|
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
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$12,031.66
|
|
|
Service Code
|
APR-DRG 1751
|
| Min. Negotiated Rate |
$11,458.72 |
| Max. Negotiated Rate |
$12,031.66 |
| Rate for Payer: BCBS Complete |
$12,031.66
|
| Rate for Payer: Mclaren Medicaid |
$11,458.72
|
| Rate for Payer: Meridian Medicaid |
$12,031.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,458.72
|
| Rate for Payer: UHCCP Medicaid |
$11,458.72
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 0301
|
| Min. Negotiated Rate |
$8,704.22 |
| Max. Negotiated Rate |
$9,139.43 |
| Rate for Payer: BCBS Complete |
$9,139.43
|
| Rate for Payer: Mclaren Medicaid |
$8,704.22
|
| Rate for Payer: Meridian Medicaid |
$9,139.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,704.22
|
| Rate for Payer: UHCCP Medicaid |
$8,704.22
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,733.70
|
|
|
Service Code
|
APR-DRG 0302
|
| Min. Negotiated Rate |
$14,984.48 |
| Max. Negotiated Rate |
$15,733.70 |
| Rate for Payer: BCBS Complete |
$15,733.70
|
| Rate for Payer: Mclaren Medicaid |
$14,984.48
|
| Rate for Payer: Meridian Medicaid |
$15,733.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,984.48
|
| Rate for Payer: UHCCP Medicaid |
$14,984.48
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$20,129.89
|
|
|
Service Code
|
APR-DRG 0303
|
| Min. Negotiated Rate |
$19,171.32 |
| Max. Negotiated Rate |
$20,129.89 |
| Rate for Payer: BCBS Complete |
$20,129.89
|
| Rate for Payer: Mclaren Medicaid |
$19,171.32
|
| Rate for Payer: Meridian Medicaid |
$20,129.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,171.32
|
| Rate for Payer: UHCCP Medicaid |
$19,171.32
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$27,186.92
|
|
|
Service Code
|
APR-DRG 0304
|
| Min. Negotiated Rate |
$25,892.30 |
| Max. Negotiated Rate |
$27,186.92 |
| Rate for Payer: BCBS Complete |
$27,186.92
|
| Rate for Payer: Mclaren Medicaid |
$25,892.30
|
| Rate for Payer: Meridian Medicaid |
$27,186.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,892.30
|
| Rate for Payer: UHCCP Medicaid |
$25,892.30
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$22,964.27
|
|
|
Service Code
|
APR-DRG 1832
|
| Min. Negotiated Rate |
$21,870.73 |
| Max. Negotiated Rate |
$22,964.27 |
| Rate for Payer: BCBS Complete |
$22,964.27
|
| Rate for Payer: Mclaren Medicaid |
$21,870.73
|
| Rate for Payer: Meridian Medicaid |
$22,964.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,870.73
|
| Rate for Payer: UHCCP Medicaid |
$21,870.73
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$21,171.09
|
|
|
Service Code
|
APR-DRG 1831
|
| Min. Negotiated Rate |
$20,162.94 |
| Max. Negotiated Rate |
$21,171.09 |
| Rate for Payer: BCBS Complete |
$21,171.09
|
| Rate for Payer: Mclaren Medicaid |
$20,162.94
|
| Rate for Payer: Meridian Medicaid |
$21,171.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,162.94
|
| Rate for Payer: UHCCP Medicaid |
$20,162.94
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$39,449.95
|
|
|
Service Code
|
APR-DRG 1834
|
| Min. Negotiated Rate |
$37,571.38 |
| Max. Negotiated Rate |
$39,449.95 |
| Rate for Payer: BCBS Complete |
$39,449.95
|
| Rate for Payer: Mclaren Medicaid |
$37,571.38
|
| Rate for Payer: Meridian Medicaid |
$39,449.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,571.38
|
| Rate for Payer: UHCCP Medicaid |
$37,571.38
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$28,633.03
|
|
|
Service Code
|
APR-DRG 1833
|
| Min. Negotiated Rate |
$27,269.55 |
| Max. Negotiated Rate |
$28,633.03 |
| Rate for Payer: BCBS Complete |
$28,633.03
|
| Rate for Payer: Mclaren Medicaid |
$27,269.55
|
| Rate for Payer: Meridian Medicaid |
$28,633.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,269.55
|
| Rate for Payer: UHCCP Medicaid |
$27,269.55
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 1972
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 1971
|
| Min. Negotiated Rate |
$3,305.40 |
| Max. Negotiated Rate |
$3,470.67 |
| Rate for Payer: BCBS Complete |
$3,470.67
|
| Rate for Payer: Mclaren Medicaid |
$3,305.40
|
| Rate for Payer: Meridian Medicaid |
$3,470.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$7,114.87
|
|
|
Service Code
|
APR-DRG 1973
|
| Min. Negotiated Rate |
$6,776.07 |
| Max. Negotiated Rate |
$7,114.87 |
| Rate for Payer: BCBS Complete |
$7,114.87
|
| Rate for Payer: Mclaren Medicaid |
$6,776.07
|
| Rate for Payer: Meridian Medicaid |
$7,114.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,776.07
|
| Rate for Payer: UHCCP Medicaid |
$6,776.07
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$12,667.95
|
|
|
Service Code
|
APR-DRG 1974
|
| Min. Negotiated Rate |
$12,064.71 |
| Max. Negotiated Rate |
$12,667.95 |
| Rate for Payer: BCBS Complete |
$12,667.95
|
| Rate for Payer: Mclaren Medicaid |
$12,064.71
|
| Rate for Payer: Meridian Medicaid |
$12,667.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,064.71
|
| Rate for Payer: UHCCP Medicaid |
$12,064.71
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$12,610.10
|
|
|
Service Code
|
APR-DRG 0484
|
| Min. Negotiated Rate |
$12,009.62 |
| Max. Negotiated Rate |
$12,610.10 |
| Rate for Payer: BCBS Complete |
$12,610.10
|
| Rate for Payer: Mclaren Medicaid |
$12,009.62
|
| Rate for Payer: Meridian Medicaid |
$12,610.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,009.62
|
| Rate for Payer: UHCCP Medicaid |
$12,009.62
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 0483
|
| 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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 0482
|
| 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, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 0481
|
| Min. Negotiated Rate |
$3,966.48 |
| Max. Negotiated Rate |
$4,164.80 |
| Rate for Payer: BCBS Complete |
$4,164.80
|
| Rate for Payer: Mclaren Medicaid |
$3,966.48
|
| Rate for Payer: Meridian Medicaid |
$4,164.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,966.48
|
| Rate for Payer: UHCCP Medicaid |
$3,966.48
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 2241
|
| Min. Negotiated Rate |
$7,271.88 |
| Max. Negotiated Rate |
$7,635.47 |
| Rate for Payer: BCBS Complete |
$7,635.47
|
| Rate for Payer: Mclaren Medicaid |
$7,271.88
|
| Rate for Payer: Meridian Medicaid |
$7,635.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,271.88
|
| Rate for Payer: UHCCP Medicaid |
$7,271.88
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$14,345.44
|
|
|
Service Code
|
APR-DRG 2243
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$9,544.34
|
|
|
Service Code
|
APR-DRG 2242
|
| Min. Negotiated Rate |
$9,089.85 |
| Max. Negotiated Rate |
$9,544.34 |
| Rate for Payer: BCBS Complete |
$9,544.34
|
| Rate for Payer: Mclaren Medicaid |
$9,089.85
|
| Rate for Payer: Meridian Medicaid |
$9,544.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,089.85
|
| Rate for Payer: UHCCP Medicaid |
$9,089.85
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$21,980.91
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$20,934.20 |
| Max. Negotiated Rate |
$21,980.91 |
| Rate for Payer: BCBS Complete |
$21,980.91
|
| Rate for Payer: Mclaren Medicaid |
$20,934.20
|
| Rate for Payer: Meridian Medicaid |
$21,980.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,934.20
|
| Rate for Payer: UHCCP Medicaid |
$20,934.20
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$13,535.61
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$12,891.06 |
| Max. Negotiated Rate |
$13,535.61 |
| Rate for Payer: BCBS Complete |
$13,535.61
|
| Rate for Payer: Mclaren Medicaid |
$12,891.06
|
| Rate for Payer: Meridian Medicaid |
$13,535.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,891.06
|
| Rate for Payer: UHCCP Medicaid |
$12,891.06
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$18,394.55
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$17,518.62 |
| Max. Negotiated Rate |
$18,394.55 |
| Rate for Payer: BCBS Complete |
$18,394.55
|
| Rate for Payer: Mclaren Medicaid |
$17,518.62
|
| Rate for Payer: Meridian Medicaid |
$18,394.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,518.62
|
| Rate for Payer: UHCCP Medicaid |
$17,518.62
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,667.95
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$12,064.71 |
| Max. Negotiated Rate |
$12,667.95 |
| Rate for Payer: BCBS Complete |
$12,667.95
|
| Rate for Payer: Mclaren Medicaid |
$12,064.71
|
| Rate for Payer: Meridian Medicaid |
$12,667.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,064.71
|
| Rate for Payer: UHCCP Medicaid |
$12,064.71
|
|