|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$2,776.54
|
|
|
Service Code
|
APR-DRG 8611
|
| Min. Negotiated Rate |
$2,644.32 |
| Max. Negotiated Rate |
$2,776.54 |
| Rate for Payer: BCBS Complete |
$2,776.54
|
| Rate for Payer: Mclaren Medicaid |
$2,644.32
|
| Rate for Payer: Meridian Medicaid |
$2,776.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,644.32
|
| Rate for Payer: UHCCP Medicaid |
$2,644.32
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$4,222.65
|
|
|
Service Code
|
APR-DRG 8612
|
| 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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$9,255.12
|
|
|
Service Code
|
APR-DRG 8614
|
| Min. Negotiated Rate |
$8,814.40 |
| Max. Negotiated Rate |
$9,255.12 |
| Rate for Payer: BCBS Complete |
$9,255.12
|
| Rate for Payer: Mclaren Medicaid |
$8,814.40
|
| Rate for Payer: Meridian Medicaid |
$9,255.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,814.40
|
| Rate for Payer: UHCCP Medicaid |
$8,814.40
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$20,824.02
|
|
|
Service Code
|
APR-DRG 3003
|
| Min. Negotiated Rate |
$19,832.40 |
| Max. Negotiated Rate |
$20,824.02 |
| Rate for Payer: BCBS Complete |
$20,824.02
|
| Rate for Payer: Mclaren Medicaid |
$19,832.40
|
| Rate for Payer: Meridian Medicaid |
$20,824.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,832.40
|
| Rate for Payer: UHCCP Medicaid |
$19,832.40
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$15,965.08
|
|
|
Service Code
|
APR-DRG 3002
|
| 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: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$14,056.21
|
|
|
Service Code
|
APR-DRG 3001
|
| 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: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$29,847.76
|
|
|
Service Code
|
APR-DRG 3004
|
| Min. Negotiated Rate |
$28,426.44 |
| Max. Negotiated Rate |
$29,847.76 |
| Rate for Payer: BCBS Complete |
$29,847.76
|
| Rate for Payer: Mclaren Medicaid |
$28,426.44
|
| Rate for Payer: Meridian Medicaid |
$29,847.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,426.44
|
| Rate for Payer: UHCCP Medicaid |
$28,426.44
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$33,607.65
|
|
|
Service Code
|
APR-DRG 3124
|
| Min. Negotiated Rate |
$32,007.29 |
| Max. Negotiated Rate |
$33,607.65 |
| Rate for Payer: BCBS Complete |
$33,607.65
|
| Rate for Payer: Mclaren Medicaid |
$32,007.29
|
| Rate for Payer: Meridian Medicaid |
$33,607.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,007.29
|
| Rate for Payer: UHCCP Medicaid |
$32,007.29
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$15,444.48
|
|
|
Service Code
|
APR-DRG 3122
|
| 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: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$10,874.77
|
|
|
Service Code
|
APR-DRG 3121
|
| Min. Negotiated Rate |
$10,356.92 |
| Max. Negotiated Rate |
$10,874.77 |
| Rate for Payer: BCBS Complete |
$10,874.77
|
| Rate for Payer: Mclaren Medicaid |
$10,356.92
|
| Rate for Payer: Meridian Medicaid |
$10,874.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,356.92
|
| Rate for Payer: UHCCP Medicaid |
$10,356.92
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$20,881.86
|
|
|
Service Code
|
APR-DRG 3123
|
| Min. Negotiated Rate |
$19,887.49 |
| Max. Negotiated Rate |
$20,881.86 |
| Rate for Payer: BCBS Complete |
$20,881.86
|
| Rate for Payer: Mclaren Medicaid |
$19,887.49
|
| Rate for Payer: Meridian Medicaid |
$20,881.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,887.49
|
| Rate for Payer: UHCCP Medicaid |
$19,887.49
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$33,434.12
|
|
|
Service Code
|
APR-DRG 3614
|
| Min. Negotiated Rate |
$31,842.02 |
| Max. Negotiated Rate |
$33,434.12 |
| Rate for Payer: BCBS Complete |
$33,434.12
|
| Rate for Payer: Mclaren Medicaid |
$31,842.02
|
| Rate for Payer: Meridian Medicaid |
$33,434.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,842.02
|
| Rate for Payer: UHCCP Medicaid |
$31,842.02
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$16,948.44
|
|
|
Service Code
|
APR-DRG 3612
|
| Min. Negotiated Rate |
$16,141.37 |
| Max. Negotiated Rate |
$16,948.44 |
| Rate for Payer: BCBS Complete |
$16,948.44
|
| Rate for Payer: Mclaren Medicaid |
$16,141.37
|
| Rate for Payer: Meridian Medicaid |
$16,948.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,141.37
|
| Rate for Payer: UHCCP Medicaid |
$16,141.37
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 3611
|
| Min. Negotiated Rate |
$11,789.26 |
| Max. Negotiated Rate |
$12,378.72 |
| Rate for Payer: BCBS Complete |
$12,378.72
|
| Rate for Payer: Mclaren Medicaid |
$11,789.26
|
| Rate for Payer: Meridian Medicaid |
$12,378.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,789.26
|
| Rate for Payer: UHCCP Medicaid |
$11,789.26
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$18,799.46
|
|
|
Service Code
|
APR-DRG 3613
|
| 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: SKIN ULCERS
|
Facility
|
IP
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 3804
|
| 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: SKIN ULCERS
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 3803
|
| Min. Negotiated Rate |
$5,619.18 |
| Max. Negotiated Rate |
$5,900.14 |
| Rate for Payer: BCBS Complete |
$5,900.14
|
| Rate for Payer: Mclaren Medicaid |
$5,619.18
|
| Rate for Payer: Meridian Medicaid |
$5,900.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,619.18
|
| Rate for Payer: UHCCP Medicaid |
$5,619.18
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$3,644.20
|
|
|
Service Code
|
APR-DRG 3801
|
| Min. Negotiated Rate |
$3,470.67 |
| Max. Negotiated Rate |
$3,644.20 |
| Rate for Payer: BCBS Complete |
$3,644.20
|
| Rate for Payer: Mclaren Medicaid |
$3,470.67
|
| Rate for Payer: Meridian Medicaid |
$3,644.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,470.67
|
| Rate for Payer: UHCCP Medicaid |
$3,470.67
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 3802
|
| Min. Negotiated Rate |
$4,572.47 |
| Max. Negotiated Rate |
$4,801.09 |
| Rate for Payer: BCBS Complete |
$4,801.09
|
| Rate for Payer: Mclaren Medicaid |
$4,572.47
|
| Rate for Payer: Meridian Medicaid |
$4,801.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,572.47
|
| Rate for Payer: UHCCP Medicaid |
$4,572.47
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$10,643.39
|
|
|
Service Code
|
APR-DRG 0403
|
| Min. Negotiated Rate |
$10,136.56 |
| Max. Negotiated Rate |
$10,643.39 |
| Rate for Payer: BCBS Complete |
$10,643.39
|
| Rate for Payer: Mclaren Medicaid |
$10,136.56
|
| Rate for Payer: Meridian Medicaid |
$10,643.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,136.56
|
| Rate for Payer: UHCCP Medicaid |
$10,136.56
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$14,634.66
|
|
|
Service Code
|
APR-DRG 0404
|
| Min. Negotiated Rate |
$13,937.77 |
| Max. Negotiated Rate |
$14,634.66 |
| Rate for Payer: BCBS Complete |
$14,634.66
|
| Rate for Payer: Mclaren Medicaid |
$13,937.77
|
| Rate for Payer: Meridian Medicaid |
$14,634.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,937.77
|
| Rate for Payer: UHCCP Medicaid |
$13,937.77
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$7,346.25
|
|
|
Service Code
|
APR-DRG 0401
|
| 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: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 0402
|
| 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: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$10,180.63
|
|
|
Service Code
|
APR-DRG 3211
|
| Min. Negotiated Rate |
$9,695.84 |
| Max. Negotiated Rate |
$10,180.63 |
| Rate for Payer: BCBS Complete |
$10,180.63
|
| Rate for Payer: Mclaren Medicaid |
$9,695.84
|
| Rate for Payer: Meridian Medicaid |
$10,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,695.84
|
| Rate for Payer: UHCCP Medicaid |
$9,695.84
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$25,567.27
|
|
|
Service Code
|
APR-DRG 3214
|
| Min. Negotiated Rate |
$24,349.78 |
| Max. Negotiated Rate |
$25,567.27 |
| Rate for Payer: BCBS Complete |
$25,567.27
|
| Rate for Payer: Mclaren Medicaid |
$24,349.78
|
| Rate for Payer: Meridian Medicaid |
$25,567.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,349.78
|
| Rate for Payer: UHCCP Medicaid |
$24,349.78
|
|