|
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
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$12,147.34
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$11,568.90 |
| Max. Negotiated Rate |
$12,147.34 |
| Rate for Payer: BCBS Complete |
$12,147.34
|
| Rate for Payer: Mclaren Medicaid |
$11,568.90
|
| Rate for Payer: Meridian Medicaid |
$12,147.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,568.90
|
| Rate for Payer: UHCCP Medicaid |
$11,568.90
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 7601
|
| 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
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 7602
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$5,957.98
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$5,674.27 |
| Max. Negotiated Rate |
$5,957.98 |
| Rate for Payer: BCBS Complete |
$5,957.98
|
| Rate for Payer: Mclaren Medicaid |
$5,674.27
|
| Rate for Payer: Meridian Medicaid |
$5,957.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,674.27
|
| Rate for Payer: UHCCP Medicaid |
$5,674.27
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$11,106.14
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$10,577.28 |
| Max. Negotiated Rate |
$11,106.14 |
| Rate for Payer: BCBS Complete |
$11,106.14
|
| Rate for Payer: Mclaren Medicaid |
$10,577.28
|
| Rate for Payer: Meridian Medicaid |
$11,106.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,577.28
|
| Rate for Payer: UHCCP Medicaid |
$10,577.28
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 3513
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,412.83
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$3,250.31 |
| Max. Negotiated Rate |
$3,412.83 |
| Rate for Payer: BCBS Complete |
$3,412.83
|
| Rate for Payer: Mclaren Medicaid |
$3,250.31
|
| Rate for Payer: Meridian Medicaid |
$3,412.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.31
|
| Rate for Payer: UHCCP Medicaid |
$3,250.31
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$21,344.62
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$20,328.21 |
| Max. Negotiated Rate |
$21,344.62 |
| Rate for Payer: BCBS Complete |
$21,344.62
|
| Rate for Payer: Mclaren Medicaid |
$20,328.21
|
| Rate for Payer: Meridian Medicaid |
$21,344.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,328.21
|
| Rate for Payer: UHCCP Medicaid |
$20,328.21
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$6,610.80 |
| Max. Negotiated Rate |
$6,941.34 |
| Rate for Payer: BCBS Complete |
$6,941.34
|
| Rate for Payer: Mclaren Medicaid |
$6,610.80
|
| Rate for Payer: Meridian Medicaid |
$6,941.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,610.80
|
| Rate for Payer: UHCCP Medicaid |
$6,610.80
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$13,998.37
|
|
|
Service Code
|
APR-DRG 3203
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$9,717.88
|
|
|
Service Code
|
APR-DRG 3202
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,147.34
|
|
|
Service Code
|
APR-DRG 0262
|
| Min. Negotiated Rate |
$11,568.90 |
| Max. Negotiated Rate |
$12,147.34 |
| Rate for Payer: BCBS Complete |
$12,147.34
|
| Rate for Payer: Mclaren Medicaid |
$11,568.90
|
| Rate for Payer: Meridian Medicaid |
$12,147.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,568.90
|
| Rate for Payer: UHCCP Medicaid |
$11,568.90
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 0261
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$25,278.05
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$24,074.33 |
| Max. Negotiated Rate |
$25,278.05 |
| Rate for Payer: BCBS Complete |
$25,278.05
|
| Rate for Payer: Mclaren Medicaid |
$24,074.33
|
| Rate for Payer: Meridian Medicaid |
$25,278.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,074.33
|
| Rate for Payer: UHCCP Medicaid |
$24,074.33
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$16,138.62
|
|
|
Service Code
|
APR-DRG 0263
|
| Min. Negotiated Rate |
$15,370.11 |
| Max. Negotiated Rate |
$16,138.62 |
| Rate for Payer: BCBS Complete |
$16,138.62
|
| Rate for Payer: Mclaren Medicaid |
$15,370.11
|
| Rate for Payer: Meridian Medicaid |
$16,138.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,370.11
|
| Rate for Payer: UHCCP Medicaid |
$15,370.11
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,437.38
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$5,178.46 |
| Max. Negotiated Rate |
$5,437.38 |
| Rate for Payer: BCBS Complete |
$5,437.38
|
| Rate for Payer: Mclaren Medicaid |
$5,178.46
|
| Rate for Payer: Meridian Medicaid |
$5,437.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,178.46
|
| Rate for Payer: UHCCP Medicaid |
$5,178.46
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,701.23
|
|
|
Service Code
|
APR-DRG 4254
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,776.54
|
|
|
Service Code
|
APR-DRG 4251
|
| Min. Negotiated Rate |
$2,644.32 |
| Max. Negotiated Rate |
$2,776.54 |
| Rate for Payer: BCBS Complete |
$2,776.54
|
| Rate for Payer: Mclaren Medicaid |
$2,644.32
|
| Rate for Payer: Meridian Medicaid |
$2,776.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,644.32
|
| Rate for Payer: UHCCP Medicaid |
$2,644.32
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 4252
|
| 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 OPEN CRANIOTOMY
|
Facility
|
IP
|
$14,461.12
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$13,772.50 |
| Max. Negotiated Rate |
$14,461.12 |
| Rate for Payer: BCBS Complete |
$14,461.12
|
| Rate for Payer: Mclaren Medicaid |
$13,772.50
|
| Rate for Payer: Meridian Medicaid |
$14,461.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,772.50
|
| Rate for Payer: UHCCP Medicaid |
$13,772.50
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$21,055.40
|
|
|
Service Code
|
APR-DRG 0273
|
| Min. Negotiated Rate |
$20,052.76 |
| Max. Negotiated Rate |
$21,055.40 |
| Rate for Payer: BCBS Complete |
$21,055.40
|
| Rate for Payer: Mclaren Medicaid |
$20,052.76
|
| Rate for Payer: Meridian Medicaid |
$21,055.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,052.76
|
| Rate for Payer: UHCCP Medicaid |
$20,052.76
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$10,527.70
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$10,026.38 |
| Max. Negotiated Rate |
$10,527.70 |
| Rate for Payer: BCBS Complete |
$10,527.70
|
| Rate for Payer: Mclaren Medicaid |
$10,026.38
|
| Rate for Payer: Meridian Medicaid |
$10,527.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,026.38
|
| Rate for Payer: UHCCP Medicaid |
$10,026.38
|
|