|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$17,227.26
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$16,406.91 |
| Max. Negotiated Rate |
$17,227.26 |
| Rate for Payer: BCBS Complete |
$17,227.26
|
| Rate for Payer: Mclaren Medicaid |
$16,406.91
|
| Rate for Payer: Meridian Medicaid |
$17,227.26
|
| Rate for Payer: PHP Medicaid |
$16,406.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,406.91
|
| Rate for Payer: UHCCP Medicaid |
$16,406.91
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$7,501.36
|
|
|
Service Code
|
APR-DRG 3631
|
| Min. Negotiated Rate |
$7,144.15 |
| Max. Negotiated Rate |
$7,501.36 |
| Rate for Payer: BCBS Complete |
$7,501.36
|
| Rate for Payer: Mclaren Medicaid |
$7,144.15
|
| Rate for Payer: Meridian Medicaid |
$7,501.36
|
| Rate for Payer: PHP Medicaid |
$7,144.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,144.15
|
| Rate for Payer: UHCCP Medicaid |
$7,144.15
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$15,726.98
|
|
|
Service Code
|
APR-DRG 3633
|
| Min. Negotiated Rate |
$14,978.08 |
| Max. Negotiated Rate |
$15,726.98 |
| Rate for Payer: BCBS Complete |
$15,726.98
|
| Rate for Payer: Mclaren Medicaid |
$14,978.08
|
| Rate for Payer: Meridian Medicaid |
$15,726.98
|
| Rate for Payer: PHP Medicaid |
$14,978.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,978.08
|
| Rate for Payer: UHCCP Medicaid |
$14,978.08
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$3,983.48
|
|
|
Service Code
|
APR-DRG 1382
|
| Min. Negotiated Rate |
$3,793.79 |
| Max. Negotiated Rate |
$3,983.48 |
| Rate for Payer: BCBS Complete |
$3,983.48
|
| Rate for Payer: Mclaren Medicaid |
$3,793.79
|
| Rate for Payer: Meridian Medicaid |
$3,983.48
|
| Rate for Payer: PHP Medicaid |
$3,793.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,793.79
|
| Rate for Payer: UHCCP Medicaid |
$3,793.79
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$8,018.69
|
|
|
Service Code
|
APR-DRG 1384
|
| Min. Negotiated Rate |
$7,636.85 |
| Max. Negotiated Rate |
$8,018.69 |
| Rate for Payer: BCBS Complete |
$8,018.69
|
| Rate for Payer: Mclaren Medicaid |
$7,636.85
|
| Rate for Payer: Meridian Medicaid |
$8,018.69
|
| Rate for Payer: PHP Medicaid |
$7,636.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,636.85
|
| Rate for Payer: UHCCP Medicaid |
$7,636.85
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 1381
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$5,949.35
|
|
|
Service Code
|
APR-DRG 1383
|
| Min. Negotiated Rate |
$5,666.05 |
| Max. Negotiated Rate |
$5,949.35 |
| Rate for Payer: BCBS Complete |
$5,949.35
|
| Rate for Payer: Mclaren Medicaid |
$5,666.05
|
| Rate for Payer: Meridian Medicaid |
$5,949.35
|
| Rate for Payer: PHP Medicaid |
$5,666.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,666.05
|
| Rate for Payer: UHCCP Medicaid |
$5,666.05
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$83,187.47
|
|
|
Service Code
|
APR-DRG 8424
|
| Min. Negotiated Rate |
$79,226.16 |
| Max. Negotiated Rate |
$83,187.47 |
| Rate for Payer: BCBS Complete |
$83,187.47
|
| Rate for Payer: Mclaren Medicaid |
$79,226.16
|
| Rate for Payer: Meridian Medicaid |
$83,187.47
|
| Rate for Payer: PHP Medicaid |
$79,226.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$79,226.16
|
| Rate for Payer: UHCCP Medicaid |
$79,226.16
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$22,452.34
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$21,383.18 |
| Max. Negotiated Rate |
$22,452.34 |
| Rate for Payer: BCBS Complete |
$22,452.34
|
| Rate for Payer: Mclaren Medicaid |
$21,383.18
|
| Rate for Payer: Meridian Medicaid |
$22,452.34
|
| Rate for Payer: PHP Medicaid |
$21,383.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,383.18
|
| Rate for Payer: UHCCP Medicaid |
$21,383.18
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$17,641.12
|
|
|
Service Code
|
APR-DRG 8422
|
| Min. Negotiated Rate |
$16,801.07 |
| Max. Negotiated Rate |
$17,641.12 |
| Rate for Payer: BCBS Complete |
$17,641.12
|
| Rate for Payer: Mclaren Medicaid |
$16,801.07
|
| Rate for Payer: Meridian Medicaid |
$17,641.12
|
| Rate for Payer: PHP Medicaid |
$16,801.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,801.07
|
| Rate for Payer: UHCCP Medicaid |
$16,801.07
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 8421
|
| Min. Negotiated Rate |
$8,671.52 |
| Max. Negotiated Rate |
$9,105.10 |
| Rate for Payer: BCBS Complete |
$9,105.10
|
| Rate for Payer: Mclaren Medicaid |
$8,671.52
|
| Rate for Payer: Meridian Medicaid |
$9,105.10
|
| Rate for Payer: PHP Medicaid |
$8,671.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,671.52
|
| Rate for Payer: UHCCP Medicaid |
$8,671.52
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$3,259.21
|
|
|
Service Code
|
APR-DRG 1962
|
| Min. Negotiated Rate |
$3,104.01 |
| Max. Negotiated Rate |
$3,259.21 |
| Rate for Payer: BCBS Complete |
$3,259.21
|
| Rate for Payer: Mclaren Medicaid |
$3,104.01
|
| Rate for Payer: Meridian Medicaid |
$3,259.21
|
| Rate for Payer: PHP Medicaid |
$3,104.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,104.01
|
| Rate for Payer: UHCCP Medicaid |
$3,104.01
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$13,036.84
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$12,416.04 |
| Max. Negotiated Rate |
$13,036.84 |
| Rate for Payer: BCBS Complete |
$13,036.84
|
| Rate for Payer: Mclaren Medicaid |
$12,416.04
|
| Rate for Payer: Meridian Medicaid |
$13,036.84
|
| Rate for Payer: PHP Medicaid |
$12,416.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,416.04
|
| Rate for Payer: UHCCP Medicaid |
$12,416.04
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$7,242.69
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$6,897.80 |
| Max. Negotiated Rate |
$7,242.69 |
| Rate for Payer: BCBS Complete |
$7,242.69
|
| Rate for Payer: Mclaren Medicaid |
$6,897.80
|
| Rate for Payer: Meridian Medicaid |
$7,242.69
|
| Rate for Payer: PHP Medicaid |
$6,897.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,897.80
|
| Rate for Payer: UHCCP Medicaid |
$6,897.80
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$1,810.67
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$1,724.45 |
| Max. Negotiated Rate |
$1,810.67 |
| Rate for Payer: BCBS Complete |
$1,810.67
|
| Rate for Payer: Mclaren Medicaid |
$1,724.45
|
| Rate for Payer: Meridian Medicaid |
$1,810.67
|
| Rate for Payer: PHP Medicaid |
$1,724.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,724.45
|
| Rate for Payer: UHCCP Medicaid |
$1,724.45
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,709.85 |
| Max. Negotiated Rate |
$2,845.34 |
| Rate for Payer: BCBS Complete |
$2,845.34
|
| Rate for Payer: Mclaren Medicaid |
$2,709.85
|
| Rate for Payer: Meridian Medicaid |
$2,845.34
|
| Rate for Payer: PHP Medicaid |
$2,709.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,709.85
|
| Rate for Payer: UHCCP Medicaid |
$2,709.85
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 2012
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$9,260.30
|
|
|
Service Code
|
APR-DRG 2014
|
| Min. Negotiated Rate |
$8,819.33 |
| Max. Negotiated Rate |
$9,260.30 |
| Rate for Payer: BCBS Complete |
$9,260.30
|
| Rate for Payer: Mclaren Medicaid |
$8,819.33
|
| Rate for Payer: Meridian Medicaid |
$9,260.30
|
| Rate for Payer: PHP Medicaid |
$8,819.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,819.33
|
| Rate for Payer: UHCCP Medicaid |
$8,819.33
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$5,124.08 |
| Max. Negotiated Rate |
$5,380.28 |
| Rate for Payer: BCBS Complete |
$5,380.28
|
| Rate for Payer: Mclaren Medicaid |
$5,124.08
|
| Rate for Payer: Meridian Medicaid |
$5,380.28
|
| Rate for Payer: PHP Medicaid |
$5,124.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,124.08
|
| Rate for Payer: UHCCP Medicaid |
$5,124.08
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$8,432.56
|
|
|
Service Code
|
APR-DRG 1913
|
| Min. Negotiated Rate |
$8,031.01 |
| Max. Negotiated Rate |
$8,432.56 |
| Rate for Payer: BCBS Complete |
$8,432.56
|
| Rate for Payer: Mclaren Medicaid |
$8,031.01
|
| Rate for Payer: Meridian Medicaid |
$8,432.56
|
| Rate for Payer: PHP Medicaid |
$8,031.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,031.01
|
| Rate for Payer: UHCCP Medicaid |
$8,031.01
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,052.82
|
|
|
Service Code
|
APR-DRG 1912
|
| Min. Negotiated Rate |
$5,764.59 |
| Max. Negotiated Rate |
$6,052.82 |
| Rate for Payer: BCBS Complete |
$6,052.82
|
| Rate for Payer: Mclaren Medicaid |
$5,764.59
|
| Rate for Payer: Meridian Medicaid |
$6,052.82
|
| Rate for Payer: PHP Medicaid |
$5,764.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,764.59
|
| Rate for Payer: UHCCP Medicaid |
$5,764.59
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$10,605.37
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$10,100.35 |
| Max. Negotiated Rate |
$10,605.37 |
| Rate for Payer: BCBS Complete |
$10,605.37
|
| Rate for Payer: Mclaren Medicaid |
$10,100.35
|
| Rate for Payer: Meridian Medicaid |
$10,605.37
|
| Rate for Payer: PHP Medicaid |
$10,100.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,100.35
|
| Rate for Payer: UHCCP Medicaid |
$10,100.35
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,811.22
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$4,582.11 |
| Max. Negotiated Rate |
$4,811.22 |
| Rate for Payer: BCBS Complete |
$4,811.22
|
| Rate for Payer: Mclaren Medicaid |
$4,582.11
|
| Rate for Payer: Meridian Medicaid |
$4,811.22
|
| Rate for Payer: PHP Medicaid |
$4,582.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,582.11
|
| Rate for Payer: UHCCP Medicaid |
$4,582.11
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$15,882.18
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$15,125.89 |
| Max. Negotiated Rate |
$15,882.18 |
| Rate for Payer: BCBS Complete |
$15,882.18
|
| Rate for Payer: Mclaren Medicaid |
$15,125.89
|
| Rate for Payer: Meridian Medicaid |
$15,882.18
|
| Rate for Payer: PHP Medicaid |
$15,125.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,125.89
|
| Rate for Payer: UHCCP Medicaid |
$15,125.89
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$9,674.16
|
|
|
Service Code
|
APR-DRG 1923
|
| Min. Negotiated Rate |
$9,213.49 |
| Max. Negotiated Rate |
$9,674.16 |
| Rate for Payer: BCBS Complete |
$9,674.16
|
| Rate for Payer: Mclaren Medicaid |
$9,213.49
|
| Rate for Payer: Meridian Medicaid |
$9,674.16
|
| Rate for Payer: PHP Medicaid |
$9,213.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,213.49
|
| Rate for Payer: UHCCP Medicaid |
$9,213.49
|
|