|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$17,700.42
|
|
|
Service Code
|
APR-DRG 4464
|
| Min. Negotiated Rate |
$16,857.54 |
| Max. Negotiated Rate |
$17,700.42 |
| Rate for Payer: BCBS Complete |
$17,700.42
|
| Rate for Payer: Mclaren Medicaid |
$16,857.54
|
| Rate for Payer: Meridian Medicaid |
$17,700.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,857.54
|
| Rate for Payer: UHCCP Medicaid |
$16,857.54
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 4463
|
| Min. Negotiated Rate |
$10,632.37 |
| Max. Negotiated Rate |
$11,163.99 |
| Rate for Payer: BCBS Complete |
$11,163.99
|
| Rate for Payer: Mclaren Medicaid |
$10,632.37
|
| Rate for Payer: Meridian Medicaid |
$11,163.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,632.37
|
| Rate for Payer: UHCCP Medicaid |
$10,632.37
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 4461
|
| 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: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$7,924.70
|
|
|
Service Code
|
APR-DRG 4462
|
| Min. Negotiated Rate |
$7,547.33 |
| Max. Negotiated Rate |
$7,924.70 |
| Rate for Payer: BCBS Complete |
$7,924.70
|
| Rate for Payer: Mclaren Medicaid |
$7,547.33
|
| Rate for Payer: Meridian Medicaid |
$7,924.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,547.33
|
| Rate for Payer: UHCCP Medicaid |
$7,547.33
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 4651
|
| 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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 4652
|
| 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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 4653
|
| Min. Negotiated Rate |
$6,280.26 |
| Max. Negotiated Rate |
$6,594.27 |
| Rate for Payer: BCBS Complete |
$6,594.27
|
| Rate for Payer: Mclaren Medicaid |
$6,280.26
|
| Rate for Payer: Meridian Medicaid |
$6,594.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,280.26
|
| Rate for Payer: UHCCP Medicaid |
$6,280.26
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$11,858.12
|
|
|
Service Code
|
APR-DRG 4654
|
| Min. Negotiated Rate |
$11,293.45 |
| Max. Negotiated Rate |
$11,858.12 |
| Rate for Payer: BCBS Complete |
$11,858.12
|
| Rate for Payer: Mclaren Medicaid |
$11,293.45
|
| Rate for Payer: Meridian Medicaid |
$11,858.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,293.45
|
| Rate for Payer: UHCCP Medicaid |
$11,293.45
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 5192
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$14,981.73
|
|
|
Service Code
|
APR-DRG 5193
|
| Min. Negotiated Rate |
$14,268.31 |
| Max. Negotiated Rate |
$14,981.73 |
| Rate for Payer: BCBS Complete |
$14,981.73
|
| Rate for Payer: Mclaren Medicaid |
$14,268.31
|
| Rate for Payer: Meridian Medicaid |
$14,981.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,268.31
|
| Rate for Payer: UHCCP Medicaid |
$14,268.31
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$6,999.18
|
|
|
Service Code
|
APR-DRG 5191
|
| Min. Negotiated Rate |
$6,665.89 |
| Max. Negotiated Rate |
$6,999.18 |
| Rate for Payer: BCBS Complete |
$6,999.18
|
| Rate for Payer: Mclaren Medicaid |
$6,665.89
|
| Rate for Payer: Meridian Medicaid |
$6,999.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,665.89
|
| Rate for Payer: UHCCP Medicaid |
$6,665.89
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$24,988.82
|
|
|
Service Code
|
APR-DRG 5194
|
| Min. Negotiated Rate |
$23,798.88 |
| Max. Negotiated Rate |
$24,988.82 |
| Rate for Payer: BCBS Complete |
$24,988.82
|
| Rate for Payer: Mclaren Medicaid |
$23,798.88
|
| Rate for Payer: Meridian Medicaid |
$24,988.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,798.88
|
| Rate for Payer: UHCCP Medicaid |
$23,798.88
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$28,285.96
|
|
|
Service Code
|
APR-DRG 5134
|
| Min. Negotiated Rate |
$26,939.01 |
| Max. Negotiated Rate |
$28,285.96 |
| Rate for Payer: BCBS Complete |
$28,285.96
|
| Rate for Payer: Mclaren Medicaid |
$26,939.01
|
| Rate for Payer: Meridian Medicaid |
$28,285.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,939.01
|
| Rate for Payer: UHCCP Medicaid |
$26,939.01
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$7,866.85
|
|
|
Service Code
|
APR-DRG 5131
|
| Min. Negotiated Rate |
$7,492.24 |
| Max. Negotiated Rate |
$7,866.85 |
| Rate for Payer: BCBS Complete |
$7,866.85
|
| Rate for Payer: Mclaren Medicaid |
$7,492.24
|
| Rate for Payer: Meridian Medicaid |
$7,866.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,492.24
|
| Rate for Payer: UHCCP Medicaid |
$7,492.24
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$15,849.39
|
|
|
Service Code
|
APR-DRG 5133
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$9,891.41
|
|
|
Service Code
|
APR-DRG 5132
|
| Min. Negotiated Rate |
$9,420.39 |
| Max. Negotiated Rate |
$9,891.41 |
| Rate for Payer: BCBS Complete |
$9,891.41
|
| Rate for Payer: Mclaren Medicaid |
$9,420.39
|
| Rate for Payer: Meridian Medicaid |
$9,891.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,420.39
|
| Rate for Payer: UHCCP Medicaid |
$9,420.39
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$9,775.72
|
|
|
Service Code
|
APR-DRG 5121
|
| Min. Negotiated Rate |
$9,310.21 |
| Max. Negotiated Rate |
$9,775.72 |
| Rate for Payer: BCBS Complete |
$9,775.72
|
| Rate for Payer: Mclaren Medicaid |
$9,310.21
|
| Rate for Payer: Meridian Medicaid |
$9,775.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,310.21
|
| Rate for Payer: UHCCP Medicaid |
$9,310.21
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$16,427.84
|
|
|
Service Code
|
APR-DRG 5123
|
| Min. Negotiated Rate |
$15,645.56 |
| Max. Negotiated Rate |
$16,427.84 |
| Rate for Payer: BCBS Complete |
$16,427.84
|
| Rate for Payer: Mclaren Medicaid |
$15,645.56
|
| Rate for Payer: Meridian Medicaid |
$16,427.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,645.56
|
| Rate for Payer: UHCCP Medicaid |
$15,645.56
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$27,418.29
|
|
|
Service Code
|
APR-DRG 5124
|
| Min. Negotiated Rate |
$26,112.66 |
| Max. Negotiated Rate |
$27,418.29 |
| Rate for Payer: BCBS Complete |
$27,418.29
|
| Rate for Payer: Mclaren Medicaid |
$26,112.66
|
| Rate for Payer: Meridian Medicaid |
$27,418.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,112.66
|
| Rate for Payer: UHCCP Medicaid |
$26,112.66
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$11,511.06
|
|
|
Service Code
|
APR-DRG 5122
|
| Min. Negotiated Rate |
$10,962.91 |
| Max. Negotiated Rate |
$11,511.06 |
| Rate for Payer: BCBS Complete |
$11,511.06
|
| Rate for Payer: Mclaren Medicaid |
$10,962.91
|
| Rate for Payer: Meridian Medicaid |
$11,511.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,962.91
|
| Rate for Payer: UHCCP Medicaid |
$10,962.91
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$10,990.46
|
|
|
Service Code
|
APR-DRG 5112
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$27,823.20
|
|
|
Service Code
|
APR-DRG 5114
|
| Min. Negotiated Rate |
$26,498.29 |
| Max. Negotiated Rate |
$27,823.20 |
| Rate for Payer: BCBS Complete |
$27,823.20
|
| Rate for Payer: Mclaren Medicaid |
$26,498.29
|
| Rate for Payer: Meridian Medicaid |
$27,823.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,498.29
|
| Rate for Payer: UHCCP Medicaid |
$26,498.29
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$15,155.26
|
|
|
Service Code
|
APR-DRG 5113
|
| Min. Negotiated Rate |
$14,433.58 |
| Max. Negotiated Rate |
$15,155.26 |
| Rate for Payer: BCBS Complete |
$15,155.26
|
| Rate for Payer: Mclaren Medicaid |
$14,433.58
|
| Rate for Payer: Meridian Medicaid |
$15,155.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,433.58
|
| Rate for Payer: UHCCP Medicaid |
$14,433.58
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$8,213.92
|
|
|
Service Code
|
APR-DRG 5111
|
| Min. Negotiated Rate |
$7,822.78 |
| Max. Negotiated Rate |
$8,213.92 |
| Rate for Payer: BCBS Complete |
$8,213.92
|
| Rate for Payer: Mclaren Medicaid |
$7,822.78
|
| Rate for Payer: Meridian Medicaid |
$8,213.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,822.78
|
| Rate for Payer: UHCCP Medicaid |
$7,822.78
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$4,049.12
|
|
|
Service Code
|
APR-DRG 5603
|
| Min. Negotiated Rate |
$3,856.30 |
| Max. Negotiated Rate |
$4,049.12 |
| Rate for Payer: BCBS Complete |
$4,049.12
|
| Rate for Payer: Mclaren Medicaid |
$3,856.30
|
| Rate for Payer: Meridian Medicaid |
$4,049.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,856.30
|
| Rate for Payer: UHCCP Medicaid |
$3,856.30
|
|