|
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: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,313.78
|
|
|
Service Code
|
APR-DRG 5602
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$2,313.78 |
| Rate for Payer: BCBS Complete |
$2,313.78
|
| Rate for Payer: Mclaren Medicaid |
$2,203.60
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,203.60
|
| Rate for Payer: UHCCP Medicaid |
$2,203.60
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,100.00
|
|
|
Service Code
|
APR-DRG 5601
|
| Min. Negotiated Rate |
$1,873.06 |
| Max. Negotiated Rate |
$2,100.00 |
| Rate for Payer: BCBS Complete |
$1,966.71
|
| Rate for Payer: Mclaren Medicaid |
$1,873.06
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,873.06
|
| Rate for Payer: UHCCP Medicaid |
$1,873.06
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 5603
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$3,470.67 |
| Rate for Payer: BCBS Complete |
$3,470.67
|
| Rate for Payer: Mclaren Medicaid |
$3,305.40
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$6,941.34
|
|
|
Service Code
|
APR-DRG 5604
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$6,941.34 |
| Rate for Payer: BCBS Complete |
$6,941.34
|
| Rate for Payer: Mclaren Medicaid |
$6,610.80
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,610.80
|
| Rate for Payer: UHCCP Medicaid |
$6,610.80
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$5,206.01
|
|
|
Service Code
|
APR-DRG 5423
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$5,206.01 |
| Rate for Payer: BCBS Complete |
$5,206.01
|
| Rate for Payer: Mclaren Medicaid |
$4,958.10
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,958.10
|
| Rate for Payer: UHCCP Medicaid |
$4,958.10
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,776.54
|
|
|
Service Code
|
APR-DRG 5422
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$2,776.54 |
| Rate for Payer: BCBS Complete |
$2,776.54
|
| Rate for Payer: Mclaren Medicaid |
$2,644.32
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,644.32
|
| Rate for Payer: UHCCP Medicaid |
$2,644.32
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$14,287.59
|
|
|
Service Code
|
APR-DRG 5424
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$14,287.59 |
| Rate for Payer: BCBS Complete |
$14,287.59
|
| Rate for Payer: Mclaren Medicaid |
$13,607.23
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,607.23
|
| Rate for Payer: UHCCP Medicaid |
$13,607.23
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,255.94
|
|
|
Service Code
|
APR-DRG 5421
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$2,255.94 |
| Rate for Payer: BCBS Complete |
$2,255.94
|
| Rate for Payer: Mclaren Medicaid |
$2,148.51
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,148.51
|
| Rate for Payer: UHCCP Medicaid |
$2,148.51
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 5414
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,632.37
|
| Rate for Payer: UHCCP Medicaid |
$10,632.37
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,702.05
|
|
|
Service Code
|
APR-DRG 5412
|
| Min. Negotiated Rate |
$2,100.00 |
| 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 |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,525.76
|
| Rate for Payer: UHCCP Medicaid |
$3,525.76
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 5411
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$5,437.38
|
|
|
Service Code
|
APR-DRG 5413
|
| Min. Negotiated Rate |
$2,100.00 |
| Max. Negotiated Rate |
$5,437.38 |
| Rate for Payer: BCBS Complete |
$5,437.38
|
| Rate for Payer: Mclaren Medicaid |
$5,178.46
|
| Rate for Payer: Meridian Medicaid |
$2,100.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,178.46
|
| Rate for Payer: UHCCP Medicaid |
$5,178.46
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$10,469.85
|
|
|
Service Code
|
APR-DRG 0222
|
| Min. Negotiated Rate |
$9,971.29 |
| Max. Negotiated Rate |
$10,469.85 |
| Rate for Payer: BCBS Complete |
$10,469.85
|
| Rate for Payer: Mclaren Medicaid |
$9,971.29
|
| Rate for Payer: Meridian Medicaid |
$10,469.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,971.29
|
| Rate for Payer: UHCCP Medicaid |
$9,971.29
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,329.61
|
|
|
Service Code
|
APR-DRG 0221
|
| Min. Negotiated Rate |
$7,932.96 |
| Max. Negotiated Rate |
$8,329.61 |
| Rate for Payer: BCBS Complete |
$8,329.61
|
| Rate for Payer: Mclaren Medicaid |
$7,932.96
|
| Rate for Payer: Meridian Medicaid |
$8,329.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.96
|
| Rate for Payer: UHCCP Medicaid |
$7,932.96
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$15,386.64
|
|
|
Service Code
|
APR-DRG 0223
|
| Min. Negotiated Rate |
$14,653.94 |
| Max. Negotiated Rate |
$15,386.64 |
| Rate for Payer: BCBS Complete |
$15,386.64
|
| Rate for Payer: Mclaren Medicaid |
$14,653.94
|
| Rate for Payer: Meridian Medicaid |
$15,386.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,653.94
|
| Rate for Payer: UHCCP Medicaid |
$14,653.94
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$27,823.20
|
|
|
Service Code
|
APR-DRG 0224
|
| 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: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$14,634.66
|
|
|
Service Code
|
APR-DRG 3103
|
| Min. Negotiated Rate |
$13,937.77 |
| Max. Negotiated Rate |
$14,634.66 |
| Rate for Payer: BCBS Complete |
$14,634.66
|
| Rate for Payer: Mclaren Medicaid |
$13,937.77
|
| Rate for Payer: Meridian Medicaid |
$14,634.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,937.77
|
| Rate for Payer: UHCCP Medicaid |
$13,937.77
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$10,180.63
|
|
|
Service Code
|
APR-DRG 3102
|
| 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: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$21,344.62
|
|
|
Service Code
|
APR-DRG 3104
|
| Min. Negotiated Rate |
$20,328.21 |
| Max. Negotiated Rate |
$21,344.62 |
| Rate for Payer: BCBS Complete |
$21,344.62
|
| Rate for Payer: Mclaren Medicaid |
$20,328.21
|
| Rate for Payer: Meridian Medicaid |
$21,344.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,328.21
|
| Rate for Payer: UHCCP Medicaid |
$20,328.21
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$7,404.10
|
|
|
Service Code
|
APR-DRG 3101
|
| Min. Negotiated Rate |
$7,051.52 |
| Max. Negotiated Rate |
$7,404.10 |
| Rate for Payer: BCBS Complete |
$7,404.10
|
| Rate for Payer: Mclaren Medicaid |
$7,051.52
|
| Rate for Payer: Meridian Medicaid |
$7,404.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,051.52
|
| Rate for Payer: UHCCP Medicaid |
$7,051.52
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$9,833.57
|
|
|
Service Code
|
APR-DRG 1114
|
| Min. Negotiated Rate |
$9,365.30 |
| Max. Negotiated Rate |
$9,833.57 |
| Rate for Payer: BCBS Complete |
$9,833.57
|
| Rate for Payer: Mclaren Medicaid |
$9,365.30
|
| Rate for Payer: Meridian Medicaid |
$9,833.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,365.30
|
| Rate for Payer: UHCCP Medicaid |
$9,365.30
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 1112
|
| Min. Negotiated Rate |
$4,131.75 |
| Max. Negotiated Rate |
$4,338.34 |
| Rate for Payer: BCBS Complete |
$4,338.34
|
| Rate for Payer: Mclaren Medicaid |
$4,131.75
|
| Rate for Payer: Meridian Medicaid |
$4,338.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,131.75
|
| Rate for Payer: UHCCP Medicaid |
$4,131.75
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 1111
|
| 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: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$5,668.76
|
|
|
Service Code
|
APR-DRG 1113
|
| Min. Negotiated Rate |
$5,398.82 |
| Max. Negotiated Rate |
$5,668.76 |
| Rate for Payer: BCBS Complete |
$5,668.76
|
| Rate for Payer: Mclaren Medicaid |
$5,398.82
|
| Rate for Payer: Meridian Medicaid |
$5,668.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,398.82
|
| Rate for Payer: UHCCP Medicaid |
$5,398.82
|
|