|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 0301
|
| Min. Negotiated Rate |
$7,767.69 |
| Max. Negotiated Rate |
$8,156.07 |
| Rate for Payer: BCBS Complete |
$8,156.07
|
| Rate for Payer: Mclaren Medicaid |
$7,767.69
|
| Rate for Payer: Meridian Medicaid |
$8,156.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,767.69
|
| Rate for Payer: UHCCP Medicaid |
$7,767.69
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,998.37
|
|
|
Service Code
|
APR-DRG 0302
|
| Min. Negotiated Rate |
$13,331.78 |
| Max. Negotiated Rate |
$13,998.37 |
| Rate for Payer: BCBS Complete |
$13,998.37
|
| Rate for Payer: Mclaren Medicaid |
$13,331.78
|
| Rate for Payer: Meridian Medicaid |
$13,998.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,331.78
|
| Rate for Payer: UHCCP Medicaid |
$13,331.78
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,931.80
|
|
|
Service Code
|
APR-DRG 0303
|
| Min. Negotiated Rate |
$17,077.90 |
| Max. Negotiated Rate |
$17,931.80 |
| Rate for Payer: BCBS Complete |
$17,931.80
|
| Rate for Payer: Mclaren Medicaid |
$17,077.90
|
| Rate for Payer: Meridian Medicaid |
$17,931.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,077.90
|
| Rate for Payer: UHCCP Medicaid |
$17,077.90
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,121.16
|
|
|
Service Code
|
APR-DRG 0304
|
| Min. Negotiated Rate |
$22,972.53 |
| Max. Negotiated Rate |
$24,121.16 |
| Rate for Payer: BCBS Complete |
$24,121.16
|
| Rate for Payer: Mclaren Medicaid |
$22,972.53
|
| Rate for Payer: Meridian Medicaid |
$24,121.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,972.53
|
| Rate for Payer: UHCCP Medicaid |
$22,972.53
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$20,419.11
|
|
|
Service Code
|
APR-DRG 1832
|
| Min. Negotiated Rate |
$19,446.77 |
| Max. Negotiated Rate |
$20,419.11 |
| Rate for Payer: BCBS Complete |
$20,419.11
|
| Rate for Payer: Mclaren Medicaid |
$19,446.77
|
| Rate for Payer: Meridian Medicaid |
$20,419.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,446.77
|
| Rate for Payer: UHCCP Medicaid |
$19,446.77
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$25,451.58
|
|
|
Service Code
|
APR-DRG 1833
|
| Min. Negotiated Rate |
$24,239.60 |
| Max. Negotiated Rate |
$25,451.58 |
| Rate for Payer: BCBS Complete |
$25,451.58
|
| Rate for Payer: Mclaren Medicaid |
$24,239.60
|
| Rate for Payer: Meridian Medicaid |
$25,451.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,239.60
|
| Rate for Payer: UHCCP Medicaid |
$24,239.60
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$18,799.46
|
|
|
Service Code
|
APR-DRG 1831
|
| Min. Negotiated Rate |
$17,904.25 |
| Max. Negotiated Rate |
$18,799.46 |
| Rate for Payer: BCBS Complete |
$18,799.46
|
| Rate for Payer: Mclaren Medicaid |
$17,904.25
|
| Rate for Payer: Meridian Medicaid |
$18,799.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,904.25
|
| Rate for Payer: UHCCP Medicaid |
$17,904.25
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$35,053.77
|
|
|
Service Code
|
APR-DRG 1834
|
| Min. Negotiated Rate |
$33,384.54 |
| Max. Negotiated Rate |
$35,053.77 |
| Rate for Payer: BCBS Complete |
$35,053.77
|
| Rate for Payer: Mclaren Medicaid |
$33,384.54
|
| Rate for Payer: Meridian Medicaid |
$35,053.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,384.54
|
| Rate for Payer: UHCCP Medicaid |
$33,384.54
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 1972
|
| Min. Negotiated Rate |
$4,847.92 |
| Max. Negotiated Rate |
$5,090.32 |
| Rate for Payer: BCBS Complete |
$5,090.32
|
| Rate for Payer: Mclaren Medicaid |
$4,847.92
|
| Rate for Payer: Meridian Medicaid |
$5,090.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,847.92
|
| Rate for Payer: UHCCP Medicaid |
$4,847.92
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$7,751.16
|
|
|
Service Code
|
APR-DRG 1973
|
| Min. Negotiated Rate |
$7,382.06 |
| Max. Negotiated Rate |
$7,751.16 |
| Rate for Payer: BCBS Complete |
$7,751.16
|
| Rate for Payer: Mclaren Medicaid |
$7,382.06
|
| Rate for Payer: Meridian Medicaid |
$7,751.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,382.06
|
| Rate for Payer: UHCCP Medicaid |
$7,382.06
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$11,279.68
|
|
|
Service Code
|
APR-DRG 1974
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 1971
|
| 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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 0483
|
| 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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 0481
|
| Min. Negotiated Rate |
$4,021.57 |
| Max. Negotiated Rate |
$4,222.65 |
| Rate for Payer: BCBS Complete |
$4,222.65
|
| Rate for Payer: Mclaren Medicaid |
$4,021.57
|
| Rate for Payer: Meridian Medicaid |
$4,222.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,021.57
|
| Rate for Payer: UHCCP Medicaid |
$4,021.57
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$5,437.38
|
|
|
Service Code
|
APR-DRG 0482
|
| Min. Negotiated Rate |
$5,178.46 |
| Max. Negotiated Rate |
$5,437.38 |
| Rate for Payer: BCBS Complete |
$5,437.38
|
| Rate for Payer: Mclaren Medicaid |
$5,178.46
|
| Rate for Payer: Meridian Medicaid |
$5,437.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,178.46
|
| Rate for Payer: UHCCP Medicaid |
$5,178.46
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$13,304.24
|
|
|
Service Code
|
APR-DRG 0484
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$9,081.59
|
|
|
Service Code
|
APR-DRG 2241
|
| Min. Negotiated Rate |
$8,649.13 |
| Max. Negotiated Rate |
$9,081.59 |
| Rate for Payer: BCBS Complete |
$9,081.59
|
| Rate for Payer: Mclaren Medicaid |
$8,649.13
|
| Rate for Payer: Meridian Medicaid |
$9,081.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,649.13
|
| Rate for Payer: UHCCP Medicaid |
$8,649.13
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$27,649.67
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$26,333.02 |
| Max. Negotiated Rate |
$27,649.67 |
| Rate for Payer: BCBS Complete |
$27,649.67
|
| Rate for Payer: Mclaren Medicaid |
$26,333.02
|
| Rate for Payer: Meridian Medicaid |
$27,649.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,333.02
|
| Rate for Payer: UHCCP Medicaid |
$26,333.02
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$11,742.43
|
|
|
Service Code
|
APR-DRG 2242
|
| Min. Negotiated Rate |
$11,183.27 |
| Max. Negotiated Rate |
$11,742.43 |
| Rate for Payer: BCBS Complete |
$11,742.43
|
| Rate for Payer: Mclaren Medicaid |
$11,183.27
|
| Rate for Payer: Meridian Medicaid |
$11,742.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,183.27
|
| Rate for Payer: UHCCP Medicaid |
$11,183.27
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$15,444.48
|
|
|
Service Code
|
APR-DRG 2243
|
| Min. Negotiated Rate |
$14,709.03 |
| Max. Negotiated Rate |
$15,444.48 |
| Rate for Payer: BCBS Complete |
$15,444.48
|
| Rate for Payer: Mclaren Medicaid |
$14,709.03
|
| Rate for Payer: Meridian Medicaid |
$15,444.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,709.03
|
| Rate for Payer: UHCCP Medicaid |
$14,709.03
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$17,121.97
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$16,306.64 |
| Max. Negotiated Rate |
$17,121.97 |
| Rate for Payer: BCBS Complete |
$17,121.97
|
| Rate for Payer: Mclaren Medicaid |
$16,306.64
|
| Rate for Payer: Meridian Medicaid |
$17,121.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,306.64
|
| Rate for Payer: UHCCP Medicaid |
$16,306.64
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$13,477.77
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$12,835.97 |
| Max. Negotiated Rate |
$13,477.77 |
| Rate for Payer: BCBS Complete |
$13,477.77
|
| Rate for Payer: Mclaren Medicaid |
$12,835.97
|
| Rate for Payer: Meridian Medicaid |
$13,477.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,835.97
|
| Rate for Payer: UHCCP Medicaid |
$12,835.97
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$23,311.33
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$22,201.27 |
| Max. Negotiated Rate |
$23,311.33 |
| Rate for Payer: BCBS Complete |
$23,311.33
|
| Rate for Payer: Mclaren Medicaid |
$22,201.27
|
| Rate for Payer: Meridian Medicaid |
$23,311.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,201.27
|
| Rate for Payer: UHCCP Medicaid |
$22,201.27
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$34,186.10
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$32,558.19 |
| Max. Negotiated Rate |
$34,186.10 |
| Rate for Payer: BCBS Complete |
$34,186.10
|
| Rate for Payer: Mclaren Medicaid |
$32,558.19
|
| Rate for Payer: Meridian Medicaid |
$34,186.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,558.19
|
| Rate for Payer: UHCCP Medicaid |
$32,558.19
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$17,700.42
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$16,857.54 |
| Max. Negotiated Rate |
$17,700.42 |
| Rate for Payer: BCBS Complete |
$17,700.42
|
| Rate for Payer: Mclaren Medicaid |
$16,857.54
|
| Rate for Payer: Meridian Medicaid |
$17,700.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,857.54
|
| Rate for Payer: UHCCP Medicaid |
$16,857.54
|
|