|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,429.47
|
|
|
Service Code
|
APR-DRG 5601
|
| Min. Negotiated Rate |
$2,313.78 |
| Max. Negotiated Rate |
$2,429.47 |
| Rate for Payer: BCBS Complete |
$2,429.47
|
| Rate for Payer: Mclaren Medicaid |
$2,313.78
|
| Rate for Payer: Meridian Medicaid |
$2,429.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,313.78
|
| Rate for Payer: UHCCP Medicaid |
$2,313.78
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$8,850.21
|
|
|
Service Code
|
APR-DRG 5604
|
| Min. Negotiated Rate |
$8,428.77 |
| Max. Negotiated Rate |
$8,850.21 |
| Rate for Payer: BCBS Complete |
$8,850.21
|
| Rate for Payer: Mclaren Medicaid |
$8,428.77
|
| Rate for Payer: Meridian Medicaid |
$8,850.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,428.77
|
| Rate for Payer: UHCCP Medicaid |
$8,428.77
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,892.22
|
|
|
Service Code
|
APR-DRG 5602
|
| Min. Negotiated Rate |
$2,754.50 |
| Max. Negotiated Rate |
$2,892.22 |
| Rate for Payer: BCBS Complete |
$2,892.22
|
| Rate for Payer: Mclaren Medicaid |
$2,754.50
|
| Rate for Payer: Meridian Medicaid |
$2,892.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,754.50
|
| Rate for Payer: UHCCP Medicaid |
$2,754.50
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,950.07
|
|
|
Service Code
|
APR-DRG 5421
|
| Min. Negotiated Rate |
$2,809.59 |
| Max. Negotiated Rate |
$2,950.07 |
| Rate for Payer: BCBS Complete |
$2,950.07
|
| Rate for Payer: Mclaren Medicaid |
$2,809.59
|
| Rate for Payer: Meridian Medicaid |
$2,950.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,809.59
|
| Rate for Payer: UHCCP Medicaid |
$2,809.59
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 5423
|
| Min. Negotiated Rate |
$4,517.38 |
| Max. Negotiated Rate |
$4,743.25 |
| Rate for Payer: BCBS Complete |
$4,743.25
|
| Rate for Payer: Mclaren Medicaid |
$4,517.38
|
| Rate for Payer: Meridian Medicaid |
$4,743.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,517.38
|
| Rate for Payer: UHCCP Medicaid |
$4,517.38
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$12,378.72
|
|
|
Service Code
|
APR-DRG 5424
|
| Min. Negotiated Rate |
$11,789.26 |
| Max. Negotiated Rate |
$12,378.72 |
| Rate for Payer: BCBS Complete |
$12,378.72
|
| Rate for Payer: Mclaren Medicaid |
$11,789.26
|
| Rate for Payer: Meridian Medicaid |
$12,378.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,789.26
|
| Rate for Payer: UHCCP Medicaid |
$11,789.26
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 5422
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 5411
|
| Min. Negotiated Rate |
$3,305.40 |
| 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 |
$3,470.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 5412
|
| Min. Negotiated Rate |
$4,297.02 |
| Max. Negotiated Rate |
$4,511.87 |
| Rate for Payer: BCBS Complete |
$4,511.87
|
| Rate for Payer: Mclaren Medicaid |
$4,297.02
|
| Rate for Payer: Meridian Medicaid |
$4,511.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,297.02
|
| Rate for Payer: UHCCP Medicaid |
$4,297.02
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 5413
|
| 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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 5414
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 0223
|
| 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: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$9,312.96
|
|
|
Service Code
|
APR-DRG 0222
|
| Min. Negotiated Rate |
$8,869.49 |
| Max. Negotiated Rate |
$9,312.96 |
| Rate for Payer: BCBS Complete |
$9,312.96
|
| Rate for Payer: Mclaren Medicaid |
$8,869.49
|
| Rate for Payer: Meridian Medicaid |
$9,312.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,869.49
|
| Rate for Payer: UHCCP Medicaid |
$8,869.49
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$23,369.18
|
|
|
Service Code
|
APR-DRG 0224
|
| Min. Negotiated Rate |
$22,256.36 |
| Max. Negotiated Rate |
$23,369.18 |
| Rate for Payer: BCBS Complete |
$23,369.18
|
| Rate for Payer: Mclaren Medicaid |
$22,256.36
|
| Rate for Payer: Meridian Medicaid |
$23,369.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,256.36
|
| Rate for Payer: UHCCP Medicaid |
$22,256.36
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$9,139.43
|
|
|
Service Code
|
APR-DRG 0221
|
| 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: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$29,037.94
|
|
|
Service Code
|
APR-DRG 3104
|
| Min. Negotiated Rate |
$27,655.18 |
| Max. Negotiated Rate |
$29,037.94 |
| Rate for Payer: BCBS Complete |
$29,037.94
|
| Rate for Payer: Mclaren Medicaid |
$27,655.18
|
| Rate for Payer: Meridian Medicaid |
$29,037.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,655.18
|
| Rate for Payer: UHCCP Medicaid |
$27,655.18
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$8,560.99
|
|
|
Service Code
|
APR-DRG 3101
|
| Min. Negotiated Rate |
$8,153.32 |
| Max. Negotiated Rate |
$8,560.99 |
| Rate for Payer: BCBS Complete |
$8,560.99
|
| Rate for Payer: Mclaren Medicaid |
$8,153.32
|
| Rate for Payer: Meridian Medicaid |
$8,560.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,153.32
|
| Rate for Payer: UHCCP Medicaid |
$8,153.32
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$20,476.95
|
|
|
Service Code
|
APR-DRG 3103
|
| Min. Negotiated Rate |
$19,501.86 |
| Max. Negotiated Rate |
$20,476.95 |
| Rate for Payer: BCBS Complete |
$20,476.95
|
| Rate for Payer: Mclaren Medicaid |
$19,501.86
|
| Rate for Payer: Meridian Medicaid |
$20,476.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,501.86
|
| Rate for Payer: UHCCP Medicaid |
$19,501.86
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$12,783.63
|
|
|
Service Code
|
APR-DRG 3102
|
| Min. Negotiated Rate |
$12,174.89 |
| Max. Negotiated Rate |
$12,783.63 |
| Rate for Payer: BCBS Complete |
$12,783.63
|
| Rate for Payer: Mclaren Medicaid |
$12,174.89
|
| Rate for Payer: Meridian Medicaid |
$12,783.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,174.89
|
| Rate for Payer: UHCCP Medicaid |
$12,174.89
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$10,064.94
|
|
|
Service Code
|
APR-DRG 1114
|
| Min. Negotiated Rate |
$9,585.66 |
| Max. Negotiated Rate |
$10,064.94 |
| Rate for Payer: BCBS Complete |
$10,064.94
|
| Rate for Payer: Mclaren Medicaid |
$9,585.66
|
| Rate for Payer: Meridian Medicaid |
$10,064.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,585.66
|
| Rate for Payer: UHCCP Medicaid |
$9,585.66
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 1112
|
| Min. Negotiated Rate |
$4,517.38 |
| Max. Negotiated Rate |
$4,743.25 |
| Rate for Payer: BCBS Complete |
$4,743.25
|
| Rate for Payer: Mclaren Medicaid |
$4,517.38
|
| Rate for Payer: Meridian Medicaid |
$4,743.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,517.38
|
| Rate for Payer: UHCCP Medicaid |
$4,517.38
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 1111
|
| Min. Negotiated Rate |
$3,966.48 |
| Max. Negotiated Rate |
$4,164.80 |
| Rate for Payer: BCBS Complete |
$4,164.80
|
| Rate for Payer: Mclaren Medicaid |
$3,966.48
|
| Rate for Payer: Meridian Medicaid |
$4,164.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,966.48
|
| Rate for Payer: UHCCP Medicaid |
$3,966.48
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 1113
|
| Min. Negotiated Rate |
$5,619.18 |
| Max. Negotiated Rate |
$5,900.14 |
| Rate for Payer: BCBS Complete |
$5,900.14
|
| Rate for Payer: Mclaren Medicaid |
$5,619.18
|
| Rate for Payer: Meridian Medicaid |
$5,900.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,619.18
|
| Rate for Payer: UHCCP Medicaid |
$5,619.18
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 7232
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$2,834.38
|
|
|
Service Code
|
APR-DRG 7231
|
| 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
|
|