|
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
|
|
|
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: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 4462
|
| Min. Negotiated Rate |
$6,831.16 |
| Max. Negotiated Rate |
$7,172.72 |
| Rate for Payer: BCBS Complete |
$7,172.72
|
| Rate for Payer: Mclaren Medicaid |
$6,831.16
|
| Rate for Payer: Meridian Medicaid |
$7,172.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,831.16
|
| Rate for Payer: UHCCP Medicaid |
$6,831.16
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$10,759.08
|
|
|
Service Code
|
APR-DRG 4463
|
| Min. Negotiated Rate |
$10,246.74 |
| Max. Negotiated Rate |
$10,759.08 |
| Rate for Payer: BCBS Complete |
$10,759.08
|
| Rate for Payer: Mclaren Medicaid |
$10,246.74
|
| Rate for Payer: Meridian Medicaid |
$10,759.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,246.74
|
| Rate for Payer: UHCCP Medicaid |
$10,246.74
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$5,495.23
|
|
|
Service Code
|
APR-DRG 4461
|
| Min. Negotiated Rate |
$5,233.55 |
| Max. Negotiated Rate |
$5,495.23 |
| Rate for Payer: BCBS Complete |
$5,495.23
|
| Rate for Payer: Mclaren Medicaid |
$5,233.55
|
| Rate for Payer: Meridian Medicaid |
$5,495.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,233.55
|
| Rate for Payer: UHCCP Medicaid |
$5,233.55
|
|
|
APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$17,179.82
|
|
|
Service Code
|
APR-DRG 4464
|
| Min. Negotiated Rate |
$16,361.73 |
| Max. Negotiated Rate |
$17,179.82 |
| Rate for Payer: BCBS Complete |
$17,179.82
|
| Rate for Payer: Mclaren Medicaid |
$16,361.73
|
| Rate for Payer: Meridian Medicaid |
$17,179.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,361.73
|
| Rate for Payer: UHCCP Medicaid |
$16,361.73
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 4652
|
| Min. Negotiated Rate |
$4,352.11 |
| Max. Negotiated Rate |
$4,569.72 |
| Rate for Payer: BCBS Complete |
$4,569.72
|
| Rate for Payer: Mclaren Medicaid |
$4,352.11
|
| Rate for Payer: Meridian Medicaid |
$4,569.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,352.11
|
| Rate for Payer: UHCCP Medicaid |
$4,352.11
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$6,652.12
|
|
|
Service Code
|
APR-DRG 4653
|
| 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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 4651
|
| Min. Negotiated Rate |
$3,525.76 |
| Max. Negotiated Rate |
$3,702.05 |
| Rate for Payer: BCBS Complete |
$3,702.05
|
| Rate for Payer: Mclaren Medicaid |
$3,525.76
|
| Rate for Payer: Meridian Medicaid |
$3,702.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,525.76
|
| Rate for Payer: UHCCP Medicaid |
$3,525.76
|
|
|
APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$12,031.66
|
|
|
Service Code
|
APR-DRG 4654
|
| Min. Negotiated Rate |
$11,458.72 |
| Max. Negotiated Rate |
$12,031.66 |
| Rate for Payer: BCBS Complete |
$12,031.66
|
| Rate for Payer: Mclaren Medicaid |
$11,458.72
|
| Rate for Payer: Meridian Medicaid |
$12,031.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,458.72
|
| Rate for Payer: UHCCP Medicaid |
$11,458.72
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$22,732.89
|
|
|
Service Code
|
APR-DRG 5194
|
| Min. Negotiated Rate |
$21,650.37 |
| Max. Negotiated Rate |
$22,732.89 |
| Rate for Payer: BCBS Complete |
$22,732.89
|
| Rate for Payer: Mclaren Medicaid |
$21,650.37
|
| Rate for Payer: Meridian Medicaid |
$22,732.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,650.37
|
| Rate for Payer: UHCCP Medicaid |
$21,650.37
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$7,577.63
|
|
|
Service Code
|
APR-DRG 5192
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 5191
|
| Min. Negotiated Rate |
$5,453.91 |
| Max. Negotiated Rate |
$5,726.61 |
| Rate for Payer: BCBS Complete |
$5,726.61
|
| Rate for Payer: Mclaren Medicaid |
$5,453.91
|
| Rate for Payer: Meridian Medicaid |
$5,726.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,453.91
|
| Rate for Payer: UHCCP Medicaid |
$5,453.91
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$13,709.15
|
|
|
Service Code
|
APR-DRG 5193
|
| Min. Negotiated Rate |
$13,056.33 |
| Max. Negotiated Rate |
$13,709.15 |
| Rate for Payer: BCBS Complete |
$13,709.15
|
| Rate for Payer: Mclaren Medicaid |
$13,056.33
|
| Rate for Payer: Meridian Medicaid |
$13,709.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,056.33
|
| Rate for Payer: UHCCP Medicaid |
$13,056.33
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$12,552.26
|
|
|
Service Code
|
APR-DRG 5133
|
| Min. Negotiated Rate |
$11,954.53 |
| Max. Negotiated Rate |
$12,552.26 |
| Rate for Payer: BCBS Complete |
$12,552.26
|
| Rate for Payer: Mclaren Medicaid |
$11,954.53
|
| Rate for Payer: Meridian Medicaid |
$12,552.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,954.53
|
| Rate for Payer: UHCCP Medicaid |
$11,954.53
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$22,617.20
|
|
|
Service Code
|
APR-DRG 5134
|
| Min. Negotiated Rate |
$21,540.19 |
| Max. Negotiated Rate |
$22,617.20 |
| Rate for Payer: BCBS Complete |
$22,617.20
|
| Rate for Payer: Mclaren Medicaid |
$21,540.19
|
| Rate for Payer: Meridian Medicaid |
$22,617.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,540.19
|
| Rate for Payer: UHCCP Medicaid |
$21,540.19
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$6,189.36
|
|
|
Service Code
|
APR-DRG 5131
|
| Min. Negotiated Rate |
$5,894.63 |
| Max. Negotiated Rate |
$6,189.36 |
| Rate for Payer: BCBS Complete |
$6,189.36
|
| Rate for Payer: Mclaren Medicaid |
$5,894.63
|
| Rate for Payer: Meridian Medicaid |
$6,189.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,894.63
|
| Rate for Payer: UHCCP Medicaid |
$5,894.63
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 5132
|
| Min. Negotiated Rate |
$7,271.88 |
| Max. Negotiated Rate |
$7,635.47 |
| Rate for Payer: BCBS Complete |
$7,635.47
|
| Rate for Payer: Mclaren Medicaid |
$7,271.88
|
| Rate for Payer: Meridian Medicaid |
$7,635.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,271.88
|
| Rate for Payer: UHCCP Medicaid |
$7,271.88
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$26,839.85
|
|
|
Service Code
|
APR-DRG 5124
|
| Min. Negotiated Rate |
$25,561.76 |
| Max. Negotiated Rate |
$26,839.85 |
| Rate for Payer: BCBS Complete |
$26,839.85
|
| Rate for Payer: Mclaren Medicaid |
$25,561.76
|
| Rate for Payer: Meridian Medicaid |
$26,839.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,561.76
|
| Rate for Payer: UHCCP Medicaid |
$25,561.76
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$8,271.76
|
|
|
Service Code
|
APR-DRG 5121
|
| Min. Negotiated Rate |
$7,877.87 |
| Max. Negotiated Rate |
$8,271.76 |
| Rate for Payer: BCBS Complete |
$8,271.76
|
| Rate for Payer: Mclaren Medicaid |
$7,877.87
|
| Rate for Payer: Meridian Medicaid |
$8,271.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,877.87
|
| Rate for Payer: UHCCP Medicaid |
$7,877.87
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$9,486.50
|
|
|
Service Code
|
APR-DRG 5122
|
| Min. Negotiated Rate |
$9,034.76 |
| Max. Negotiated Rate |
$9,486.50 |
| Rate for Payer: BCBS Complete |
$9,486.50
|
| Rate for Payer: Mclaren Medicaid |
$9,034.76
|
| Rate for Payer: Meridian Medicaid |
$9,486.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,034.76
|
| Rate for Payer: UHCCP Medicaid |
$9,034.76
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$15,675.86
|
|
|
Service Code
|
APR-DRG 5123
|
| Min. Negotiated Rate |
$14,929.39 |
| Max. Negotiated Rate |
$15,675.86 |
| Rate for Payer: BCBS Complete |
$15,675.86
|
| Rate for Payer: Mclaren Medicaid |
$14,929.39
|
| Rate for Payer: Meridian Medicaid |
$15,675.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,929.39
|
| Rate for Payer: UHCCP Medicaid |
$14,929.39
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$15,328.79
|
|
|
Service Code
|
APR-DRG 5113
|
| Min. Negotiated Rate |
$14,598.85 |
| Max. Negotiated Rate |
$15,328.79 |
| Rate for Payer: BCBS Complete |
$15,328.79
|
| Rate for Payer: Mclaren Medicaid |
$14,598.85
|
| Rate for Payer: Meridian Medicaid |
$15,328.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,598.85
|
| Rate for Payer: UHCCP Medicaid |
$14,598.85
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$10,007.10
|
|
|
Service Code
|
APR-DRG 5112
|
| Min. Negotiated Rate |
$9,530.57 |
| Max. Negotiated Rate |
$10,007.10 |
| Rate for Payer: BCBS Complete |
$10,007.10
|
| Rate for Payer: Mclaren Medicaid |
$9,530.57
|
| Rate for Payer: Meridian Medicaid |
$10,007.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,530.57
|
| Rate for Payer: UHCCP Medicaid |
$9,530.57
|
|
|
APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$28,054.58
|
|
|
Service Code
|
APR-DRG 5114
|
| Min. Negotiated Rate |
$26,718.65 |
| Max. Negotiated Rate |
$28,054.58 |
| Rate for Payer: BCBS Complete |
$28,054.58
|
| Rate for Payer: Mclaren Medicaid |
$26,718.65
|
| Rate for Payer: Meridian Medicaid |
$28,054.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,718.65
|
| Rate for Payer: UHCCP Medicaid |
$26,718.65
|
|