,029.95
|
| Rate for Payer: Meridian Medicaid |
$3,181.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,029.95
|
| Rate for Payer: UHCCP Medicaid |
$3,029.95
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$14,114.06
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$13,441.96 |
| Max. Negotiated Rate |
$14,114.06 |
| Rate for Payer: BCBS Complete |
$14,114.06
|
| Rate for Payer: Mclaren Medicaid |
$13,441.96
|
| Rate for Payer: Meridian Medicaid |
$14,114.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,441.96
|
| Rate for Payer: UHCCP Medicaid |
$13,441.96
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$14,345.44
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$13,662.32 |
| Max. Negotiated Rate |
$14,345.44 |
| Rate for Payer: BCBS Complete |
$14,345.44
|
| Rate for Payer: Mclaren Medicaid |
$13,662.32
|
| Rate for Payer: Meridian Medicaid |
$14,345.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,662.32
|
| Rate for Payer: UHCCP Medicaid |
$13,662.32
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$6,767.81
|
|
|
Service Code
|
APR-DRG 8153
|
| 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: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$4,049.11
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$3,856.30 |
| Max. Negotiated Rate |
$4,049.11 |
| Rate for Payer: BCBS Complete |
$4,049.11
|
| Rate for Payer: Mclaren Medicaid |
$3,856.30
|
| Rate for Payer: Meridian Medicaid |
$4,049.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,856.30
|
| Rate for Payer: UHCCP Medicaid |
$3,856.30
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,660.85
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$2,534.14 |
| Max. Negotiated Rate |
$2,660.85 |
| Rate for Payer: BCBS Complete |
$2,660.85
|
| Rate for Payer: Mclaren Medicaid |
$2,534.14
|
| Rate for Payer: Meridian Medicaid |
$2,660.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,534.14
|
| Rate for Payer: UHCCP Medicaid |
$2,534.14
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 4681
|
| Min. Negotiated Rate |
$3,085.04 |
| Max. Negotiated Rate |
$3,239.29 |
| Rate for Payer: BCBS Complete |
$3,239.29
|
| Rate for Payer: Mclaren Medicaid |
$3,085.04
|
| Rate for Payer: Meridian Medicaid |
$3,239.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,085.04
|
| Rate for Payer: UHCCP Medicaid |
$3,085.04
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 4682
|
| Min. Negotiated Rate |
$3,966.48 |
| Max. Negotiated Rate |
$4,164.80 |
| Rate for Payer: BCBS Complete |
$4,164.80
|
| Rate for Payer: Mclaren Medicaid |
$3,966.48
|
| Rate for Payer: Meridian Medicaid |
$4,164.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,966.48
|
| Rate for Payer: UHCCP Medicaid |
$3,966.48
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$6,478.58
|
|
|
Service Code
|
APR-DRG 4683
|
| 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: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 4684
|
| 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: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,693.32
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$7,326.97 |
| Max. Negotiated Rate |
$7,693.32 |
| Rate for Payer: BCBS Complete |
$7,693.32
|
| Rate for Payer: Mclaren Medicaid |
$7,326.97
|
| Rate for Payer: Meridian Medicaid |
$7,693.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,326.97
|
| Rate for Payer: UHCCP Medicaid |
$7,326.97
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,486.50
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$9,034.76 |
| Max. Negotiated Rate |
$9,486.50 |
| Rate for Payer: BCBS Complete |
$9,486.50
|
| Rate for Payer: Mclaren Medicaid |
$9,034.76
|
| Rate for Payer: Meridian Medicaid |
$9,486.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,034.76
|
| Rate for Payer: UHCCP Medicaid |
$9,034.76
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$14,171.90
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$13,497.05 |
| Max. Negotiated Rate |
$14,171.90 |
| Rate for Payer: BCBS Complete |
$14,171.90
|
| Rate for Payer: Mclaren Medicaid |
$13,497.05
|
| Rate for Payer: Meridian Medicaid |
$14,171.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,497.05
|
| Rate for Payer: UHCCP Medicaid |
$13,497.05
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$24,757.45
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$23,578.52 |
| Max. Negotiated Rate |
$24,757.45 |
| Rate for Payer: BCBS Complete |
$24,757.45
|
| Rate for Payer: Mclaren Medicaid |
$23,578.52
|
| Rate for Payer: Meridian Medicaid |
$24,757.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,578.52
|
| Rate for Payer: UHCCP Medicaid |
$23,578.52
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 4481
|
| Min. Negotiated Rate |
$7,657.51 |
| Max. Negotiated Rate |
$8,040.39 |
| Rate for Payer: BCBS Complete |
$8,040.39
|
| Rate for Payer: Mclaren Medicaid |
$7,657.51
|
| Rate for Payer: Meridian Medicaid |
$8,040.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,657.51
|
| Rate for Payer: UHCCP Medicaid |
$7,657.51
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,031.66
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$11,458.72 |
| Max. Negotiated Rate |
$12,031.66 |
| Rate for Payer: BCBS Complete |
$12,031.66
|
| Rate for Payer: Mclaren Medicaid |
$11,458.72
|
| Rate for Payer: Meridian Medicaid |
$12,031.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,458.72
|
| Rate for Payer: UHCCP Medicaid |
$11,458.72
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$24,526.07
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$23,358.16 |
| Max. Negotiated Rate |
$24,526.07 |
| Rate for Payer: BCBS Complete |
$24,526.07
|
| Rate for Payer: Mclaren Medicaid |
$23,358.16
|
| Rate for Payer: Meridian Medicaid |
$24,526.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,358.16
|
| Rate for Payer: UHCCP Medicaid |
$23,358.16
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$14,518.97
|
|
|
Service Code
|
APR-DRG 4483
|
| 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 MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$36,210.66
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$34,486.34 |
| Max. Negotiated Rate |
$36,210.66 |
| Rate for Payer: BCBS Complete |
$36,210.66
|
| Rate for Payer: Mclaren Medicaid |
$34,486.34
|
| Rate for Payer: Meridian Medicaid |
$36,210.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,486.34
|
| Rate for Payer: UHCCP Medicaid |
$34,486.34
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$10,122.79
|
|
|
Service Code
|
APR-DRG 0911
|
| Min. Negotiated Rate |
$9,640.75 |
| Max. Negotiated Rate |
$10,122.79 |
| Rate for Payer: BCBS Complete |
$10,122.79
|
| Rate for Payer: Mclaren Medicaid |
$9,640.75
|
| Rate for Payer: Meridian Medicaid |
$10,122.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,640.75
|
| Rate for Payer: UHCCP Medicaid |
$9,640.75
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$16,196.46
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$15,425.20 |
| Max. Negotiated Rate |
$16,196.46 |
| Rate for Payer: BCBS Complete |
$16,196.46
|
| Rate for Payer: Mclaren Medicaid |
$15,425.20
|
| Rate for Payer: Meridian Medicaid |
$16,196.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,425.20
|
| Rate for Payer: UHCCP Medicaid |
$15,425.20
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$24,179.00
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$23,027.62 |
| Max. Negotiated Rate |
$24,179.00 |
| Rate for Payer: BCBS Complete |
$24,179.00
|
| Rate for Payer: Mclaren Medicaid |
$23,027.62
|
| Rate for Payer: Meridian Medicaid |
$24,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,027.62
|
| Rate for Payer: UHCCP Medicaid |
$23,027.62
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$25,393.74
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$24,184.51 |
| Max. Negotiated Rate |
$25,393.74 |
| Rate for Payer: BCBS Complete |
$25,393.74
|
| Rate for Payer: Mclaren Medicaid |
$24,184.51
|
| Rate for Payer: Meridian Medicaid |
$25,393.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,184.51
|
| Rate for Payer: UHCCP Medicaid |
$24,184.51
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$6,720.98 |
| Max. Negotiated Rate |
$7,057.03 |
| Rate for Payer: BCBS Complete |
$7,057.03
|
| Rate for Payer: Mclaren Medicaid |
$6,720.98
|
| Rate for Payer: Meridian Medicaid |
$7,057.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,720.98
|
| Rate for Payer: UHCCP Medicaid |
$6,720.98
|
|