|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 2221
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,618.83
|
|
|
Service Code
|
APR-DRG 2222
|
| Min. Negotiated Rate |
$8,208.41 |
| Max. Negotiated Rate |
$8,618.83 |
| Rate for Payer: BCBS Complete |
$8,618.83
|
| Rate for Payer: Mclaren Medicaid |
$8,208.41
|
| Rate for Payer: Meridian Medicaid |
$8,618.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,208.41
|
| Rate for Payer: UHCCP Medicaid |
$8,208.41
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$13,766.99
|
|
|
Service Code
|
APR-DRG 2223
|
| Min. Negotiated Rate |
$13,111.42 |
| Max. Negotiated Rate |
$13,766.99 |
| Rate for Payer: BCBS Complete |
$13,766.99
|
| Rate for Payer: Mclaren Medicaid |
$13,111.42
|
| Rate for Payer: Meridian Medicaid |
$13,766.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,111.42
|
| Rate for Payer: UHCCP Medicaid |
$13,111.42
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$66,521.18
|
|
|
Service Code
|
APR-DRG 0064
|
| Min. Negotiated Rate |
$63,353.50 |
| Max. Negotiated Rate |
$66,521.18 |
| Rate for Payer: BCBS Complete |
$66,521.18
|
| Rate for Payer: Mclaren Medicaid |
$63,353.50
|
| Rate for Payer: Meridian Medicaid |
$66,521.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,353.50
|
| Rate for Payer: UHCCP Medicaid |
$63,353.50
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$51,250.23
|
|
|
Service Code
|
APR-DRG 0063
|
| Min. Negotiated Rate |
$48,809.74 |
| Max. Negotiated Rate |
$51,250.23 |
| Rate for Payer: BCBS Complete |
$51,250.23
|
| Rate for Payer: Mclaren Medicaid |
$48,809.74
|
| Rate for Payer: Meridian Medicaid |
$51,250.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,809.74
|
| Rate for Payer: UHCCP Medicaid |
$48,809.74
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$44,193.20
|
|
|
Service Code
|
APR-DRG 0062
|
| Min. Negotiated Rate |
$42,088.76 |
| Max. Negotiated Rate |
$44,193.20 |
| Rate for Payer: BCBS Complete |
$44,193.20
|
| Rate for Payer: Mclaren Medicaid |
$42,088.76
|
| Rate for Payer: Meridian Medicaid |
$44,193.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,088.76
|
| Rate for Payer: UHCCP Medicaid |
$42,088.76
|
|
|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$30,715.43
|
|
|
Service Code
|
APR-DRG 0061
|
| Min. Negotiated Rate |
$29,252.79 |
| Max. Negotiated Rate |
$30,715.43 |
| Rate for Payer: BCBS Complete |
$30,715.43
|
| Rate for Payer: Mclaren Medicaid |
$29,252.79
|
| Rate for Payer: Meridian Medicaid |
$30,715.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,252.79
|
| Rate for Payer: UHCCP Medicaid |
$29,252.79
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$14,692.50
|
|
|
Service Code
|
APR-DRG 8444
|
| Min. Negotiated Rate |
$13,992.86 |
| Max. Negotiated Rate |
$14,692.50 |
| Rate for Payer: BCBS Complete |
$14,692.50
|
| Rate for Payer: Mclaren Medicaid |
$13,992.86
|
| Rate for Payer: Meridian Medicaid |
$14,692.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,992.86
|
| Rate for Payer: UHCCP Medicaid |
$13,992.86
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$8,213.92
|
|
|
Service Code
|
APR-DRG 8443
|
| 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
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 8441
|
| 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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 8442
|
| Min. Negotiated Rate |
$5,013.19 |
| Max. Negotiated Rate |
$5,263.85 |
| Rate for Payer: BCBS Complete |
$5,263.85
|
| Rate for Payer: Mclaren Medicaid |
$5,013.19
|
| Rate for Payer: Meridian Medicaid |
$5,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,013.19
|
| Rate for Payer: UHCCP Medicaid |
$5,013.19
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$13,188.55
|
|
|
Service Code
|
APR-DRG 4833
|
| Min. Negotiated Rate |
$12,560.52 |
| Max. Negotiated Rate |
$13,188.55 |
| Rate for Payer: BCBS Complete |
$13,188.55
|
| Rate for Payer: Mclaren Medicaid |
$12,560.52
|
| Rate for Payer: Meridian Medicaid |
$13,188.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,560.52
|
| Rate for Payer: UHCCP Medicaid |
$12,560.52
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$23,079.96
|
|
|
Service Code
|
APR-DRG 4834
|
| Min. Negotiated Rate |
$21,980.91 |
| Max. Negotiated Rate |
$23,079.96 |
| Rate for Payer: BCBS Complete |
$23,079.96
|
| Rate for Payer: Mclaren Medicaid |
$21,980.91
|
| Rate for Payer: Meridian Medicaid |
$23,079.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,980.91
|
| Rate for Payer: UHCCP Medicaid |
$21,980.91
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 4831
|
| Min. Negotiated Rate |
$5,453.91 |
| Max. Negotiated Rate |
$5,726.61 |
| Rate for Payer: BCBS Complete |
$5,726.61
|
| Rate for Payer: Mclaren Medicaid |
$5,453.91
|
| Rate for Payer: Meridian Medicaid |
$5,726.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,453.91
|
| Rate for Payer: UHCCP Medicaid |
$5,453.91
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$8,734.52
|
|
|
Service Code
|
APR-DRG 4832
|
| Min. Negotiated Rate |
$8,318.59 |
| Max. Negotiated Rate |
$8,734.52 |
| Rate for Payer: BCBS Complete |
$8,734.52
|
| Rate for Payer: Mclaren Medicaid |
$8,318.59
|
| Rate for Payer: Meridian Medicaid |
$8,734.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,318.59
|
| Rate for Payer: UHCCP Medicaid |
$8,318.59
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$13,824.84
|
|
|
Service Code
|
APR-DRG 2414
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 2412
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 2413
|
| Min. Negotiated Rate |
$6,941.34 |
| Max. Negotiated Rate |
$7,288.41 |
| Rate for Payer: BCBS Complete |
$7,288.41
|
| Rate for Payer: Mclaren Medicaid |
$6,941.34
|
| Rate for Payer: Meridian Medicaid |
$7,288.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,941.34
|
| Rate for Payer: UHCCP Medicaid |
$6,941.34
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,049.11
|
|
|
Service Code
|
APR-DRG 2411
|
| 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: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$13,304.24
|
|
|
Service Code
|
APR-DRG 1742
|
| Min. Negotiated Rate |
$12,670.70 |
| Max. Negotiated Rate |
$13,304.24 |
| Rate for Payer: BCBS Complete |
$13,304.24
|
| Rate for Payer: Mclaren Medicaid |
$12,670.70
|
| Rate for Payer: Meridian Medicaid |
$13,304.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,670.70
|
| Rate for Payer: UHCCP Medicaid |
$12,670.70
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$10,527.70
|
|
|
Service Code
|
APR-DRG 1741
|
| 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
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$22,212.29
|
|
|
Service Code
|
APR-DRG 1744
|
| Min. Negotiated Rate |
$21,154.56 |
| Max. Negotiated Rate |
$22,212.29 |
| Rate for Payer: BCBS Complete |
$22,212.29
|
| Rate for Payer: Mclaren Medicaid |
$21,154.56
|
| Rate for Payer: Meridian Medicaid |
$22,212.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,154.56
|
| Rate for Payer: UHCCP Medicaid |
$21,154.56
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$15,675.86
|
|
|
Service Code
|
APR-DRG 1743
|
| Min. Negotiated Rate |
$14,929.39 |
| Max. Negotiated Rate |
$15,675.86 |
| Rate for Payer: BCBS Complete |
$15,675.86
|
| Rate for Payer: Mclaren Medicaid |
$14,929.39
|
| Rate for Payer: Meridian Medicaid |
$15,675.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,929.39
|
| Rate for Payer: UHCCP Medicaid |
$14,929.39
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$24,988.82
|
|
|
Service Code
|
APR-DRG 1754
|
| Min. Negotiated Rate |
$23,798.88 |
| Max. Negotiated Rate |
$24,988.82 |
| Rate for Payer: BCBS Complete |
$24,988.82
|
| Rate for Payer: Mclaren Medicaid |
$23,798.88
|
| Rate for Payer: Meridian Medicaid |
$24,988.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,798.88
|
| Rate for Payer: UHCCP Medicaid |
$23,798.88
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$18,221.02
|
|
|
Service Code
|
APR-DRG 1753
|
| Min. Negotiated Rate |
$17,353.35 |
| Max. Negotiated Rate |
$18,221.02 |
| Rate for Payer: BCBS Complete |
$18,221.02
|
| Rate for Payer: Mclaren Medicaid |
$17,353.35
|
| Rate for Payer: Meridian Medicaid |
$18,221.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,353.35
|
| Rate for Payer: UHCCP Medicaid |
$17,353.35
|
|