|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$4,858.94
|
|
|
Service Code
|
APR-DRG 6622
|
| Min. Negotiated Rate |
$4,627.56 |
| Max. Negotiated Rate |
$4,858.94 |
| Rate for Payer: BCBS Complete |
$4,858.94
|
| Rate for Payer: Mclaren Medicaid |
$4,627.56
|
| Rate for Payer: Meridian Medicaid |
$4,858.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,627.56
|
| Rate for Payer: UHCCP Medicaid |
$4,627.56
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$3,065.76
|
|
|
Service Code
|
APR-DRG 8611
|
| Min. Negotiated Rate |
$2,919.77 |
| Max. Negotiated Rate |
$3,065.76 |
| Rate for Payer: BCBS Complete |
$3,065.76
|
| Rate for Payer: Mclaren Medicaid |
$2,919.77
|
| Rate for Payer: Meridian Medicaid |
$3,065.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,919.77
|
| Rate for Payer: UHCCP Medicaid |
$2,919.77
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$4,049.11
|
|
|
Service Code
|
APR-DRG 8612
|
| Min. Negotiated Rate |
$3,856.30 |
| Max. Negotiated Rate |
$4,049.11 |
| Rate for Payer: BCBS Complete |
$4,049.11
|
| Rate for Payer: Mclaren Medicaid |
$3,856.30
|
| Rate for Payer: Meridian Medicaid |
$4,049.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,856.30
|
| Rate for Payer: UHCCP Medicaid |
$3,856.30
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 8613
|
| 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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$9,660.03
|
|
|
Service Code
|
APR-DRG 8614
|
| Min. Negotiated Rate |
$9,200.03 |
| Max. Negotiated Rate |
$9,660.03 |
| Rate for Payer: BCBS Complete |
$9,660.03
|
| Rate for Payer: Mclaren Medicaid |
$9,200.03
|
| Rate for Payer: Meridian Medicaid |
$9,660.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,200.03
|
| Rate for Payer: UHCCP Medicaid |
$9,200.03
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$18,452.40
|
|
|
Service Code
|
APR-DRG 3002
|
| Min. Negotiated Rate |
$17,573.71 |
| Max. Negotiated Rate |
$18,452.40 |
| Rate for Payer: BCBS Complete |
$18,452.40
|
| Rate for Payer: Mclaren Medicaid |
$17,573.71
|
| Rate for Payer: Meridian Medicaid |
$18,452.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,573.71
|
| Rate for Payer: UHCCP Medicaid |
$17,573.71
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$34,417.48
|
|
|
Service Code
|
APR-DRG 3004
|
| Min. Negotiated Rate |
$32,778.55 |
| Max. Negotiated Rate |
$34,417.48 |
| Rate for Payer: BCBS Complete |
$34,417.48
|
| Rate for Payer: Mclaren Medicaid |
$32,778.55
|
| Rate for Payer: Meridian Medicaid |
$34,417.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,778.55
|
| Rate for Payer: UHCCP Medicaid |
$32,778.55
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$16,254.30
|
|
|
Service Code
|
APR-DRG 3001
|
| Min. Negotiated Rate |
$15,480.29 |
| Max. Negotiated Rate |
$16,254.30 |
| Rate for Payer: BCBS Complete |
$16,254.30
|
| Rate for Payer: Mclaren Medicaid |
$15,480.29
|
| Rate for Payer: Meridian Medicaid |
$16,254.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,480.29
|
| Rate for Payer: UHCCP Medicaid |
$15,480.29
|
|
|
APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$24,063.31
|
|
|
Service Code
|
APR-DRG 3003
|
| Min. Negotiated Rate |
$22,917.44 |
| Max. Negotiated Rate |
$24,063.31 |
| Rate for Payer: BCBS Complete |
$24,063.31
|
| Rate for Payer: Mclaren Medicaid |
$22,917.44
|
| Rate for Payer: Meridian Medicaid |
$24,063.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,917.44
|
| Rate for Payer: UHCCP Medicaid |
$22,917.44
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$8,908.05
|
|
|
Service Code
|
APR-DRG 3121
|
| 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: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$12,783.63
|
|
|
Service Code
|
APR-DRG 3122
|
| Min. Negotiated Rate |
$12,174.89 |
| Max. Negotiated Rate |
$12,783.63 |
| Rate for Payer: BCBS Complete |
$12,783.63
|
| Rate for Payer: Mclaren Medicaid |
$12,174.89
|
| Rate for Payer: Meridian Medicaid |
$12,783.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,174.89
|
| Rate for Payer: UHCCP Medicaid |
$12,174.89
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$19,609.29
|
|
|
Service Code
|
APR-DRG 3123
|
| Min. Negotiated Rate |
$18,675.51 |
| Max. Negotiated Rate |
$19,609.29 |
| Rate for Payer: BCBS Complete |
$19,609.29
|
| Rate for Payer: Mclaren Medicaid |
$18,675.51
|
| Rate for Payer: Meridian Medicaid |
$19,609.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,675.51
|
| Rate for Payer: UHCCP Medicaid |
$18,675.51
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$31,930.16
|
|
|
Service Code
|
APR-DRG 3124
|
| Min. Negotiated Rate |
$30,409.68 |
| Max. Negotiated Rate |
$31,930.16 |
| Rate for Payer: BCBS Complete |
$31,930.16
|
| Rate for Payer: Mclaren Medicaid |
$30,409.68
|
| Rate for Payer: Meridian Medicaid |
$31,930.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,409.68
|
| Rate for Payer: UHCCP Medicaid |
$30,409.68
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$9,544.34
|
|
|
Service Code
|
APR-DRG 3611
|
| 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: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$17,469.04
|
|
|
Service Code
|
APR-DRG 3613
|
| Min. Negotiated Rate |
$16,637.18 |
| Max. Negotiated Rate |
$17,469.04 |
| Rate for Payer: BCBS Complete |
$17,469.04
|
| Rate for Payer: Mclaren Medicaid |
$16,637.18
|
| Rate for Payer: Meridian Medicaid |
$17,469.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,637.18
|
| Rate for Payer: UHCCP Medicaid |
$16,637.18
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$31,062.50
|
|
|
Service Code
|
APR-DRG 3614
|
| Min. Negotiated Rate |
$29,583.33 |
| Max. Negotiated Rate |
$31,062.50 |
| Rate for Payer: BCBS Complete |
$31,062.50
|
| Rate for Payer: Mclaren Medicaid |
$29,583.33
|
| Rate for Payer: Meridian Medicaid |
$31,062.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,583.33
|
| Rate for Payer: UHCCP Medicaid |
$29,583.33
|
|
|
APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$12,667.95
|
|
|
Service Code
|
APR-DRG 3612
|
| 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: SKIN ULCERS
|
Facility
|
IP
|
$11,568.90
|
|
|
Service Code
|
APR-DRG 3804
|
| Min. Negotiated Rate |
$11,018.00 |
| Max. Negotiated Rate |
$11,568.90 |
| Rate for Payer: BCBS Complete |
$11,568.90
|
| Rate for Payer: Mclaren Medicaid |
$11,018.00
|
| Rate for Payer: Meridian Medicaid |
$11,568.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,018.00
|
| Rate for Payer: UHCCP Medicaid |
$11,018.00
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 3802
|
| Min. Negotiated Rate |
$4,131.75 |
| Max. Negotiated Rate |
$4,338.34 |
| Rate for Payer: BCBS Complete |
$4,338.34
|
| Rate for Payer: Mclaren Medicaid |
$4,131.75
|
| Rate for Payer: Meridian Medicaid |
$4,338.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,131.75
|
| Rate for Payer: UHCCP Medicaid |
$4,131.75
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 3801
|
| Min. Negotiated Rate |
$3,195.22 |
| Max. Negotiated Rate |
$3,354.98 |
| Rate for Payer: BCBS Complete |
$3,354.98
|
| Rate for Payer: Mclaren Medicaid |
$3,195.22
|
| Rate for Payer: Meridian Medicaid |
$3,354.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: SKIN ULCERS
|
Facility
|
IP
|
$6,652.12
|
|
|
Service Code
|
APR-DRG 3803
|
| Min. Negotiated Rate |
$6,335.35 |
| Max. Negotiated Rate |
$6,652.12 |
| Rate for Payer: BCBS Complete |
$6,652.12
|
| Rate for Payer: Mclaren Medicaid |
$6,335.35
|
| Rate for Payer: Meridian Medicaid |
$6,652.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,335.35
|
| Rate for Payer: UHCCP Medicaid |
$6,335.35
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$11,742.43
|
|
|
Service Code
|
APR-DRG 0403
|
| 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: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$16,485.68
|
|
|
Service Code
|
APR-DRG 0404
|
| Min. Negotiated Rate |
$15,700.65 |
| Max. Negotiated Rate |
$16,485.68 |
| Rate for Payer: BCBS Complete |
$16,485.68
|
| Rate for Payer: Mclaren Medicaid |
$15,700.65
|
| Rate for Payer: Meridian Medicaid |
$16,485.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,700.65
|
| Rate for Payer: UHCCP Medicaid |
$15,700.65
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 0402
|
| Min. Negotiated Rate |
$8,098.23 |
| Max. Negotiated Rate |
$8,503.14 |
| Rate for Payer: BCBS Complete |
$8,503.14
|
| Rate for Payer: Mclaren Medicaid |
$8,098.23
|
| Rate for Payer: Meridian Medicaid |
$8,503.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,098.23
|
| Rate for Payer: UHCCP Medicaid |
$8,098.23
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$6,247.21
|
|
|
Service Code
|
APR-DRG 0401
|
| Min. Negotiated Rate |
$5,949.72 |
| Max. Negotiated Rate |
$6,247.21 |
| Rate for Payer: BCBS Complete |
$6,247.21
|
| Rate for Payer: Mclaren Medicaid |
$5,949.72
|
| Rate for Payer: Meridian Medicaid |
$6,247.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,949.72
|
| Rate for Payer: UHCCP Medicaid |
$5,949.72
|
|