|
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
|
|
|
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 PROCEDURES
|
Facility
|
IP
|
$9,949.25
|
|
|
Service Code
|
APR-DRG 0231
|
| Min. Negotiated Rate |
$9,475.48 |
| Max. Negotiated Rate |
$9,949.25 |
| Rate for Payer: BCBS Complete |
$9,949.25
|
| Rate for Payer: Mclaren Medicaid |
$9,475.48
|
| Rate for Payer: Meridian Medicaid |
$9,949.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,475.48
|
| Rate for Payer: UHCCP Medicaid |
$9,475.48
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$23,022.11
|
|
|
Service Code
|
APR-DRG 0233
|
| Min. Negotiated Rate |
$21,925.82 |
| Max. Negotiated Rate |
$23,022.11 |
| Rate for Payer: BCBS Complete |
$23,022.11
|
| Rate for Payer: Mclaren Medicaid |
$21,925.82
|
| Rate for Payer: Meridian Medicaid |
$23,022.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,925.82
|
| Rate for Payer: UHCCP Medicaid |
$21,925.82
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$15,097.41
|
|
|
Service Code
|
APR-DRG 0232
|
| Min. Negotiated Rate |
$14,378.49 |
| Max. Negotiated Rate |
$15,097.41 |
| Rate for Payer: BCBS Complete |
$15,097.41
|
| Rate for Payer: Mclaren Medicaid |
$14,378.49
|
| Rate for Payer: Meridian Medicaid |
$15,097.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,378.49
|
| Rate for Payer: UHCCP Medicaid |
$14,378.49
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$28,401.65
|
|
|
Service Code
|
APR-DRG 0234
|
| Min. Negotiated Rate |
$27,049.19 |
| Max. Negotiated Rate |
$28,401.65 |
| Rate for Payer: BCBS Complete |
$28,401.65
|
| Rate for Payer: Mclaren Medicaid |
$27,049.19
|
| Rate for Payer: Meridian Medicaid |
$28,401.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,049.19
|
| Rate for Payer: UHCCP Medicaid |
$27,049.19
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$13,419.92
|
|
|
Service Code
|
APR-DRG 6502
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$15,849.39
|
|
|
Service Code
|
APR-DRG 6503
|
| Min. Negotiated Rate |
$15,094.66 |
| Max. Negotiated Rate |
$15,849.39 |
| Rate for Payer: BCBS Complete |
$15,849.39
|
| Rate for Payer: Mclaren Medicaid |
$15,094.66
|
| Rate for Payer: Meridian Medicaid |
$15,849.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,094.66
|
| Rate for Payer: UHCCP Medicaid |
$15,094.66
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 6501
|
| Min. Negotiated Rate |
$8,979.67 |
| Max. Negotiated Rate |
$9,428.65 |
| Rate for Payer: BCBS Complete |
$9,428.65
|
| Rate for Payer: Mclaren Medicaid |
$8,979.67
|
| Rate for Payer: Meridian Medicaid |
$9,428.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,979.67
|
| Rate for Payer: UHCCP Medicaid |
$8,979.67
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$23,195.64
|
|
|
Service Code
|
APR-DRG 6504
|
| Min. Negotiated Rate |
$22,091.09 |
| Max. Negotiated Rate |
$23,195.64 |
| Rate for Payer: BCBS Complete |
$23,195.64
|
| Rate for Payer: Mclaren Medicaid |
$22,091.09
|
| Rate for Payer: Meridian Medicaid |
$23,195.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,091.09
|
| Rate for Payer: UHCCP Medicaid |
$22,091.09
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 2041
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 2044
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,974.63
|
|
|
Service Code
|
APR-DRG 2042
|
| Min. Negotiated Rate |
$4,737.74 |
| Max. Negotiated Rate |
$4,974.63 |
| Rate for Payer: BCBS Complete |
$4,974.63
|
| Rate for Payer: Mclaren Medicaid |
$4,737.74
|
| Rate for Payer: Meridian Medicaid |
$4,974.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,737.74
|
| Rate for Payer: UHCCP Medicaid |
$4,737.74
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$5,957.98
|
|
|
Service Code
|
APR-DRG 2043
|
| Min. Negotiated Rate |
$5,674.27 |
| Max. Negotiated Rate |
$5,957.98 |
| Rate for Payer: BCBS Complete |
$5,957.98
|
| Rate for Payer: Mclaren Medicaid |
$5,674.27
|
| Rate for Payer: Meridian Medicaid |
$5,957.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,674.27
|
| Rate for Payer: UHCCP Medicaid |
$5,674.27
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$19,493.60
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$18,565.33 |
| Max. Negotiated Rate |
$19,493.60 |
| Rate for Payer: BCBS Complete |
$19,493.60
|
| Rate for Payer: Mclaren Medicaid |
$18,565.33
|
| Rate for Payer: Meridian Medicaid |
$19,493.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,565.33
|
| Rate for Payer: UHCCP Medicaid |
$18,565.33
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$10,296.32
|
|
|
Service Code
|
APR-DRG 3172
|
| Min. Negotiated Rate |
$9,806.02 |
| Max. Negotiated Rate |
$10,296.32 |
| Rate for Payer: BCBS Complete |
$10,296.32
|
| Rate for Payer: Mclaren Medicaid |
$9,806.02
|
| Rate for Payer: Meridian Medicaid |
$10,296.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,806.02
|
| Rate for Payer: UHCCP Medicaid |
$9,806.02
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$12,263.03
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$11,679.08 |
| Max. Negotiated Rate |
$12,263.03 |
| Rate for Payer: BCBS Complete |
$12,263.03
|
| Rate for Payer: Mclaren Medicaid |
$11,679.08
|
| Rate for Payer: Meridian Medicaid |
$12,263.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,679.08
|
| Rate for Payer: UHCCP Medicaid |
$11,679.08
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$7,809.01
|
|
|
Service Code
|
APR-DRG 3171
|
| Min. Negotiated Rate |
$7,437.15 |
| Max. Negotiated Rate |
$7,809.01 |
| Rate for Payer: BCBS Complete |
$7,809.01
|
| Rate for Payer: Mclaren Medicaid |
$7,437.15
|
| Rate for Payer: Meridian Medicaid |
$7,809.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,437.15
|
| Rate for Payer: UHCCP Medicaid |
$7,437.15
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$4,627.56
|
|
|
Service Code
|
APR-DRG 4272
|
| Min. Negotiated Rate |
$4,407.20 |
| Max. Negotiated Rate |
$4,627.56 |
| Rate for Payer: BCBS Complete |
$4,627.56
|
| Rate for Payer: Mclaren Medicaid |
$4,407.20
|
| Rate for Payer: Meridian Medicaid |
$4,627.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,407.20
|
| Rate for Payer: UHCCP Medicaid |
$4,407.20
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$7,577.63
|
|
|
Service Code
|
APR-DRG 4273
|
| Min. Negotiated Rate |
$7,216.79 |
| Max. Negotiated Rate |
$7,577.63 |
| Rate for Payer: BCBS Complete |
$7,577.63
|
| Rate for Payer: Mclaren Medicaid |
$7,216.79
|
| Rate for Payer: Meridian Medicaid |
$7,577.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,216.79
|
| Rate for Payer: UHCCP Medicaid |
$7,216.79
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$13,651.30
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$13,001.24 |
| Max. Negotiated Rate |
$13,651.30 |
| Rate for Payer: BCBS Complete |
$13,651.30
|
| Rate for Payer: Mclaren Medicaid |
$13,001.24
|
| Rate for Payer: Meridian Medicaid |
$13,651.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,001.24
|
| Rate for Payer: UHCCP Medicaid |
$13,001.24
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$3,412.83
|
|
|
Service Code
|
APR-DRG 4271
|
| Min. Negotiated Rate |
$3,250.31 |
| Max. Negotiated Rate |
$3,412.83 |
| Rate for Payer: BCBS Complete |
$3,412.83
|
| Rate for Payer: Mclaren Medicaid |
$3,250.31
|
| Rate for Payer: Meridian Medicaid |
$3,412.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.31
|
| Rate for Payer: UHCCP Medicaid |
$3,250.31
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$10,990.46
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$10,467.10 |
| Max. Negotiated Rate |
$10,990.46 |
| Rate for Payer: BCBS Complete |
$10,990.46
|
| Rate for Payer: Mclaren Medicaid |
$10,467.10
|
| Rate for Payer: Meridian Medicaid |
$10,990.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,467.10
|
| Rate for Payer: UHCCP Medicaid |
$10,467.10
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$7,461.94
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$7,106.61 |
| Max. Negotiated Rate |
$7,461.94 |
| Rate for Payer: BCBS Complete |
$7,461.94
|
| Rate for Payer: Mclaren Medicaid |
$7,106.61
|
| Rate for Payer: Meridian Medicaid |
$7,461.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,106.61
|
| Rate for Payer: UHCCP Medicaid |
$7,106.61
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$12,725.79
|
|
|
Service Code
|
APR-DRG 4043
|
| Min. Negotiated Rate |
$12,119.80 |
| Max. Negotiated Rate |
$12,725.79 |
| Rate for Payer: BCBS Complete |
$12,725.79
|
| Rate for Payer: Mclaren Medicaid |
$12,119.80
|
| Rate for Payer: Meridian Medicaid |
$12,725.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,119.80
|
| Rate for Payer: UHCCP Medicaid |
$12,119.80
|
|