|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$15,444.48
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$14,709.03 |
| Max. Negotiated Rate |
$15,444.48 |
| Rate for Payer: BCBS Complete |
$15,444.48
|
| Rate for Payer: Mclaren Medicaid |
$14,709.03
|
| Rate for Payer: Meridian Medicaid |
$15,444.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,709.03
|
| Rate for Payer: UHCCP Medicaid |
$14,709.03
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,023.74
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$8,594.04 |
| Max. Negotiated Rate |
$9,023.74 |
| Rate for Payer: BCBS Complete |
$9,023.74
|
| Rate for Payer: Mclaren Medicaid |
$8,594.04
|
| Rate for Payer: Meridian Medicaid |
$9,023.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,594.04
|
| Rate for Payer: UHCCP Medicaid |
$8,594.04
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$28,228.12
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$26,883.92 |
| Max. Negotiated Rate |
$28,228.12 |
| Rate for Payer: BCBS Complete |
$28,228.12
|
| Rate for Payer: Mclaren Medicaid |
$26,883.92
|
| Rate for Payer: Meridian Medicaid |
$28,228.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,883.92
|
| Rate for Payer: UHCCP Medicaid |
$26,883.92
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 4842
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 7602
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,660.85
|
|
|
Service Code
|
APR-DRG 7601
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$9,717.88
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$9,255.12 |
| Max. Negotiated Rate |
$9,717.88 |
| Rate for Payer: BCBS Complete |
$9,717.88
|
| Rate for Payer: Mclaren Medicaid |
$9,255.12
|
| Rate for Payer: Meridian Medicaid |
$9,717.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,255.12
|
| Rate for Payer: UHCCP Medicaid |
$9,255.12
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$4,974.63
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$4,737.74 |
| Max. Negotiated Rate |
$4,974.63 |
| Rate for Payer: BCBS Complete |
$4,974.63
|
| Rate for Payer: Mclaren Medicaid |
$4,737.74
|
| Rate for Payer: Meridian Medicaid |
$4,974.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,737.74
|
| Rate for Payer: UHCCP Medicaid |
$4,737.74
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,635.94 |
| Max. Negotiated Rate |
$3,817.74 |
| Rate for Payer: BCBS Complete |
$3,817.74
|
| Rate for Payer: Mclaren Medicaid |
$3,635.94
|
| Rate for Payer: Meridian Medicaid |
$3,817.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,635.94
|
| Rate for Payer: UHCCP Medicaid |
$3,635.94
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 3514
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$5,619.18 |
| Max. Negotiated Rate |
$5,900.14 |
| Rate for Payer: BCBS Complete |
$5,900.14
|
| Rate for Payer: Mclaren Medicaid |
$5,619.18
|
| Rate for Payer: Meridian Medicaid |
$5,900.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,619.18
|
| Rate for Payer: UHCCP Medicaid |
$5,619.18
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,950.07
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,809.59 |
| Max. Negotiated Rate |
$2,950.07 |
| Rate for Payer: BCBS Complete |
$2,950.07
|
| Rate for Payer: Mclaren Medicaid |
$2,809.59
|
| Rate for Payer: Meridian Medicaid |
$2,950.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,809.59
|
| Rate for Payer: UHCCP Medicaid |
$2,809.59
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 3201
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$13,766.99
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$13,111.42 |
| Max. Negotiated Rate |
$13,766.99 |
| Rate for Payer: BCBS Complete |
$13,766.99
|
| Rate for Payer: Mclaren Medicaid |
$13,111.42
|
| Rate for Payer: Meridian Medicaid |
$13,766.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,111.42
|
| Rate for Payer: UHCCP Medicaid |
$13,111.42
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$21,923.07
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$20,879.11 |
| Max. Negotiated Rate |
$21,923.07 |
| Rate for Payer: BCBS Complete |
$21,923.07
|
| Rate for Payer: Mclaren Medicaid |
$20,879.11
|
| Rate for Payer: Meridian Medicaid |
$21,923.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,879.11
|
| Rate for Payer: UHCCP Medicaid |
$20,879.11
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$10,932.61
|
|
|
Service Code
|
APR-DRG 3202
|
| Min. Negotiated Rate |
$10,412.01 |
| Max. Negotiated Rate |
$10,932.61 |
| Rate for Payer: BCBS Complete |
$10,932.61
|
| Rate for Payer: Mclaren Medicaid |
$10,412.01
|
| Rate for Payer: Meridian Medicaid |
$10,932.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,412.01
|
| Rate for Payer: UHCCP Medicaid |
$10,412.01
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$13,072.86
|
|
|
Service Code
|
APR-DRG 0262
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$18,915.15
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$18,014.43 |
| Max. Negotiated Rate |
$18,915.15 |
| Rate for Payer: BCBS Complete |
$18,915.15
|
| Rate for Payer: Mclaren Medicaid |
$18,014.43
|
| Rate for Payer: Meridian Medicaid |
$18,915.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,014.43
|
| Rate for Payer: UHCCP Medicaid |
$18,014.43
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,676.68
|
|
|
Service Code
|
APR-DRG 0261
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,114.06
|
|
|
Service Code
|
APR-DRG 0263
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$11,511.06
|
|
|
Service Code
|
APR-DRG 4254
|
| Min. Negotiated Rate |
$10,962.91 |
| Max. Negotiated Rate |
$11,511.06 |
| Rate for Payer: BCBS Complete |
$11,511.06
|
| Rate for Payer: Mclaren Medicaid |
$10,962.91
|
| Rate for Payer: Meridian Medicaid |
$11,511.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,962.91
|
| Rate for Payer: UHCCP Medicaid |
$10,962.91
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 4252
|
| Min. Negotiated Rate |
$3,911.39 |
| Max. Negotiated Rate |
$4,106.96 |
| Rate for Payer: BCBS Complete |
$4,106.96
|
| Rate for Payer: Mclaren Medicaid |
$3,911.39
|
| Rate for Payer: Meridian Medicaid |
$4,106.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,911.39
|
| Rate for Payer: UHCCP Medicaid |
$3,911.39
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$5,619.18 |
| Max. Negotiated Rate |
$5,900.14 |
| Rate for Payer: BCBS Complete |
$5,900.14
|
| Rate for Payer: Mclaren Medicaid |
$5,619.18
|
| Rate for Payer: Meridian Medicaid |
$5,900.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,619.18
|
| Rate for Payer: UHCCP Medicaid |
$5,619.18
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,892.22
|
|
|
Service Code
|
APR-DRG 4251
|
| Min. Negotiated Rate |
$2,754.50 |
| Max. Negotiated Rate |
$2,892.22 |
| Rate for Payer: BCBS Complete |
$2,892.22
|
| Rate for Payer: Mclaren Medicaid |
$2,754.50
|
| Rate for Payer: Meridian Medicaid |
$2,892.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,754.50
|
| Rate for Payer: UHCCP Medicaid |
$2,754.50
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$12,841.48
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$12,229.98 |
| Max. Negotiated Rate |
$12,841.48 |
| Rate for Payer: BCBS Complete |
$12,841.48
|
| Rate for Payer: Mclaren Medicaid |
$12,229.98
|
| Rate for Payer: Meridian Medicaid |
$12,841.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,229.98
|
| Rate for Payer: UHCCP Medicaid |
$12,229.98
|
|