|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$26,608.47
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$25,341.40 |
| Max. Negotiated Rate |
$26,608.47 |
| Rate for Payer: BCBS Complete |
$26,608.47
|
| Rate for Payer: Mclaren Medicaid |
$25,341.40
|
| Rate for Payer: Meridian Medicaid |
$26,608.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,341.40
|
| Rate for Payer: UHCCP Medicaid |
$25,341.40
|
|
|
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
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$9,370.81
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$8,924.58 |
| Max. Negotiated Rate |
$9,370.81 |
| Rate for Payer: BCBS Complete |
$9,370.81
|
| Rate for Payer: Mclaren Medicaid |
$8,924.58
|
| Rate for Payer: Meridian Medicaid |
$9,370.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,924.58
|
| Rate for Payer: UHCCP Medicaid |
$8,924.58
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,891.41
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$9,420.39 |
| Max. Negotiated Rate |
$9,891.41 |
| Rate for Payer: BCBS Complete |
$9,891.41
|
| Rate for Payer: Mclaren Medicaid |
$9,420.39
|
| Rate for Payer: Meridian Medicaid |
$9,891.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,420.39
|
| Rate for Payer: UHCCP Medicaid |
$9,420.39
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$12,552.26
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$11,954.53 |
| Max. Negotiated Rate |
$12,552.26 |
| Rate for Payer: BCBS Complete |
$12,552.26
|
| Rate for Payer: Mclaren Medicaid |
$11,954.53
|
| Rate for Payer: Meridian Medicaid |
$12,552.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,954.53
|
| Rate for Payer: UHCCP Medicaid |
$11,954.53
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$15,155.26
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$14,433.58 |
| Max. Negotiated Rate |
$15,155.26 |
| Rate for Payer: BCBS Complete |
$15,155.26
|
| Rate for Payer: Mclaren Medicaid |
$14,433.58
|
| Rate for Payer: Meridian Medicaid |
$15,155.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,433.58
|
| Rate for Payer: UHCCP Medicaid |
$14,433.58
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$30,888.96
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$29,418.06 |
| Max. Negotiated Rate |
$30,888.96 |
| Rate for Payer: BCBS Complete |
$30,888.96
|
| Rate for Payer: Mclaren Medicaid |
$29,418.06
|
| Rate for Payer: Meridian Medicaid |
$30,888.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,418.06
|
| Rate for Payer: UHCCP Medicaid |
$29,418.06
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$16,543.53
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$15,755.74 |
| Max. Negotiated Rate |
$16,543.53 |
| Rate for Payer: BCBS Complete |
$16,543.53
|
| Rate for Payer: Mclaren Medicaid |
$15,755.74
|
| Rate for Payer: Meridian Medicaid |
$16,543.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,755.74
|
| Rate for Payer: UHCCP Medicaid |
$15,755.74
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$22,443.67
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$21,374.92 |
| Max. Negotiated Rate |
$22,443.67 |
| Rate for Payer: BCBS Complete |
$22,443.67
|
| Rate for Payer: Mclaren Medicaid |
$21,374.92
|
| Rate for Payer: Meridian Medicaid |
$22,443.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,374.92
|
| Rate for Payer: UHCCP Medicaid |
$21,374.92
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$18,568.08
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$17,683.89 |
| Max. Negotiated Rate |
$18,568.08 |
| Rate for Payer: BCBS Complete |
$18,568.08
|
| Rate for Payer: Mclaren Medicaid |
$17,683.89
|
| Rate for Payer: Meridian Medicaid |
$18,568.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,683.89
|
| Rate for Payer: UHCCP Medicaid |
$17,683.89
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$22,559.36
|
|
|
Service Code
|
APR-DRG 0294
|
| Min. Negotiated Rate |
$21,485.10 |
| Max. Negotiated Rate |
$22,559.36 |
| Rate for Payer: BCBS Complete |
$22,559.36
|
| Rate for Payer: Mclaren Medicaid |
$21,485.10
|
| Rate for Payer: Meridian Medicaid |
$22,559.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,485.10
|
| Rate for Payer: UHCCP Medicaid |
$21,485.10
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,725.79
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$12,119.80 |
| Max. Negotiated Rate |
$12,725.79 |
| Rate for Payer: BCBS Complete |
$12,725.79
|
| Rate for Payer: Mclaren Medicaid |
$12,119.80
|
| Rate for Payer: Meridian Medicaid |
$12,725.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,119.80
|
| Rate for Payer: UHCCP Medicaid |
$12,119.80
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,354.17
|
|
|
Service Code
|
APR-DRG 1821
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$16,312.15
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$15,535.38 |
| Max. Negotiated Rate |
$16,312.15 |
| Rate for Payer: BCBS Complete |
$16,312.15
|
| Rate for Payer: Mclaren Medicaid |
$15,535.38
|
| Rate for Payer: Meridian Medicaid |
$16,312.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,535.38
|
| Rate for Payer: UHCCP Medicaid |
$15,535.38
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$25,393.74
|
|
|
Service Code
|
APR-DRG 1824
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$8,965.90
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$8,538.95 |
| Max. Negotiated Rate |
$8,965.90 |
| Rate for Payer: BCBS Complete |
$8,965.90
|
| Rate for Payer: Mclaren Medicaid |
$8,538.95
|
| Rate for Payer: Meridian Medicaid |
$8,965.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,538.95
|
| Rate for Payer: UHCCP Medicaid |
$8,538.95
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 1391
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 1392
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 1393
|
| Min. Negotiated Rate |
$6,114.99 |
| Max. Negotiated Rate |
$6,420.74 |
| Rate for Payer: BCBS Complete |
$6,420.74
|
| Rate for Payer: Mclaren Medicaid |
$6,114.99
|
| Rate for Payer: Meridian Medicaid |
$6,420.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,114.99
|
| Rate for Payer: UHCCP Medicaid |
$6,114.99
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 4051
|
| 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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$9,717.88
|
|
|
Service Code
|
APR-DRG 4052
|
| 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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$14,750.35
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$14,047.95 |
| Max. Negotiated Rate |
$14,750.35 |
| Rate for Payer: BCBS Complete |
$14,750.35
|
| Rate for Payer: Mclaren Medicaid |
$14,047.95
|
| Rate for Payer: Meridian Medicaid |
$14,750.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,047.95
|
| Rate for Payer: UHCCP Medicaid |
$14,047.95
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$28,054.58
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$26,718.65 |
| Max. Negotiated Rate |
$28,054.58 |
| Rate for Payer: BCBS Complete |
$28,054.58
|
| Rate for Payer: Mclaren Medicaid |
$26,718.65
|
| Rate for Payer: Meridian Medicaid |
$28,054.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,718.65
|
| Rate for Payer: UHCCP Medicaid |
$26,718.65
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$16,196.46
|
|
|
Service Code
|
APR-DRG 6513
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$7,809.01
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$7,437.15 |
| Max. Negotiated Rate |
$7,809.01 |
| Rate for Payer: BCBS Complete |
$7,809.01
|
| Rate for Payer: Mclaren Medicaid |
$7,437.15
|
| Rate for Payer: Meridian Medicaid |
$7,809.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,437.15
|
| Rate for Payer: UHCCP Medicaid |
$7,437.15
|
|