|
APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,568.90
|
|
|
Service Code
|
APR-DRG 2232
|
| Min. Negotiated Rate |
$11,018.00 |
| Max. Negotiated Rate |
$11,568.90 |
| Rate for Payer: BCBS Complete |
$11,568.90
|
| Rate for Payer: Mclaren Medicaid |
$11,018.00
|
| Rate for Payer: Meridian Medicaid |
$11,568.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,018.00
|
| Rate for Payer: UHCCP Medicaid |
$11,018.00
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$5,379.54
|
|
|
Service Code
|
APR-DRG 2221
|
| Min. Negotiated Rate |
$5,123.37 |
| Max. Negotiated Rate |
$5,379.54 |
| Rate for Payer: BCBS Complete |
$5,379.54
|
| Rate for Payer: Mclaren Medicaid |
$5,123.37
|
| Rate for Payer: Meridian Medicaid |
$5,379.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,123.37
|
| Rate for Payer: UHCCP Medicaid |
$5,123.37
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$25,393.74
|
|
|
Service Code
|
APR-DRG 2224
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$14,923.88
|
|
|
Service Code
|
APR-DRG 2223
|
| Min. Negotiated Rate |
$14,213.22 |
| Max. Negotiated Rate |
$14,923.88 |
| Rate for Payer: BCBS Complete |
$14,923.88
|
| Rate for Payer: Mclaren Medicaid |
$14,213.22
|
| Rate for Payer: Meridian Medicaid |
$14,923.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,213.22
|
| Rate for Payer: UHCCP Medicaid |
$14,213.22
|
|
|
APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 2222
|
| Min. Negotiated Rate |
$8,869.49 |
| Max. Negotiated Rate |
$9,312.96 |
| Rate for Payer: BCBS Complete |
$9,312.96
|
| Rate for Payer: Mclaren Medicaid |
$8,869.49
|
| Rate for Payer: Meridian Medicaid |
$9,312.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,869.49
|
| Rate for Payer: UHCCP Medicaid |
$8,869.49
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$7,346.25
|
|
|
Service Code
|
APR-DRG 8443
|
| Min. Negotiated Rate |
$6,996.43 |
| Max. Negotiated Rate |
$7,346.25 |
| Rate for Payer: BCBS Complete |
$7,346.25
|
| Rate for Payer: Mclaren Medicaid |
$6,996.43
|
| Rate for Payer: Meridian Medicaid |
$7,346.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,996.43
|
| Rate for Payer: UHCCP Medicaid |
$6,996.43
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$11,106.14
|
|
|
Service Code
|
APR-DRG 8444
|
| Min. Negotiated Rate |
$10,577.28 |
| Max. Negotiated Rate |
$11,106.14 |
| Rate for Payer: BCBS Complete |
$11,106.14
|
| Rate for Payer: Mclaren Medicaid |
$10,577.28
|
| Rate for Payer: Meridian Medicaid |
$11,106.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,577.28
|
| Rate for Payer: UHCCP Medicaid |
$10,577.28
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$3,412.83
|
|
|
Service Code
|
APR-DRG 8441
|
| Min. Negotiated Rate |
$3,250.31 |
| Max. Negotiated Rate |
$3,412.83 |
| Rate for Payer: BCBS Complete |
$3,412.83
|
| Rate for Payer: Mclaren Medicaid |
$3,250.31
|
| Rate for Payer: Meridian Medicaid |
$3,412.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.31
|
| Rate for Payer: UHCCP Medicaid |
$3,250.31
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$5,957.98
|
|
|
Service Code
|
APR-DRG 8442
|
| Min. Negotiated Rate |
$5,674.27 |
| Max. Negotiated Rate |
$5,957.98 |
| Rate for Payer: BCBS Complete |
$5,957.98
|
| Rate for Payer: Mclaren Medicaid |
$5,674.27
|
| Rate for Payer: Meridian Medicaid |
$5,957.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,674.27
|
| Rate for Payer: UHCCP Medicaid |
$5,674.27
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$14,345.44
|
|
|
Service Code
|
APR-DRG 4833
|
| Min. Negotiated Rate |
$13,662.32 |
| Max. Negotiated Rate |
$14,345.44 |
| Rate for Payer: BCBS Complete |
$14,345.44
|
| Rate for Payer: Mclaren Medicaid |
$13,662.32
|
| Rate for Payer: Meridian Medicaid |
$14,345.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,662.32
|
| Rate for Payer: UHCCP Medicaid |
$13,662.32
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$25,046.67
|
|
|
Service Code
|
APR-DRG 4834
|
| Min. Negotiated Rate |
$23,853.97 |
| Max. Negotiated Rate |
$25,046.67 |
| Rate for Payer: BCBS Complete |
$25,046.67
|
| Rate for Payer: Mclaren Medicaid |
$23,853.97
|
| Rate for Payer: Meridian Medicaid |
$25,046.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,853.97
|
| Rate for Payer: UHCCP Medicaid |
$23,853.97
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$6,247.21
|
|
|
Service Code
|
APR-DRG 4831
|
| Min. Negotiated Rate |
$5,949.72 |
| Max. Negotiated Rate |
$6,247.21 |
| Rate for Payer: BCBS Complete |
$6,247.21
|
| Rate for Payer: Mclaren Medicaid |
$5,949.72
|
| Rate for Payer: Meridian Medicaid |
$6,247.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,949.72
|
| Rate for Payer: UHCCP Medicaid |
$5,949.72
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$9,486.50
|
|
|
Service Code
|
APR-DRG 4832
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 2411
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$7,404.10
|
|
|
Service Code
|
APR-DRG 2413
|
| 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
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 2412
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$13,940.52
|
|
|
Service Code
|
APR-DRG 2414
|
| Min. Negotiated Rate |
$13,276.69 |
| Max. Negotiated Rate |
$13,940.52 |
| Rate for Payer: BCBS Complete |
$13,940.52
|
| Rate for Payer: Mclaren Medicaid |
$13,276.69
|
| Rate for Payer: Meridian Medicaid |
$13,940.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,276.69
|
| Rate for Payer: UHCCP Medicaid |
$13,276.69
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$14,056.21
|
|
|
Service Code
|
APR-DRG 1742
|
| Min. Negotiated Rate |
$13,386.87 |
| Max. Negotiated Rate |
$14,056.21 |
| Rate for Payer: BCBS Complete |
$14,056.21
|
| Rate for Payer: Mclaren Medicaid |
$13,386.87
|
| Rate for Payer: Meridian Medicaid |
$14,056.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,386.87
|
| Rate for Payer: UHCCP Medicaid |
$13,386.87
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$11,279.68
|
|
|
Service Code
|
APR-DRG 1741
|
| Min. Negotiated Rate |
$10,742.55 |
| Max. Negotiated Rate |
$11,279.68 |
| Rate for Payer: BCBS Complete |
$11,279.68
|
| Rate for Payer: Mclaren Medicaid |
$10,742.55
|
| Rate for Payer: Meridian Medicaid |
$11,279.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,742.55
|
| Rate for Payer: UHCCP Medicaid |
$10,742.55
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$15,560.17
|
|
|
Service Code
|
APR-DRG 1743
|
| Min. Negotiated Rate |
$14,819.21 |
| Max. Negotiated Rate |
$15,560.17 |
| Rate for Payer: BCBS Complete |
$15,560.17
|
| Rate for Payer: Mclaren Medicaid |
$14,819.21
|
| Rate for Payer: Meridian Medicaid |
$15,560.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,819.21
|
| Rate for Payer: UHCCP Medicaid |
$14,819.21
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$22,385.82
|
|
|
Service Code
|
APR-DRG 1744
|
| Min. Negotiated Rate |
$21,319.83 |
| Max. Negotiated Rate |
$22,385.82 |
| Rate for Payer: BCBS Complete |
$22,385.82
|
| Rate for Payer: Mclaren Medicaid |
$21,319.83
|
| Rate for Payer: Meridian Medicaid |
$22,385.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,319.83
|
| Rate for Payer: UHCCP Medicaid |
$21,319.83
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$25,046.67
|
|
|
Service Code
|
APR-DRG 1754
|
| Min. Negotiated Rate |
$23,853.97 |
| Max. Negotiated Rate |
$25,046.67 |
| Rate for Payer: BCBS Complete |
$25,046.67
|
| Rate for Payer: Mclaren Medicaid |
$23,853.97
|
| Rate for Payer: Meridian Medicaid |
$25,046.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,853.97
|
| Rate for Payer: UHCCP Medicaid |
$23,853.97
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$9,833.56
|
|
|
Service Code
|
APR-DRG 1751
|
| Min. Negotiated Rate |
$9,365.30 |
| Max. Negotiated Rate |
$9,833.56 |
| Rate for Payer: BCBS Complete |
$9,833.56
|
| Rate for Payer: Mclaren Medicaid |
$9,365.30
|
| Rate for Payer: Meridian Medicaid |
$9,833.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,365.30
|
| Rate for Payer: UHCCP Medicaid |
$9,365.30
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$15,965.08
|
|
|
Service Code
|
APR-DRG 1753
|
| Min. Negotiated Rate |
$15,204.84 |
| Max. Negotiated Rate |
$15,965.08 |
| Rate for Payer: BCBS Complete |
$15,965.08
|
| Rate for Payer: Mclaren Medicaid |
$15,204.84
|
| Rate for Payer: Meridian Medicaid |
$15,965.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,204.84
|
| Rate for Payer: UHCCP Medicaid |
$15,204.84
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$13,246.39
|
|
|
Service Code
|
APR-DRG 1752
|
| 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
|
|