|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,668.76
|
|
|
Service Code
|
APR-DRG 5482
|
| Min. Negotiated Rate |
$5,398.82 |
| Max. Negotiated Rate |
$5,668.76 |
| Rate for Payer: BCBS Complete |
$5,668.76
|
| Rate for Payer: Mclaren Medicaid |
$5,398.82
|
| Rate for Payer: Meridian Medicaid |
$5,668.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,398.82
|
| Rate for Payer: UHCCP Medicaid |
$5,398.82
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,908.05
|
|
|
Service Code
|
APR-DRG 5483
|
| Min. Negotiated Rate |
$8,483.86 |
| Max. Negotiated Rate |
$8,908.05 |
| Rate for Payer: BCBS Complete |
$8,908.05
|
| Rate for Payer: Mclaren Medicaid |
$8,483.86
|
| Rate for Payer: Meridian Medicaid |
$8,908.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,483.86
|
| Rate for Payer: UHCCP Medicaid |
$8,483.86
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$27,244.76
|
|
|
Service Code
|
APR-DRG 4034
|
| Min. Negotiated Rate |
$25,947.39 |
| Max. Negotiated Rate |
$27,244.76 |
| Rate for Payer: BCBS Complete |
$27,244.76
|
| Rate for Payer: Mclaren Medicaid |
$25,947.39
|
| Rate for Payer: Meridian Medicaid |
$27,244.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,947.39
|
| Rate for Payer: UHCCP Medicaid |
$25,947.39
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$13,882.68
|
|
|
Service Code
|
APR-DRG 4033
|
| Min. Negotiated Rate |
$13,221.60 |
| Max. Negotiated Rate |
$13,882.68 |
| Rate for Payer: BCBS Complete |
$13,882.68
|
| Rate for Payer: Mclaren Medicaid |
$13,221.60
|
| Rate for Payer: Meridian Medicaid |
$13,882.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,221.60
|
| Rate for Payer: UHCCP Medicaid |
$13,221.60
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$6,015.83
|
|
|
Service Code
|
APR-DRG 4031
|
| Min. Negotiated Rate |
$5,729.36 |
| Max. Negotiated Rate |
$6,015.83 |
| Rate for Payer: BCBS Complete |
$6,015.83
|
| Rate for Payer: Mclaren Medicaid |
$5,729.36
|
| Rate for Payer: Meridian Medicaid |
$6,015.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,729.36
|
| Rate for Payer: UHCCP Medicaid |
$5,729.36
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 4032
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$8,387.45
|
|
|
Service Code
|
APR-DRG 8501
|
| Min. Negotiated Rate |
$7,988.05 |
| Max. Negotiated Rate |
$8,387.45 |
| Rate for Payer: BCBS Complete |
$8,387.45
|
| Rate for Payer: Mclaren Medicaid |
$7,988.05
|
| Rate for Payer: Meridian Medicaid |
$8,387.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,988.05
|
| Rate for Payer: UHCCP Medicaid |
$7,988.05
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$27,013.38
|
|
|
Service Code
|
APR-DRG 8503
|
| Min. Negotiated Rate |
$25,727.03 |
| Max. Negotiated Rate |
$27,013.38 |
| Rate for Payer: BCBS Complete |
$27,013.38
|
| Rate for Payer: Mclaren Medicaid |
$25,727.03
|
| Rate for Payer: Meridian Medicaid |
$27,013.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,727.03
|
| Rate for Payer: UHCCP Medicaid |
$25,727.03
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$15,965.08
|
|
|
Service Code
|
APR-DRG 8502
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$48,762.91
|
|
|
Service Code
|
APR-DRG 8504
|
| Min. Negotiated Rate |
$46,440.87 |
| Max. Negotiated Rate |
$48,762.91 |
| Rate for Payer: BCBS Complete |
$48,762.91
|
| Rate for Payer: Mclaren Medicaid |
$46,440.87
|
| Rate for Payer: Meridian Medicaid |
$48,762.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,440.87
|
| Rate for Payer: UHCCP Medicaid |
$46,440.87
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$13,304.24
|
|
|
Service Code
|
APR-DRG 4853
|
| 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: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$21,923.07
|
|
|
Service Code
|
APR-DRG 4854
|
| Min. Negotiated Rate |
$20,879.11 |
| Max. Negotiated Rate |
$21,923.07 |
| Rate for Payer: BCBS Complete |
$21,923.07
|
| Rate for Payer: Mclaren Medicaid |
$20,879.11
|
| Rate for Payer: Meridian Medicaid |
$21,923.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,879.11
|
| Rate for Payer: UHCCP Medicaid |
$20,879.11
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$7,230.56
|
|
|
Service Code
|
APR-DRG 4851
|
| Min. Negotiated Rate |
$6,886.25 |
| Max. Negotiated Rate |
$7,230.56 |
| Rate for Payer: BCBS Complete |
$7,230.56
|
| Rate for Payer: Mclaren Medicaid |
$6,886.25
|
| Rate for Payer: Meridian Medicaid |
$7,230.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,886.25
|
| Rate for Payer: UHCCP Medicaid |
$6,886.25
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$8,329.61
|
|
|
Service Code
|
APR-DRG 4852
|
| 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: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 1342
|
| Min. Negotiated Rate |
$4,352.11 |
| Max. Negotiated Rate |
$4,569.72 |
| Rate for Payer: BCBS Complete |
$4,569.72
|
| Rate for Payer: Mclaren Medicaid |
$4,352.11
|
| Rate for Payer: Meridian Medicaid |
$4,569.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,352.11
|
| Rate for Payer: UHCCP Medicaid |
$4,352.11
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 1343
|
| Min. Negotiated Rate |
$6,831.16 |
| Max. Negotiated Rate |
$7,172.72 |
| Rate for Payer: BCBS Complete |
$7,172.72
|
| Rate for Payer: Mclaren Medicaid |
$6,831.16
|
| Rate for Payer: Meridian Medicaid |
$7,172.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,831.16
|
| Rate for Payer: UHCCP Medicaid |
$6,831.16
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,586.36
|
|
|
Service Code
|
APR-DRG 1341
|
| Min. Negotiated Rate |
$3,415.58 |
| Max. Negotiated Rate |
$3,586.36 |
| Rate for Payer: BCBS Complete |
$3,586.36
|
| Rate for Payer: Mclaren Medicaid |
$3,415.58
|
| Rate for Payer: Meridian Medicaid |
$3,586.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,415.58
|
| Rate for Payer: UHCCP Medicaid |
$3,415.58
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$10,932.61
|
|
|
Service Code
|
APR-DRG 1344
|
| Min. Negotiated Rate |
$10,412.01 |
| Max. Negotiated Rate |
$10,932.61 |
| Rate for Payer: BCBS Complete |
$10,932.61
|
| Rate for Payer: Mclaren Medicaid |
$10,412.01
|
| Rate for Payer: Meridian Medicaid |
$10,932.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,412.01
|
| Rate for Payer: UHCCP Medicaid |
$10,412.01
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$14,518.97
|
|
|
Service Code
|
APR-DRG 6923
|
| Min. Negotiated Rate |
$13,827.59 |
| Max. Negotiated Rate |
$14,518.97 |
| Rate for Payer: BCBS Complete |
$14,518.97
|
| Rate for Payer: Mclaren Medicaid |
$13,827.59
|
| Rate for Payer: Meridian Medicaid |
$14,518.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,827.59
|
| Rate for Payer: UHCCP Medicaid |
$13,827.59
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$11,395.37
|
|
|
Service Code
|
APR-DRG 6922
|
| Min. Negotiated Rate |
$10,852.73 |
| Max. Negotiated Rate |
$11,395.37 |
| Rate for Payer: BCBS Complete |
$11,395.37
|
| Rate for Payer: Mclaren Medicaid |
$10,852.73
|
| Rate for Payer: Meridian Medicaid |
$11,395.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,852.73
|
| Rate for Payer: UHCCP Medicaid |
$10,852.73
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 6921
|
| Min. Negotiated Rate |
$4,792.83 |
| Max. Negotiated Rate |
$5,032.47 |
| Rate for Payer: BCBS Complete |
$5,032.47
|
| Rate for Payer: Mclaren Medicaid |
$4,792.83
|
| Rate for Payer: Meridian Medicaid |
$5,032.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.83
|
| Rate for Payer: UHCCP Medicaid |
$4,792.83
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$18,221.02
|
|
|
Service Code
|
APR-DRG 6924
|
| 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: REHABILITATION
|
Facility
|
IP
|
$12,552.26
|
|
|
Service Code
|
APR-DRG 8602
|
| Min. Negotiated Rate |
$11,954.53 |
| Max. Negotiated Rate |
$12,552.26 |
| Rate for Payer: BCBS Complete |
$12,552.26
|
| Rate for Payer: Mclaren Medicaid |
$11,954.53
|
| Rate for Payer: Meridian Medicaid |
$12,552.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,954.53
|
| Rate for Payer: UHCCP Medicaid |
$11,954.53
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$12,667.95
|
|
|
Service Code
|
APR-DRG 8603
|
| 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: REHABILITATION
|
Facility
|
IP
|
$9,775.72
|
|
|
Service Code
|
APR-DRG 8601
|
| Min. Negotiated Rate |
$9,310.21 |
| Max. Negotiated Rate |
$9,775.72 |
| Rate for Payer: BCBS Complete |
$9,775.72
|
| Rate for Payer: Mclaren Medicaid |
$9,310.21
|
| Rate for Payer: Meridian Medicaid |
$9,775.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,310.21
|
| Rate for Payer: UHCCP Medicaid |
$9,310.21
|
|