|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$17,006.28
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$16,196.46 |
| Max. Negotiated Rate |
$17,006.28 |
| Rate for Payer: BCBS Complete |
$17,006.28
|
| Rate for Payer: Mclaren Medicaid |
$16,196.46
|
| Rate for Payer: Meridian Medicaid |
$17,006.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,196.46
|
| Rate for Payer: UHCCP Medicaid |
$16,196.46
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$26,839.85
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$25,561.76 |
| Max. Negotiated Rate |
$26,839.85 |
| Rate for Payer: BCBS Complete |
$26,839.85
|
| Rate for Payer: Mclaren Medicaid |
$25,561.76
|
| Rate for Payer: Meridian Medicaid |
$26,839.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,561.76
|
| Rate for Payer: UHCCP Medicaid |
$25,561.76
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$8,387.45
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$7,988.05 |
| Max. Negotiated Rate |
$8,387.45 |
| Rate for Payer: BCBS Complete |
$8,387.45
|
| Rate for Payer: Mclaren Medicaid |
$7,988.05
|
| Rate for Payer: Meridian Medicaid |
$8,387.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,988.05
|
| Rate for Payer: UHCCP Medicaid |
$7,988.05
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,990.45
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$10,467.10 |
| Max. Negotiated Rate |
$10,990.45 |
| Rate for Payer: BCBS Complete |
$10,990.45
|
| Rate for Payer: Mclaren Medicaid |
$10,467.10
|
| Rate for Payer: Meridian Medicaid |
$10,990.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,467.10
|
| Rate for Payer: UHCCP Medicaid |
$10,467.10
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$11,973.81
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$11,403.63 |
| Max. Negotiated Rate |
$11,973.81 |
| Rate for Payer: BCBS Complete |
$11,973.81
|
| Rate for Payer: Mclaren Medicaid |
$11,403.63
|
| Rate for Payer: Meridian Medicaid |
$11,973.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,403.63
|
| Rate for Payer: UHCCP Medicaid |
$11,403.63
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$7,230.56
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$6,886.25 |
| Max. Negotiated Rate |
$7,230.56 |
| Rate for Payer: BCBS Complete |
$7,230.56
|
| Rate for Payer: Mclaren Medicaid |
$6,886.25
|
| Rate for Payer: Meridian Medicaid |
$7,230.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,886.25
|
| Rate for Payer: UHCCP Medicaid |
$6,886.25
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$3,140.13 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$3,297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$22,848.58
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$21,760.55 |
| Max. Negotiated Rate |
$22,848.58 |
| Rate for Payer: BCBS Complete |
$22,848.58
|
| Rate for Payer: Mclaren Medicaid |
$21,760.55
|
| Rate for Payer: Meridian Medicaid |
$22,848.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,760.55
|
| Rate for Payer: UHCCP Medicaid |
$21,760.55
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$15,907.24
|
|
|
Service Code
|
APR-DRG 3093
|
| Min. Negotiated Rate |
$15,149.75 |
| Max. Negotiated Rate |
$15,907.24 |
| Rate for Payer: BCBS Complete |
$15,907.24
|
| Rate for Payer: Mclaren Medicaid |
$15,149.75
|
| Rate for Payer: Meridian Medicaid |
$15,907.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,149.75
|
| Rate for Payer: UHCCP Medicaid |
$15,149.75
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$11,684.59
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$11,128.18 |
| Max. Negotiated Rate |
$11,684.59 |
| Rate for Payer: BCBS Complete |
$11,684.59
|
| Rate for Payer: Mclaren Medicaid |
$11,128.18
|
| Rate for Payer: Meridian Medicaid |
$11,684.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,128.18
|
| Rate for Payer: UHCCP Medicaid |
$11,128.18
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$8,908.05
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$8,483.86 |
| Max. Negotiated Rate |
$8,908.05 |
| Rate for Payer: BCBS Complete |
$8,908.05
|
| Rate for Payer: Mclaren Medicaid |
$8,483.86
|
| Rate for Payer: Meridian Medicaid |
$8,908.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,483.86
|
| Rate for Payer: UHCCP Medicaid |
$8,483.86
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 3853
|
| Min. Negotiated Rate |
$6,280.26 |
| Max. Negotiated Rate |
$6,594.27 |
| Rate for Payer: BCBS Complete |
$6,594.27
|
| Rate for Payer: Mclaren Medicaid |
$6,280.26
|
| Rate for Payer: Meridian Medicaid |
$6,594.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,280.26
|
| Rate for Payer: UHCCP Medicaid |
$6,280.26
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$10,990.45
|
|
|
Service Code
|
APR-DRG 3854
|
| Min. Negotiated Rate |
$10,467.10 |
| Max. Negotiated Rate |
$10,990.45 |
| Rate for Payer: BCBS Complete |
$10,990.45
|
| Rate for Payer: Mclaren Medicaid |
$10,467.10
|
| Rate for Payer: Meridian Medicaid |
$10,990.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,467.10
|
| Rate for Payer: UHCCP Medicaid |
$10,467.10
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$4,049.11
|
|
|
Service Code
|
APR-DRG 3852
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 3851
|
| Min. Negotiated Rate |
$2,974.86 |
| Max. Negotiated Rate |
$3,123.60 |
| Rate for Payer: BCBS Complete |
$3,123.60
|
| Rate for Payer: Mclaren Medicaid |
$2,974.86
|
| Rate for Payer: Meridian Medicaid |
$3,123.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,974.86
|
| Rate for Payer: UHCCP Medicaid |
$2,974.86
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 3642
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,858.94
|
|
|
Service Code
|
APR-DRG 3641
|
| Min. Negotiated Rate |
$4,627.56 |
| Max. Negotiated Rate |
$4,858.94 |
| Rate for Payer: BCBS Complete |
$4,858.94
|
| Rate for Payer: Mclaren Medicaid |
$4,627.56
|
| Rate for Payer: Meridian Medicaid |
$4,858.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,627.56
|
| Rate for Payer: UHCCP Medicaid |
$4,627.56
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,585.54
|
|
|
Service Code
|
APR-DRG 3643
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$17,816.11
|
|
|
Service Code
|
APR-DRG 3644
|
| Min. Negotiated Rate |
$16,967.72 |
| Max. Negotiated Rate |
$17,816.11 |
| Rate for Payer: BCBS Complete |
$17,816.11
|
| Rate for Payer: Mclaren Medicaid |
$16,967.72
|
| Rate for Payer: Meridian Medicaid |
$17,816.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,967.72
|
| Rate for Payer: UHCCP Medicaid |
$16,967.72
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 2231
|
| 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 SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 2233
|
| Min. Negotiated Rate |
$11,844.35 |
| Max. Negotiated Rate |
$12,436.57 |
| Rate for Payer: BCBS Complete |
$12,436.57
|
| Rate for Payer: Mclaren Medicaid |
$11,844.35
|
| Rate for Payer: Meridian Medicaid |
$12,436.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,844.35
|
| Rate for Payer: UHCCP Medicaid |
$11,844.35
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,850.21
|
|
|
Service Code
|
APR-DRG 2232
|
| Min. Negotiated Rate |
$8,428.77 |
| Max. Negotiated Rate |
$8,850.21 |
| Rate for Payer: BCBS Complete |
$8,850.21
|
| Rate for Payer: Mclaren Medicaid |
$8,428.77
|
| Rate for Payer: Meridian Medicaid |
$8,850.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,428.77
|
| Rate for Payer: UHCCP Medicaid |
$8,428.77
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$22,327.98
|
|
|
Service Code
|
APR-DRG 2234
|
| Min. Negotiated Rate |
$21,264.74 |
| Max. Negotiated Rate |
$22,327.98 |
| Rate for Payer: BCBS Complete |
$22,327.98
|
| Rate for Payer: Mclaren Medicaid |
$21,264.74
|
| Rate for Payer: Meridian Medicaid |
$22,327.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,264.74
|
| Rate for Payer: UHCCP Medicaid |
$21,264.74
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$23,369.18
|
|
|
Service Code
|
APR-DRG 2224
|
| Min. Negotiated Rate |
$22,256.36 |
| Max. Negotiated Rate |
$23,369.18 |
| Rate for Payer: BCBS Complete |
$23,369.18
|
| Rate for Payer: Mclaren Medicaid |
$22,256.36
|
| Rate for Payer: Meridian Medicaid |
$23,369.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,256.36
|
| Rate for Payer: UHCCP Medicaid |
$22,256.36
|
|