|
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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$7,577.63
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$7,216.79 |
| Max. Negotiated Rate |
$7,577.63 |
| Rate for Payer: BCBS Complete |
$7,577.63
|
| Rate for Payer: Mclaren Medicaid |
$7,216.79
|
| Rate for Payer: Meridian Medicaid |
$7,577.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,216.79
|
| Rate for Payer: UHCCP Medicaid |
$7,216.79
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$10,180.63
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$9,695.84 |
| Max. Negotiated Rate |
$10,180.63 |
| Rate for Payer: BCBS Complete |
$10,180.63
|
| Rate for Payer: Mclaren Medicaid |
$9,695.84
|
| Rate for Payer: Meridian Medicaid |
$10,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,695.84
|
| Rate for Payer: UHCCP Medicaid |
$9,695.84
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$16,022.93
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$15,259.93 |
| Max. Negotiated Rate |
$16,022.93 |
| Rate for Payer: BCBS Complete |
$16,022.93
|
| Rate for Payer: Mclaren Medicaid |
$15,259.93
|
| Rate for Payer: Meridian Medicaid |
$16,022.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,259.93
|
| Rate for Payer: UHCCP Medicaid |
$15,259.93
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$31,988.01
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$30,464.77 |
| Max. Negotiated Rate |
$31,988.01 |
| Rate for Payer: BCBS Complete |
$31,988.01
|
| Rate for Payer: Mclaren Medicaid |
$30,464.77
|
| Rate for Payer: Meridian Medicaid |
$31,988.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,464.77
|
| Rate for Payer: UHCCP Medicaid |
$30,464.77
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$19,030.84
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$18,124.61 |
| Max. Negotiated Rate |
$19,030.84 |
| Rate for Payer: BCBS Complete |
$19,030.84
|
| Rate for Payer: Mclaren Medicaid |
$18,124.61
|
| Rate for Payer: Meridian Medicaid |
$19,030.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,124.61
|
| Rate for Payer: UHCCP Medicaid |
$18,124.61
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$10,585.54
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$10,081.47 |
| Max. Negotiated Rate |
$10,585.54 |
| Rate for Payer: BCBS Complete |
$10,585.54
|
| Rate for Payer: Mclaren Medicaid |
$10,081.47
|
| Rate for Payer: Meridian Medicaid |
$10,585.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,081.47
|
| Rate for Payer: UHCCP Medicaid |
$10,081.47
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$13,246.39
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$12,615.61 |
| Max. Negotiated Rate |
$13,246.39 |
| Rate for Payer: BCBS Complete |
$13,246.39
|
| Rate for Payer: Mclaren Medicaid |
$12,615.61
|
| Rate for Payer: Meridian Medicaid |
$13,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,615.61
|
| Rate for Payer: UHCCP Medicaid |
$12,615.61
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$25,393.74
|
|
|
Service Code
|
APR-DRG 0294
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,544.34
|
|
|
Service Code
|
APR-DRG 1821
|
| Min. Negotiated Rate |
$9,089.85 |
| Max. Negotiated Rate |
$9,544.34 |
| Rate for Payer: BCBS Complete |
$9,544.34
|
| Rate for Payer: Mclaren Medicaid |
$9,089.85
|
| Rate for Payer: Meridian Medicaid |
$9,544.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,089.85
|
| Rate for Payer: UHCCP Medicaid |
$9,089.85
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$23,427.02
|
|
|
Service Code
|
APR-DRG 1824
|
| Min. Negotiated Rate |
$22,311.45 |
| Max. Negotiated Rate |
$23,427.02 |
| Rate for Payer: BCBS Complete |
$23,427.02
|
| Rate for Payer: Mclaren Medicaid |
$22,311.45
|
| Rate for Payer: Meridian Medicaid |
$23,427.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,311.45
|
| Rate for Payer: UHCCP Medicaid |
$22,311.45
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,742.43
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$11,183.27 |
| Max. Negotiated Rate |
$11,742.43 |
| Rate for Payer: BCBS Complete |
$11,742.43
|
| Rate for Payer: Mclaren Medicaid |
$11,183.27
|
| Rate for Payer: Meridian Medicaid |
$11,742.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,183.27
|
| Rate for Payer: UHCCP Medicaid |
$11,183.27
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,981.73
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$14,268.31 |
| Max. Negotiated Rate |
$14,981.73 |
| Rate for Payer: BCBS Complete |
$14,981.73
|
| Rate for Payer: Mclaren Medicaid |
$14,268.31
|
| Rate for Payer: Meridian Medicaid |
$14,981.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,268.31
|
| Rate for Payer: UHCCP Medicaid |
$14,268.31
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 1392
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$2,776.54
|
|
|
Service Code
|
APR-DRG 1391
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 1393
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$8,979.67 |
| Max. Negotiated Rate |
$9,428.65 |
| Rate for Payer: BCBS Complete |
$9,428.65
|
| Rate for Payer: Mclaren Medicaid |
$8,979.67
|
| Rate for Payer: Meridian Medicaid |
$9,428.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,979.67
|
| Rate for Payer: UHCCP Medicaid |
$8,979.67
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 4051
|
| Min. Negotiated Rate |
$7,271.88 |
| Max. Negotiated Rate |
$7,635.47 |
| Rate for Payer: BCBS Complete |
$7,635.47
|
| Rate for Payer: Mclaren Medicaid |
$7,271.88
|
| Rate for Payer: Meridian Medicaid |
$7,635.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,271.88
|
| Rate for Payer: UHCCP Medicaid |
$7,271.88
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$26,377.09
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$25,121.04 |
| Max. Negotiated Rate |
$26,377.09 |
| Rate for Payer: BCBS Complete |
$26,377.09
|
| Rate for Payer: Mclaren Medicaid |
$25,121.04
|
| Rate for Payer: Meridian Medicaid |
$26,377.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,121.04
|
| Rate for Payer: UHCCP Medicaid |
$25,121.04
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$9,255.12
|
|
|
Service Code
|
APR-DRG 4052
|
| Min. Negotiated Rate |
$8,814.40 |
| Max. Negotiated Rate |
$9,255.12 |
| Rate for Payer: BCBS Complete |
$9,255.12
|
| Rate for Payer: Mclaren Medicaid |
$8,814.40
|
| Rate for Payer: Meridian Medicaid |
$9,255.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,814.40
|
| Rate for Payer: UHCCP Medicaid |
$8,814.40
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$13,824.84
|
|
|
Service Code
|
APR-DRG 4053
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$27,476.14
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$26,167.75 |
| Max. Negotiated Rate |
$27,476.14 |
| Rate for Payer: BCBS Complete |
$27,476.14
|
| Rate for Payer: Mclaren Medicaid |
$26,167.75
|
| Rate for Payer: Meridian Medicaid |
$27,476.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,167.75
|
| Rate for Payer: UHCCP Medicaid |
$26,167.75
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$14,229.75
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$13,552.14 |
| Max. Negotiated Rate |
$14,229.75 |
| Rate for Payer: BCBS Complete |
$14,229.75
|
| Rate for Payer: Mclaren Medicaid |
$13,552.14
|
| Rate for Payer: Meridian Medicaid |
$14,229.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,552.14
|
| Rate for Payer: UHCCP Medicaid |
$13,552.14
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,469.85
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$9,971.29 |
| Max. Negotiated Rate |
$10,469.85 |
| Rate for Payer: BCBS Complete |
$10,469.85
|
| Rate for Payer: Mclaren Medicaid |
$9,971.29
|
| Rate for Payer: Meridian Medicaid |
$10,469.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,971.29
|
| Rate for Payer: UHCCP Medicaid |
$9,971.29
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$7,404.10
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$7,051.52 |
| Max. Negotiated Rate |
$7,404.10 |
| Rate for Payer: BCBS Complete |
$7,404.10
|
| Rate for Payer: Mclaren Medicaid |
$7,051.52
|
| Rate for Payer: Meridian Medicaid |
$7,404.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,051.52
|
| Rate for Payer: UHCCP Medicaid |
$7,051.52
|
|