|
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
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$10,907.82 |
| Max. Negotiated Rate |
$11,453.21 |
| Rate for Payer: BCBS Complete |
$11,453.21
|
| Rate for Payer: Mclaren Medicaid |
$10,907.82
|
| Rate for Payer: Meridian Medicaid |
$11,453.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,907.82
|
| Rate for Payer: UHCCP Medicaid |
$10,907.82
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$25,509.42
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$24,294.69 |
| Max. Negotiated Rate |
$25,509.42 |
| Rate for Payer: BCBS Complete |
$25,509.42
|
| Rate for Payer: Mclaren Medicaid |
$24,294.69
|
| Rate for Payer: Meridian Medicaid |
$25,509.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,294.69
|
| Rate for Payer: UHCCP Medicaid |
$24,294.69
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$12,957.17
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$12,340.16 |
| Max. Negotiated Rate |
$12,957.17 |
| Rate for Payer: BCBS Complete |
$12,957.17
|
| Rate for Payer: Mclaren Medicaid |
$12,340.16
|
| Rate for Payer: Meridian Medicaid |
$12,957.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,340.16
|
| Rate for Payer: UHCCP Medicaid |
$12,340.16
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,907.24
|
|
|
Service Code
|
APR-DRG 1213
|
| 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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$9,717.88
|
|
|
Service Code
|
APR-DRG 1211
|
| 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 RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$10,874.77
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$10,356.92 |
| Max. Negotiated Rate |
$10,874.77 |
| Rate for Payer: BCBS Complete |
$10,874.77
|
| Rate for Payer: Mclaren Medicaid |
$10,356.92
|
| Rate for Payer: Meridian Medicaid |
$10,874.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,356.92
|
| Rate for Payer: UHCCP Medicaid |
$10,356.92
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$7,693.32
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$7,326.97 |
| Max. Negotiated Rate |
$7,693.32 |
| Rate for Payer: BCBS Complete |
$7,693.32
|
| Rate for Payer: Mclaren Medicaid |
$7,326.97
|
| Rate for Payer: Meridian Medicaid |
$7,693.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,326.97
|
| Rate for Payer: UHCCP Medicaid |
$7,326.97
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$5,495.23
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$5,233.55 |
| Max. Negotiated Rate |
$5,495.23 |
| Rate for Payer: BCBS Complete |
$5,495.23
|
| Rate for Payer: Mclaren Medicaid |
$5,233.55
|
| Rate for Payer: Meridian Medicaid |
$5,495.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,233.55
|
| Rate for Payer: UHCCP Medicaid |
$5,233.55
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$3,580.85 |
| Max. Negotiated Rate |
$3,759.89 |
| Rate for Payer: BCBS Complete |
$3,759.89
|
| Rate for Payer: Mclaren Medicaid |
$3,580.85
|
| Rate for Payer: Meridian Medicaid |
$3,759.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,580.85
|
| Rate for Payer: UHCCP Medicaid |
$3,580.85
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$12,899.32
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$12,285.07 |
| Max. Negotiated Rate |
$12,899.32 |
| Rate for Payer: BCBS Complete |
$12,899.32
|
| Rate for Payer: Mclaren Medicaid |
$12,285.07
|
| Rate for Payer: Meridian Medicaid |
$12,899.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,285.07
|
| Rate for Payer: UHCCP Medicaid |
$12,285.07
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$20,303.42
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$19,336.59 |
| Max. Negotiated Rate |
$20,303.42 |
| Rate for Payer: BCBS Complete |
$20,303.42
|
| Rate for Payer: Mclaren Medicaid |
$19,336.59
|
| Rate for Payer: Meridian Medicaid |
$20,303.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,336.59
|
| Rate for Payer: UHCCP Medicaid |
$19,336.59
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$15,270.95
|
|
|
Service Code
|
APR-DRG 3093
|
| Min. Negotiated Rate |
$14,543.76 |
| Max. Negotiated Rate |
$15,270.95 |
| Rate for Payer: BCBS Complete |
$15,270.95
|
| Rate for Payer: Mclaren Medicaid |
$14,543.76
|
| Rate for Payer: Meridian Medicaid |
$15,270.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,543.76
|
| Rate for Payer: UHCCP Medicaid |
$14,543.76
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$9,144.94 |
| Max. Negotiated Rate |
$9,602.19 |
| Rate for Payer: BCBS Complete |
$9,602.19
|
| Rate for Payer: Mclaren Medicaid |
$9,144.94
|
| Rate for Payer: Meridian Medicaid |
$9,602.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,144.94
|
| Rate for Payer: UHCCP Medicaid |
$9,144.94
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 3851
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 3853
|
| Min. Negotiated Rate |
$6,500.62 |
| Max. Negotiated Rate |
$6,825.65 |
| Rate for Payer: BCBS Complete |
$6,825.65
|
| Rate for Payer: Mclaren Medicaid |
$6,500.62
|
| Rate for Payer: Meridian Medicaid |
$6,825.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,500.62
|
| Rate for Payer: UHCCP Medicaid |
$6,500.62
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$9,486.50
|
|
|
Service Code
|
APR-DRG 3854
|
| Min. Negotiated Rate |
$9,034.76 |
| Max. Negotiated Rate |
$9,486.50 |
| Rate for Payer: BCBS Complete |
$9,486.50
|
| Rate for Payer: Mclaren Medicaid |
$9,034.76
|
| Rate for Payer: Meridian Medicaid |
$9,486.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,034.76
|
| Rate for Payer: UHCCP Medicaid |
$9,034.76
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 3852
|
| Min. Negotiated Rate |
$4,297.02 |
| Max. Negotiated Rate |
$4,511.87 |
| Rate for Payer: BCBS Complete |
$4,511.87
|
| Rate for Payer: Mclaren Medicaid |
$4,297.02
|
| Rate for Payer: Meridian Medicaid |
$4,511.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,297.02
|
| Rate for Payer: UHCCP Medicaid |
$4,297.02
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 3642
|
| 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 RELATED PROCEDURES
|
Facility
|
IP
|
$5,553.07
|
|
|
Service Code
|
APR-DRG 3641
|
| Min. Negotiated Rate |
$5,288.64 |
| Max. Negotiated Rate |
$5,553.07 |
| Rate for Payer: BCBS Complete |
$5,553.07
|
| Rate for Payer: Mclaren Medicaid |
$5,288.64
|
| Rate for Payer: Meridian Medicaid |
$5,553.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,288.64
|
| Rate for Payer: UHCCP Medicaid |
$5,288.64
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,263.03
|
|
|
Service Code
|
APR-DRG 3644
|
| Min. Negotiated Rate |
$11,679.08 |
| Max. Negotiated Rate |
$12,263.03 |
| Rate for Payer: BCBS Complete |
$12,263.03
|
| Rate for Payer: Mclaren Medicaid |
$11,679.08
|
| Rate for Payer: Meridian Medicaid |
$12,263.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,679.08
|
| Rate for Payer: UHCCP Medicaid |
$11,679.08
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,296.32
|
|
|
Service Code
|
APR-DRG 3643
|
| Min. Negotiated Rate |
$9,806.02 |
| Max. Negotiated Rate |
$10,296.32 |
| Rate for Payer: BCBS Complete |
$10,296.32
|
| Rate for Payer: Mclaren Medicaid |
$9,806.02
|
| Rate for Payer: Meridian Medicaid |
$10,296.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,806.02
|
| Rate for Payer: UHCCP Medicaid |
$9,806.02
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,915.97
|
|
|
Service Code
|
APR-DRG 2233
|
| Min. Negotiated Rate |
$11,348.54 |
| Max. Negotiated Rate |
$11,915.97 |
| Rate for Payer: BCBS Complete |
$11,915.97
|
| Rate for Payer: Mclaren Medicaid |
$11,348.54
|
| Rate for Payer: Meridian Medicaid |
$11,915.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,348.54
|
| Rate for Payer: UHCCP Medicaid |
$11,348.54
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$21,691.69
|
|
|
Service Code
|
APR-DRG 2234
|
| Min. Negotiated Rate |
$20,658.75 |
| Max. Negotiated Rate |
$21,691.69 |
| Rate for Payer: BCBS Complete |
$21,691.69
|
| Rate for Payer: Mclaren Medicaid |
$20,658.75
|
| Rate for Payer: Meridian Medicaid |
$21,691.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,658.75
|
| Rate for Payer: UHCCP Medicaid |
$20,658.75
|
|
|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,213.92
|
|
|
Service Code
|
APR-DRG 2231
|
| Min. Negotiated Rate |
$7,822.78 |
| Max. Negotiated Rate |
$8,213.92 |
| Rate for Payer: BCBS Complete |
$8,213.92
|
| Rate for Payer: Mclaren Medicaid |
$7,822.78
|
| Rate for Payer: Meridian Medicaid |
$8,213.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,822.78
|
| Rate for Payer: UHCCP Medicaid |
$7,822.78
|
|