|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$10,007.10
|
|
|
Service Code
|
APR-DRG 5483
|
| Min. Negotiated Rate |
$9,530.57 |
| Max. Negotiated Rate |
$10,007.10 |
| Rate for Payer: BCBS Complete |
$10,007.10
|
| Rate for Payer: Mclaren Medicaid |
$9,530.57
|
| Rate for Payer: Meridian Medicaid |
$10,007.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,530.57
|
| Rate for Payer: UHCCP Medicaid |
$9,530.57
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$19,030.84
|
|
|
Service Code
|
APR-DRG 5484
|
| Min. Negotiated Rate |
$18,124.61 |
| Max. Negotiated Rate |
$19,030.84 |
| Rate for Payer: BCBS Complete |
$19,030.84
|
| Rate for Payer: Mclaren Medicaid |
$18,124.61
|
| Rate for Payer: Meridian Medicaid |
$19,030.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,124.61
|
| Rate for Payer: UHCCP Medicaid |
$18,124.61
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2,603.00
|
|
|
Service Code
|
APR-DRG 5481
|
| Min. Negotiated Rate |
$2,479.05 |
| Max. Negotiated Rate |
$2,603.00 |
| Rate for Payer: BCBS Complete |
$2,603.00
|
| Rate for Payer: Mclaren Medicaid |
$2,479.05
|
| Rate for Payer: Meridian Medicaid |
$2,603.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,479.05
|
| Rate for Payer: UHCCP Medicaid |
$2,479.05
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$6,362.90
|
|
|
Service Code
|
APR-DRG 5482
|
| Min. Negotiated Rate |
$6,059.90 |
| Max. Negotiated Rate |
$6,362.90 |
| Rate for Payer: BCBS Complete |
$6,362.90
|
| Rate for Payer: Mclaren Medicaid |
$6,059.90
|
| Rate for Payer: Meridian Medicaid |
$6,362.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,059.90
|
| Rate for Payer: UHCCP Medicaid |
$6,059.90
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 4031
|
| Min. Negotiated Rate |
$6,114.99 |
| Max. Negotiated Rate |
$6,420.74 |
| Rate for Payer: BCBS Complete |
$6,420.74
|
| Rate for Payer: Mclaren Medicaid |
$6,114.99
|
| Rate for Payer: Meridian Medicaid |
$6,420.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,114.99
|
| Rate for Payer: UHCCP Medicaid |
$6,114.99
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$25,972.18
|
|
|
Service Code
|
APR-DRG 4034
|
| Min. Negotiated Rate |
$24,735.41 |
| Max. Negotiated Rate |
$25,972.18 |
| Rate for Payer: BCBS Complete |
$25,972.18
|
| Rate for Payer: Mclaren Medicaid |
$24,735.41
|
| Rate for Payer: Meridian Medicaid |
$25,972.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,735.41
|
| Rate for Payer: UHCCP Medicaid |
$24,735.41
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$7,924.70
|
|
|
Service Code
|
APR-DRG 4032
|
| Min. Negotiated Rate |
$7,547.33 |
| Max. Negotiated Rate |
$7,924.70 |
| Rate for Payer: BCBS Complete |
$7,924.70
|
| Rate for Payer: Mclaren Medicaid |
$7,547.33
|
| Rate for Payer: Meridian Medicaid |
$7,924.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,547.33
|
| Rate for Payer: UHCCP Medicaid |
$7,547.33
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$13,072.86
|
|
|
Service Code
|
APR-DRG 4033
|
| Min. Negotiated Rate |
$12,450.34 |
| Max. Negotiated Rate |
$13,072.86 |
| Rate for Payer: BCBS Complete |
$13,072.86
|
| Rate for Payer: Mclaren Medicaid |
$12,450.34
|
| Rate for Payer: Meridian Medicaid |
$13,072.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,450.34
|
| Rate for Payer: UHCCP Medicaid |
$12,450.34
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$8,560.99
|
|
|
Service Code
|
APR-DRG 8501
|
| Min. Negotiated Rate |
$8,153.32 |
| Max. Negotiated Rate |
$8,560.99 |
| Rate for Payer: BCBS Complete |
$8,560.99
|
| Rate for Payer: Mclaren Medicaid |
$8,153.32
|
| Rate for Payer: Meridian Medicaid |
$8,560.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,153.32
|
| Rate for Payer: UHCCP Medicaid |
$8,153.32
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$20,072.04
|
|
|
Service Code
|
APR-DRG 8503
|
| Min. Negotiated Rate |
$19,116.23 |
| Max. Negotiated Rate |
$20,072.04 |
| Rate for Payer: BCBS Complete |
$20,072.04
|
| Rate for Payer: Mclaren Medicaid |
$19,116.23
|
| Rate for Payer: Meridian Medicaid |
$20,072.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,116.23
|
| Rate for Payer: UHCCP Medicaid |
$19,116.23
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$35,632.21
|
|
|
Service Code
|
APR-DRG 8504
|
| Min. Negotiated Rate |
$33,935.44 |
| Max. Negotiated Rate |
$35,632.21 |
| Rate for Payer: BCBS Complete |
$35,632.21
|
| Rate for Payer: Mclaren Medicaid |
$33,935.44
|
| Rate for Payer: Meridian Medicaid |
$35,632.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,935.44
|
| Rate for Payer: UHCCP Medicaid |
$33,935.44
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$13,419.92
|
|
|
Service Code
|
APR-DRG 8502
|
| Min. Negotiated Rate |
$12,780.88 |
| Max. Negotiated Rate |
$13,419.92 |
| Rate for Payer: BCBS Complete |
$13,419.92
|
| Rate for Payer: Mclaren Medicaid |
$12,780.88
|
| Rate for Payer: Meridian Medicaid |
$13,419.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,780.88
|
| Rate for Payer: UHCCP Medicaid |
$12,780.88
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$25,335.89
|
|
|
Service Code
|
APR-DRG 4854
|
| Min. Negotiated Rate |
$24,129.42 |
| Max. Negotiated Rate |
$25,335.89 |
| Rate for Payer: BCBS Complete |
$25,335.89
|
| Rate for Payer: Mclaren Medicaid |
$24,129.42
|
| Rate for Payer: Meridian Medicaid |
$25,335.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,129.42
|
| Rate for Payer: UHCCP Medicaid |
$24,129.42
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 4852
|
| 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: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$8,329.61
|
|
|
Service Code
|
APR-DRG 4851
|
| Min. Negotiated Rate |
$7,932.96 |
| Max. Negotiated Rate |
$8,329.61 |
| Rate for Payer: BCBS Complete |
$8,329.61
|
| Rate for Payer: Mclaren Medicaid |
$7,932.96
|
| Rate for Payer: Meridian Medicaid |
$8,329.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.96
|
| Rate for Payer: UHCCP Medicaid |
$7,932.96
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$15,386.64
|
|
|
Service Code
|
APR-DRG 4853
|
| Min. Negotiated Rate |
$14,653.94 |
| Max. Negotiated Rate |
$15,386.64 |
| Rate for Payer: BCBS Complete |
$15,386.64
|
| Rate for Payer: Mclaren Medicaid |
$14,653.94
|
| Rate for Payer: Meridian Medicaid |
$15,386.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,653.94
|
| Rate for Payer: UHCCP Medicaid |
$14,653.94
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 1343
|
| Min. Negotiated Rate |
$6,720.98 |
| Max. Negotiated Rate |
$7,057.03 |
| Rate for Payer: BCBS Complete |
$7,057.03
|
| Rate for Payer: Mclaren Medicaid |
$6,720.98
|
| Rate for Payer: Meridian Medicaid |
$7,057.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,720.98
|
| Rate for Payer: UHCCP Medicaid |
$6,720.98
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$11,453.21
|
|
|
Service Code
|
APR-DRG 1344
|
| 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: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,454.03
|
|
|
Service Code
|
APR-DRG 1342
|
| Min. Negotiated Rate |
$4,241.93 |
| Max. Negotiated Rate |
$4,454.03 |
| Rate for Payer: BCBS Complete |
$4,454.03
|
| Rate for Payer: Mclaren Medicaid |
$4,241.93
|
| Rate for Payer: Meridian Medicaid |
$4,454.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,241.93
|
| Rate for Payer: UHCCP Medicaid |
$4,241.93
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 1341
|
| Min. Negotiated Rate |
$3,140.13 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$3,297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$15,039.57
|
|
|
Service Code
|
APR-DRG 6923
|
| Min. Negotiated Rate |
$14,323.40 |
| Max. Negotiated Rate |
$15,039.57 |
| Rate for Payer: BCBS Complete |
$15,039.57
|
| Rate for Payer: Mclaren Medicaid |
$14,323.40
|
| Rate for Payer: Meridian Medicaid |
$15,039.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,323.40
|
| Rate for Payer: UHCCP Medicaid |
$14,323.40
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$18,857.31
|
|
|
Service Code
|
APR-DRG 6924
|
| Min. Negotiated Rate |
$17,959.34 |
| Max. Negotiated Rate |
$18,857.31 |
| Rate for Payer: BCBS Complete |
$18,857.31
|
| Rate for Payer: Mclaren Medicaid |
$17,959.34
|
| Rate for Payer: Meridian Medicaid |
$18,857.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,959.34
|
| Rate for Payer: UHCCP Medicaid |
$17,959.34
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$10,412.01
|
|
|
Service Code
|
APR-DRG 6922
|
| Min. Negotiated Rate |
$9,916.20 |
| Max. Negotiated Rate |
$10,412.01 |
| Rate for Payer: BCBS Complete |
$10,412.01
|
| Rate for Payer: Mclaren Medicaid |
$9,916.20
|
| Rate for Payer: Meridian Medicaid |
$10,412.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,916.20
|
| Rate for Payer: UHCCP Medicaid |
$9,916.20
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 6921
|
| 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: REHABILITATION
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 8601
|
| Min. Negotiated Rate |
$6,225.17 |
| Max. Negotiated Rate |
$6,536.43 |
| Rate for Payer: BCBS Complete |
$6,536.43
|
| Rate for Payer: Mclaren Medicaid |
$6,225.17
|
| Rate for Payer: Meridian Medicaid |
$6,536.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,225.17
|
| Rate for Payer: UHCCP Medicaid |
$6,225.17
|
|