|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$16,399.52
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$15,618.59 |
| Max. Negotiated Rate |
$16,399.52 |
| Rate for Payer: BCBS Complete |
$16,399.52
|
| Rate for Payer: Mclaren Medicaid |
$15,618.59
|
| Rate for Payer: Meridian Medicaid |
$16,399.52
|
| Rate for Payer: PHP Medicaid |
$15,618.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,618.59
|
| Rate for Payer: UHCCP Medicaid |
$15,618.59
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 3632
|
| Min. Negotiated Rate |
$10,543.78 |
| Max. Negotiated Rate |
$11,070.97 |
| Rate for Payer: BCBS Complete |
$11,070.97
|
| Rate for Payer: Mclaren Medicaid |
$10,543.78
|
| Rate for Payer: Meridian Medicaid |
$11,070.97
|
| Rate for Payer: PHP Medicaid |
$10,543.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,543.78
|
| Rate for Payer: UHCCP Medicaid |
$10,543.78
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$15,106.18
|
|
|
Service Code
|
APR-DRG 3633
|
| Min. Negotiated Rate |
$14,386.84 |
| Max. Negotiated Rate |
$15,106.18 |
| Rate for Payer: BCBS Complete |
$15,106.18
|
| Rate for Payer: Mclaren Medicaid |
$14,386.84
|
| Rate for Payer: Meridian Medicaid |
$15,106.18
|
| Rate for Payer: PHP Medicaid |
$14,386.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,386.84
|
| Rate for Payer: UHCCP Medicaid |
$14,386.84
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$1,758.94
|
|
|
Service Code
|
APR-DRG 1381
|
| Min. Negotiated Rate |
$1,675.18 |
| Max. Negotiated Rate |
$1,758.94 |
| Rate for Payer: BCBS Complete |
$1,758.94
|
| Rate for Payer: Mclaren Medicaid |
$1,675.18
|
| Rate for Payer: Meridian Medicaid |
$1,758.94
|
| Rate for Payer: PHP Medicaid |
$1,675.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,675.18
|
| Rate for Payer: UHCCP Medicaid |
$1,675.18
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 1383
|
| Min. Negotiated Rate |
$4,729.92 |
| Max. Negotiated Rate |
$4,966.42 |
| Rate for Payer: BCBS Complete |
$4,966.42
|
| Rate for Payer: Mclaren Medicaid |
$4,729.92
|
| Rate for Payer: Meridian Medicaid |
$4,966.42
|
| Rate for Payer: PHP Medicaid |
$4,729.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,729.92
|
| Rate for Payer: UHCCP Medicaid |
$4,729.92
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$9,725.90
|
|
|
Service Code
|
APR-DRG 1384
|
| Min. Negotiated Rate |
$9,262.76 |
| Max. Negotiated Rate |
$9,725.90 |
| Rate for Payer: BCBS Complete |
$9,725.90
|
| Rate for Payer: Mclaren Medicaid |
$9,262.76
|
| Rate for Payer: Meridian Medicaid |
$9,725.90
|
| Rate for Payer: PHP Medicaid |
$9,262.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,262.76
|
| Rate for Payer: UHCCP Medicaid |
$9,262.76
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 1382
|
| 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: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$13,192.04
|
|
|
Service Code
|
APR-DRG 8422
|
| Min. Negotiated Rate |
$12,563.85 |
| Max. Negotiated Rate |
$13,192.04 |
| Rate for Payer: BCBS Complete |
$13,192.04
|
| Rate for Payer: Mclaren Medicaid |
$12,563.85
|
| Rate for Payer: Meridian Medicaid |
$13,192.04
|
| Rate for Payer: PHP Medicaid |
$12,563.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,563.85
|
| Rate for Payer: UHCCP Medicaid |
$12,563.85
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$24,573.41
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$23,403.25 |
| Max. Negotiated Rate |
$24,573.41 |
| Rate for Payer: BCBS Complete |
$24,573.41
|
| Rate for Payer: Mclaren Medicaid |
$23,403.25
|
| Rate for Payer: Meridian Medicaid |
$24,573.41
|
| Rate for Payer: PHP Medicaid |
$23,403.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,403.25
|
| Rate for Payer: UHCCP Medicaid |
$23,403.25
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$8,742.96
|
|
|
Service Code
|
APR-DRG 8421
|
| Min. Negotiated Rate |
$8,326.63 |
| Max. Negotiated Rate |
$8,742.96 |
| Rate for Payer: BCBS Complete |
$8,742.96
|
| Rate for Payer: Mclaren Medicaid |
$8,326.63
|
| Rate for Payer: Meridian Medicaid |
$8,742.96
|
| Rate for Payer: PHP Medicaid |
$8,326.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,326.63
|
| Rate for Payer: UHCCP Medicaid |
$8,326.63
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$60,786.86
|
|
|
Service Code
|
APR-DRG 8424
|
| Min. Negotiated Rate |
$57,892.25 |
| Max. Negotiated Rate |
$60,786.86 |
| Rate for Payer: BCBS Complete |
$60,786.86
|
| Rate for Payer: Mclaren Medicaid |
$57,892.25
|
| Rate for Payer: Meridian Medicaid |
$60,786.86
|
| Rate for Payer: PHP Medicaid |
$57,892.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$57,892.25
|
| Rate for Payer: UHCCP Medicaid |
$57,892.25
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$10,191.50
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$9,706.19 |
| Max. Negotiated Rate |
$10,191.50 |
| Rate for Payer: BCBS Complete |
$10,191.50
|
| Rate for Payer: Mclaren Medicaid |
$9,706.19
|
| Rate for Payer: Meridian Medicaid |
$10,191.50
|
| Rate for Payer: PHP Medicaid |
$9,706.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,706.19
|
| Rate for Payer: UHCCP Medicaid |
$9,706.19
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 1962
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$2,483.21
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$2,364.96 |
| Max. Negotiated Rate |
$2,483.21 |
| Rate for Payer: BCBS Complete |
$2,483.21
|
| Rate for Payer: Mclaren Medicaid |
$2,364.96
|
| Rate for Payer: Meridian Medicaid |
$2,483.21
|
| Rate for Payer: PHP Medicaid |
$2,364.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.96
|
| Rate for Payer: UHCCP Medicaid |
$2,364.96
|
|
|
APR-DRG 42.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$4,877.73 |
| Max. Negotiated Rate |
$5,121.62 |
| Rate for Payer: BCBS Complete |
$5,121.62
|
| Rate for Payer: Mclaren Medicaid |
$4,877.73
|
| Rate for Payer: Meridian Medicaid |
$5,121.62
|
| Rate for Payer: PHP Medicaid |
$4,877.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,877.73
|
| Rate for Payer: UHCCP Medicaid |
$4,877.73
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 2012
|
| Min. Negotiated Rate |
$3,153.28 |
| Max. Negotiated Rate |
$3,310.94 |
| Rate for Payer: BCBS Complete |
$3,310.94
|
| Rate for Payer: Mclaren Medicaid |
$3,153.28
|
| Rate for Payer: Meridian Medicaid |
$3,310.94
|
| Rate for Payer: PHP Medicaid |
$3,153.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,153.28
|
| Rate for Payer: UHCCP Medicaid |
$3,153.28
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$9,001.63
|
|
|
Service Code
|
APR-DRG 2014
|
| Min. Negotiated Rate |
$8,572.98 |
| Max. Negotiated Rate |
$9,001.63 |
| Rate for Payer: BCBS Complete |
$9,001.63
|
| Rate for Payer: Mclaren Medicaid |
$8,572.98
|
| Rate for Payer: Meridian Medicaid |
$9,001.63
|
| Rate for Payer: PHP Medicaid |
$8,572.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,572.98
|
| Rate for Payer: UHCCP Medicaid |
$8,572.98
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,431.47
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,315.69 |
| Max. Negotiated Rate |
$2,431.47 |
| Rate for Payer: BCBS Complete |
$2,431.47
|
| Rate for Payer: Mclaren Medicaid |
$2,315.69
|
| Rate for Payer: Meridian Medicaid |
$2,431.47
|
| Rate for Payer: PHP Medicaid |
$2,315.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,315.69
|
| Rate for Payer: UHCCP Medicaid |
$2,315.69
|
|
|
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
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 1912
|
| Min. Negotiated Rate |
$5,912.40 |
| Max. Negotiated Rate |
$6,208.02 |
| Rate for Payer: BCBS Complete |
$6,208.02
|
| Rate for Payer: Mclaren Medicaid |
$5,912.40
|
| Rate for Payer: Meridian Medicaid |
$6,208.02
|
| Rate for Payer: PHP Medicaid |
$5,912.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,912.40
|
| Rate for Payer: UHCCP Medicaid |
$5,912.40
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,225.08
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$4,976.27 |
| Max. Negotiated Rate |
$5,225.08 |
| Rate for Payer: BCBS Complete |
$5,225.08
|
| Rate for Payer: Mclaren Medicaid |
$4,976.27
|
| Rate for Payer: Meridian Medicaid |
$5,225.08
|
| Rate for Payer: PHP Medicaid |
$4,976.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,976.27
|
| Rate for Payer: UHCCP Medicaid |
$4,976.27
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$12,571.24
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$11,972.61 |
| Max. Negotiated Rate |
$12,571.24 |
| Rate for Payer: BCBS Complete |
$12,571.24
|
| Rate for Payer: Mclaren Medicaid |
$11,972.61
|
| Rate for Payer: Meridian Medicaid |
$12,571.24
|
| Rate for Payer: PHP Medicaid |
$11,972.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,972.61
|
| Rate for Payer: UHCCP Medicaid |
$11,972.61
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,984.02
|
|
|
Service Code
|
APR-DRG 1922
|
| Min. Negotiated Rate |
$6,651.45 |
| Max. Negotiated Rate |
$6,984.02 |
| Rate for Payer: BCBS Complete |
$6,984.02
|
| Rate for Payer: Mclaren Medicaid |
$6,651.45
|
| Rate for Payer: Meridian Medicaid |
$6,984.02
|
| Rate for Payer: PHP Medicaid |
$6,651.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,651.45
|
| Rate for Payer: UHCCP Medicaid |
$6,651.45
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$16,606.45
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$15,815.67 |
| Max. Negotiated Rate |
$16,606.45 |
| Rate for Payer: BCBS Complete |
$16,606.45
|
| Rate for Payer: Mclaren Medicaid |
$15,815.67
|
| Rate for Payer: Meridian Medicaid |
$16,606.45
|
| Rate for Payer: PHP Medicaid |
$15,815.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,815.67
|
| Rate for Payer: UHCCP Medicaid |
$15,815.67
|
|