|
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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$10,816.92
|
|
|
Service Code
|
APR-DRG 0973
|
| Min. Negotiated Rate |
$10,301.83 |
| Max. Negotiated Rate |
$10,816.92 |
| Rate for Payer: BCBS Complete |
$10,816.92
|
| Rate for Payer: Mclaren Medicaid |
$10,301.83
|
| Rate for Payer: Meridian Medicaid |
$10,816.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,301.83
|
| Rate for Payer: UHCCP Medicaid |
$10,301.83
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$5,068.28 |
| Max. Negotiated Rate |
$5,321.69 |
| Rate for Payer: BCBS Complete |
$5,321.69
|
| Rate for Payer: Mclaren Medicaid |
$5,068.28
|
| Rate for Payer: Meridian Medicaid |
$5,321.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,068.28
|
| Rate for Payer: UHCCP Medicaid |
$5,068.28
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 0972
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$17,121.97
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$16,306.64 |
| Max. Negotiated Rate |
$17,121.97 |
| Rate for Payer: BCBS Complete |
$17,121.97
|
| Rate for Payer: Mclaren Medicaid |
$16,306.64
|
| Rate for Payer: Meridian Medicaid |
$17,121.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,306.64
|
| Rate for Payer: UHCCP Medicaid |
$16,306.64
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 8162
|
| Min. Negotiated Rate |
$3,085.04 |
| Max. Negotiated Rate |
$3,239.29 |
| Rate for Payer: BCBS Complete |
$3,239.29
|
| Rate for Payer: Mclaren Medicaid |
$3,085.04
|
| Rate for Payer: Meridian Medicaid |
$3,239.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,085.04
|
| Rate for Payer: UHCCP Medicaid |
$3,085.04
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,140.25
|
|
|
Service Code
|
APR-DRG 8161
|
| Min. Negotiated Rate |
$2,038.33 |
| Max. Negotiated Rate |
$2,140.25 |
| Rate for Payer: BCBS Complete |
$2,140.25
|
| Rate for Payer: Mclaren Medicaid |
$2,038.33
|
| Rate for Payer: Meridian Medicaid |
$2,140.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,038.33
|
| Rate for Payer: UHCCP Medicaid |
$2,038.33
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$12,205.19
|
|
|
Service Code
|
APR-DRG 8164
|
| Min. Negotiated Rate |
$11,623.99 |
| Max. Negotiated Rate |
$12,205.19 |
| Rate for Payer: BCBS Complete |
$12,205.19
|
| Rate for Payer: Mclaren Medicaid |
$11,623.99
|
| Rate for Payer: Meridian Medicaid |
$12,205.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,623.99
|
| Rate for Payer: UHCCP Medicaid |
$11,623.99
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$7,346.25
|
|
|
Service Code
|
APR-DRG 8163
|
| 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: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$70,743.82
|
|
|
Service Code
|
APR-DRG 0043
|
| Min. Negotiated Rate |
$67,375.07 |
| Max. Negotiated Rate |
$70,743.82 |
| Rate for Payer: BCBS Complete |
$70,743.82
|
| Rate for Payer: Mclaren Medicaid |
$67,375.07
|
| Rate for Payer: Meridian Medicaid |
$70,743.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$67,375.07
|
| Rate for Payer: UHCCP Medicaid |
$67,375.07
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$31,409.56
|
|
|
Service Code
|
APR-DRG 0041
|
| Min. Negotiated Rate |
$29,913.87 |
| Max. Negotiated Rate |
$31,409.56 |
| Rate for Payer: BCBS Complete |
$31,409.56
|
| Rate for Payer: Mclaren Medicaid |
$29,913.87
|
| Rate for Payer: Meridian Medicaid |
$31,409.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,913.87
|
| Rate for Payer: UHCCP Medicaid |
$29,913.87
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$103,946.57
|
|
|
Service Code
|
APR-DRG 0044
|
| Min. Negotiated Rate |
$98,996.73 |
| Max. Negotiated Rate |
$103,946.57 |
| Rate for Payer: BCBS Complete |
$103,946.57
|
| Rate for Payer: Mclaren Medicaid |
$98,996.73
|
| Rate for Payer: Meridian Medicaid |
$103,946.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$98,996.73
|
| Rate for Payer: UHCCP Medicaid |
$98,996.73
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$45,060.87
|
|
|
Service Code
|
APR-DRG 0042
|
| Min. Negotiated Rate |
$42,915.11 |
| Max. Negotiated Rate |
$45,060.87 |
| Rate for Payer: BCBS Complete |
$45,060.87
|
| Rate for Payer: Mclaren Medicaid |
$42,915.11
|
| Rate for Payer: Meridian Medicaid |
$45,060.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,915.11
|
| Rate for Payer: UHCCP Medicaid |
$42,915.11
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$26,492.78
|
|
|
Service Code
|
APR-DRG 0052
|
| Min. Negotiated Rate |
$25,231.22 |
| Max. Negotiated Rate |
$26,492.78 |
| Rate for Payer: BCBS Complete |
$26,492.78
|
| Rate for Payer: Mclaren Medicaid |
$25,231.22
|
| Rate for Payer: Meridian Medicaid |
$26,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,231.22
|
| Rate for Payer: UHCCP Medicaid |
$25,231.22
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$13,882.68
|
|
|
Service Code
|
APR-DRG 0051
|
| 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: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$67,967.29
|
|
|
Service Code
|
APR-DRG 0054
|
| Min. Negotiated Rate |
$64,730.75 |
| Max. Negotiated Rate |
$67,967.29 |
| Rate for Payer: BCBS Complete |
$67,967.29
|
| Rate for Payer: Mclaren Medicaid |
$64,730.75
|
| Rate for Payer: Meridian Medicaid |
$67,967.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$64,730.75
|
| Rate for Payer: UHCCP Medicaid |
$64,730.75
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$60,042.59
|
|
|
Service Code
|
APR-DRG 0053
|
| Min. Negotiated Rate |
$57,183.42 |
| Max. Negotiated Rate |
$60,042.59 |
| Rate for Payer: BCBS Complete |
$60,042.59
|
| Rate for Payer: Mclaren Medicaid |
$57,183.42
|
| Rate for Payer: Meridian Medicaid |
$60,042.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$57,183.42
|
| Rate for Payer: UHCCP Medicaid |
$57,183.42
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,396.18
|
|
|
Service Code
|
APR-DRG 0471
|
| Min. Negotiated Rate |
$4,186.84 |
| Max. Negotiated Rate |
$4,396.18 |
| Rate for Payer: BCBS Complete |
$4,396.18
|
| Rate for Payer: Mclaren Medicaid |
$4,186.84
|
| Rate for Payer: Meridian Medicaid |
$4,396.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.84
|
| Rate for Payer: UHCCP Medicaid |
$4,186.84
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$9,833.56
|
|
|
Service Code
|
APR-DRG 0474
|
| Min. Negotiated Rate |
$9,365.30 |
| Max. Negotiated Rate |
$9,833.56 |
| Rate for Payer: BCBS Complete |
$9,833.56
|
| Rate for Payer: Mclaren Medicaid |
$9,365.30
|
| Rate for Payer: Meridian Medicaid |
$9,833.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,365.30
|
| Rate for Payer: UHCCP Medicaid |
$9,365.30
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$6,247.21
|
|
|
Service Code
|
APR-DRG 0473
|
| 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
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 0472
|
| Min. Negotiated Rate |
$5,013.19 |
| Max. Negotiated Rate |
$5,263.85 |
| Rate for Payer: BCBS Complete |
$5,263.85
|
| Rate for Payer: Mclaren Medicaid |
$5,013.19
|
| Rate for Payer: Meridian Medicaid |
$5,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,013.19
|
| Rate for Payer: UHCCP Medicaid |
$5,013.19
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$16,601.37
|
|
|
Service Code
|
APR-DRG 4824
|
| Min. Negotiated Rate |
$15,810.83 |
| Max. Negotiated Rate |
$16,601.37 |
| Rate for Payer: BCBS Complete |
$16,601.37
|
| Rate for Payer: Mclaren Medicaid |
$15,810.83
|
| Rate for Payer: Meridian Medicaid |
$16,601.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,810.83
|
| Rate for Payer: UHCCP Medicaid |
$15,810.83
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$12,147.34
|
|
|
Service Code
|
APR-DRG 4823
|
| Min. Negotiated Rate |
$11,568.90 |
| Max. Negotiated Rate |
$12,147.34 |
| Rate for Payer: BCBS Complete |
$12,147.34
|
| Rate for Payer: Mclaren Medicaid |
$11,568.90
|
| Rate for Payer: Meridian Medicaid |
$12,147.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,568.90
|
| Rate for Payer: UHCCP Medicaid |
$11,568.90
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 4821
|
| Min. Negotiated Rate |
$4,903.01 |
| Max. Negotiated Rate |
$5,148.16 |
| Rate for Payer: BCBS Complete |
$5,148.16
|
| Rate for Payer: Mclaren Medicaid |
$4,903.01
|
| Rate for Payer: Meridian Medicaid |
$5,148.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,903.01
|
| Rate for Payer: UHCCP Medicaid |
$4,903.01
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 4822
|
| Min. Negotiated Rate |
$6,941.34 |
| Max. Negotiated Rate |
$7,288.41 |
| Rate for Payer: BCBS Complete |
$7,288.41
|
| Rate for Payer: Mclaren Medicaid |
$6,941.34
|
| Rate for Payer: Meridian Medicaid |
$7,288.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,941.34
|
| Rate for Payer: UHCCP Medicaid |
$6,941.34
|
|