|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$8,704.22 |
| Max. Negotiated Rate |
$9,139.43 |
| Rate for Payer: BCBS Complete |
$9,139.43
|
| Rate for Payer: Mclaren Medicaid |
$8,704.22
|
| Rate for Payer: Meridian Medicaid |
$9,139.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,704.22
|
| Rate for Payer: UHCCP Medicaid |
$8,704.22
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$6,478.58
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$6,170.08 |
| Max. Negotiated Rate |
$6,478.58 |
| Rate for Payer: BCBS Complete |
$6,478.58
|
| Rate for Payer: Mclaren Medicaid |
$6,170.08
|
| Rate for Payer: Meridian Medicaid |
$6,478.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,170.08
|
| Rate for Payer: UHCCP Medicaid |
$6,170.08
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$26,087.87
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$24,845.59 |
| Max. Negotiated Rate |
$26,087.87 |
| Rate for Payer: BCBS Complete |
$26,087.87
|
| Rate for Payer: Mclaren Medicaid |
$24,845.59
|
| Rate for Payer: Meridian Medicaid |
$26,087.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,845.59
|
| Rate for Payer: UHCCP Medicaid |
$24,845.59
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$5,957.98
|
|
|
Service Code
|
APR-DRG 0972
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$3,635.94 |
| Max. Negotiated Rate |
$3,817.74 |
| Rate for Payer: BCBS Complete |
$3,817.74
|
| Rate for Payer: Mclaren Medicaid |
$3,635.94
|
| Rate for Payer: Meridian Medicaid |
$3,817.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,635.94
|
| Rate for Payer: UHCCP Medicaid |
$3,635.94
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$15,270.95
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$14,543.76 |
| Max. Negotiated Rate |
$15,270.95 |
| Rate for Payer: BCBS Complete |
$15,270.95
|
| Rate for Payer: Mclaren Medicaid |
$14,543.76
|
| Rate for Payer: Meridian Medicaid |
$15,270.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,543.76
|
| Rate for Payer: UHCCP Medicaid |
$14,543.76
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$9,428.65
|
|
|
Service Code
|
APR-DRG 0973
|
| 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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 8162
|
| Min. Negotiated Rate |
$3,691.03 |
| Max. Negotiated Rate |
$3,875.58 |
| Rate for Payer: BCBS Complete |
$3,875.58
|
| Rate for Payer: Mclaren Medicaid |
$3,691.03
|
| Rate for Payer: Meridian Medicaid |
$3,875.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,691.03
|
| Rate for Payer: UHCCP Medicaid |
$3,691.03
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$14,056.21
|
|
|
Service Code
|
APR-DRG 8164
|
| 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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,834.38
|
|
|
Service Code
|
APR-DRG 8161
|
| Min. Negotiated Rate |
$2,699.41 |
| Max. Negotiated Rate |
$2,834.38 |
| Rate for Payer: BCBS Complete |
$2,834.38
|
| Rate for Payer: Mclaren Medicaid |
$2,699.41
|
| Rate for Payer: Meridian Medicaid |
$2,834.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,699.41
|
| Rate for Payer: UHCCP Medicaid |
$2,699.41
|
|
|
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
|
$102,847.52
|
|
|
Service Code
|
APR-DRG 0044
|
| Min. Negotiated Rate |
$97,950.02 |
| Max. Negotiated Rate |
$102,847.52 |
| Rate for Payer: BCBS Complete |
$102,847.52
|
| Rate for Payer: Mclaren Medicaid |
$97,950.02
|
| Rate for Payer: Meridian Medicaid |
$102,847.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$97,950.02
|
| Rate for Payer: UHCCP Medicaid |
$97,950.02
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$45,292.24
|
|
|
Service Code
|
APR-DRG 0042
|
| Min. Negotiated Rate |
$43,135.47 |
| Max. Negotiated Rate |
$45,292.24 |
| Rate for Payer: BCBS Complete |
$45,292.24
|
| Rate for Payer: Mclaren Medicaid |
$43,135.47
|
| Rate for Payer: Meridian Medicaid |
$45,292.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,135.47
|
| Rate for Payer: UHCCP Medicaid |
$43,135.47
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$31,351.72
|
|
|
Service Code
|
APR-DRG 0041
|
| Min. Negotiated Rate |
$29,858.78 |
| Max. Negotiated Rate |
$31,351.72 |
| Rate for Payer: BCBS Complete |
$31,351.72
|
| Rate for Payer: Mclaren Medicaid |
$29,858.78
|
| Rate for Payer: Meridian Medicaid |
$31,351.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,858.78
|
| Rate for Payer: UHCCP Medicaid |
$29,858.78
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$70,917.36
|
|
|
Service Code
|
APR-DRG 0043
|
| Min. Negotiated Rate |
$67,540.34 |
| Max. Negotiated Rate |
$70,917.36 |
| Rate for Payer: BCBS Complete |
$70,917.36
|
| Rate for Payer: Mclaren Medicaid |
$67,540.34
|
| Rate for Payer: Meridian Medicaid |
$70,917.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$67,540.34
|
| Rate for Payer: UHCCP Medicaid |
$67,540.34
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$34,648.86
|
|
|
Service Code
|
APR-DRG 0052
|
| Min. Negotiated Rate |
$32,998.91 |
| Max. Negotiated Rate |
$34,648.86 |
| Rate for Payer: BCBS Complete |
$34,648.86
|
| Rate for Payer: Mclaren Medicaid |
$32,998.91
|
| Rate for Payer: Meridian Medicaid |
$34,648.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,998.91
|
| Rate for Payer: UHCCP Medicaid |
$32,998.91
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$18,221.02
|
|
|
Service Code
|
APR-DRG 0051
|
| 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: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$52,002.21
|
|
|
Service Code
|
APR-DRG 0053
|
| Min. Negotiated Rate |
$49,525.91 |
| Max. Negotiated Rate |
$52,002.21 |
| Rate for Payer: BCBS Complete |
$52,002.21
|
| Rate for Payer: Mclaren Medicaid |
$49,525.91
|
| Rate for Payer: Meridian Medicaid |
$52,002.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$49,525.91
|
| Rate for Payer: UHCCP Medicaid |
$49,525.91
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$71,611.49
|
|
|
Service Code
|
APR-DRG 0054
|
| Min. Negotiated Rate |
$68,201.42 |
| Max. Negotiated Rate |
$71,611.49 |
| Rate for Payer: BCBS Complete |
$71,611.49
|
| Rate for Payer: Mclaren Medicaid |
$68,201.42
|
| Rate for Payer: Meridian Medicaid |
$71,611.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$68,201.42
|
| Rate for Payer: UHCCP Medicaid |
$68,201.42
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 0473
|
| Min. Negotiated Rate |
$5,839.54 |
| Max. Negotiated Rate |
$6,131.52 |
| Rate for Payer: BCBS Complete |
$6,131.52
|
| Rate for Payer: Mclaren Medicaid |
$5,839.54
|
| Rate for Payer: Meridian Medicaid |
$6,131.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,839.54
|
| Rate for Payer: UHCCP Medicaid |
$5,839.54
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$9,949.25
|
|
|
Service Code
|
APR-DRG 0474
|
| 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: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 0472
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 0471
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 4822
|
| Min. Negotiated Rate |
$6,500.62 |
| Max. Negotiated Rate |
$6,825.65 |
| Rate for Payer: BCBS Complete |
$6,825.65
|
| Rate for Payer: Mclaren Medicaid |
$6,500.62
|
| Rate for Payer: Meridian Medicaid |
$6,825.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,500.62
|
| Rate for Payer: UHCCP Medicaid |
$6,500.62
|
|
|
APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 4821
|
| 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
|
|