|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$5,863.13 |
| Max. Negotiated Rate |
$6,156.29 |
| Rate for Payer: BCBS Complete |
$6,156.29
|
| Rate for Payer: Mclaren Medicaid |
$5,863.13
|
| Rate for Payer: Meridian Medicaid |
$6,156.29
|
| Rate for Payer: PHP Medicaid |
$5,863.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,863.13
|
| Rate for Payer: UHCCP Medicaid |
$5,863.13
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 1922
|
| Min. Negotiated Rate |
$7,341.23 |
| Max. Negotiated Rate |
$7,708.29 |
| Rate for Payer: BCBS Complete |
$7,708.29
|
| Rate for Payer: Mclaren Medicaid |
$7,341.23
|
| Rate for Payer: Meridian Medicaid |
$7,708.29
|
| Rate for Payer: PHP Medicaid |
$7,341.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,341.23
|
| Rate for Payer: UHCCP Medicaid |
$7,341.23
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$20,072.60
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$19,116.76 |
| Max. Negotiated Rate |
$20,072.60 |
| Rate for Payer: BCBS Complete |
$20,072.60
|
| Rate for Payer: Mclaren Medicaid |
$19,116.76
|
| Rate for Payer: Meridian Medicaid |
$20,072.60
|
| Rate for Payer: PHP Medicaid |
$19,116.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,116.76
|
| Rate for Payer: UHCCP Medicaid |
$19,116.76
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$15,830.45
|
|
|
Service Code
|
APR-DRG 1773
|
| Min. Negotiated Rate |
$15,076.62 |
| Max. Negotiated Rate |
$15,830.45 |
| Rate for Payer: BCBS Complete |
$15,830.45
|
| Rate for Payer: Mclaren Medicaid |
$15,076.62
|
| Rate for Payer: Meridian Medicaid |
$15,830.45
|
| Rate for Payer: PHP Medicaid |
$15,076.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,076.62
|
| Rate for Payer: UHCCP Medicaid |
$15,076.62
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$11,433.10
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$10,888.67 |
| Max. Negotiated Rate |
$11,433.10 |
| Rate for Payer: BCBS Complete |
$11,433.10
|
| Rate for Payer: Mclaren Medicaid |
$10,888.67
|
| Rate for Payer: Meridian Medicaid |
$11,433.10
|
| Rate for Payer: PHP Medicaid |
$10,888.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,888.67
|
| Rate for Payer: UHCCP Medicaid |
$10,888.67
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$7,863.49
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$7,489.04 |
| Max. Negotiated Rate |
$7,863.49 |
| Rate for Payer: BCBS Complete |
$7,863.49
|
| Rate for Payer: Mclaren Medicaid |
$7,489.04
|
| Rate for Payer: Meridian Medicaid |
$7,863.49
|
| Rate for Payer: PHP Medicaid |
$7,489.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,489.04
|
| Rate for Payer: UHCCP Medicaid |
$7,489.04
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$10,657.10
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$10,149.62 |
| Max. Negotiated Rate |
$10,657.10 |
| Rate for Payer: BCBS Complete |
$10,657.10
|
| Rate for Payer: Mclaren Medicaid |
$10,149.62
|
| Rate for Payer: Meridian Medicaid |
$10,657.10
|
| Rate for Payer: PHP Medicaid |
$10,149.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,149.62
|
| Rate for Payer: UHCCP Medicaid |
$10,149.62
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$3,547.44 |
| Max. Negotiated Rate |
$3,724.81 |
| Rate for Payer: BCBS Complete |
$3,724.81
|
| Rate for Payer: Mclaren Medicaid |
$3,547.44
|
| Rate for Payer: Meridian Medicaid |
$3,724.81
|
| Rate for Payer: PHP Medicaid |
$3,547.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,547.44
|
| Rate for Payer: UHCCP Medicaid |
$3,547.44
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 2002
|
| 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 STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$19,037.93
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$18,131.36 |
| Max. Negotiated Rate |
$19,037.93 |
| Rate for Payer: BCBS Complete |
$19,037.93
|
| Rate for Payer: Mclaren Medicaid |
$18,131.36
|
| Rate for Payer: Meridian Medicaid |
$19,037.93
|
| Rate for Payer: PHP Medicaid |
$18,131.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,131.36
|
| Rate for Payer: UHCCP Medicaid |
$18,131.36
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$30,057.16
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$28,625.87 |
| Max. Negotiated Rate |
$30,057.16 |
| Rate for Payer: BCBS Complete |
$30,057.16
|
| Rate for Payer: Mclaren Medicaid |
$28,625.87
|
| Rate for Payer: Meridian Medicaid |
$30,057.16
|
| Rate for Payer: PHP Medicaid |
$28,625.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,625.87
|
| Rate for Payer: UHCCP Medicaid |
$28,625.87
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$36,213.45
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$34,489.00 |
| Max. Negotiated Rate |
$36,213.45 |
| Rate for Payer: BCBS Complete |
$36,213.45
|
| Rate for Payer: Mclaren Medicaid |
$34,489.00
|
| Rate for Payer: Meridian Medicaid |
$36,213.45
|
| Rate for Payer: PHP Medicaid |
$34,489.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,489.00
|
| Rate for Payer: UHCCP Medicaid |
$34,489.00
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$46,301.48
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$44,096.65 |
| Max. Negotiated Rate |
$46,301.48 |
| Rate for Payer: BCBS Complete |
$46,301.48
|
| Rate for Payer: Mclaren Medicaid |
$44,096.65
|
| Rate for Payer: Meridian Medicaid |
$46,301.48
|
| Rate for Payer: PHP Medicaid |
$44,096.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,096.65
|
| Rate for Payer: UHCCP Medicaid |
$44,096.65
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,987.28
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$23,797.41 |
| Max. Negotiated Rate |
$24,987.28 |
| Rate for Payer: BCBS Complete |
$24,987.28
|
| Rate for Payer: Mclaren Medicaid |
$23,797.41
|
| Rate for Payer: Meridian Medicaid |
$24,987.28
|
| Rate for Payer: PHP Medicaid |
$23,797.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,797.41
|
| Rate for Payer: UHCCP Medicaid |
$23,797.41
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$44,180.41
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$42,076.58 |
| Max. Negotiated Rate |
$44,180.41 |
| Rate for Payer: BCBS Complete |
$44,180.41
|
| Rate for Payer: Mclaren Medicaid |
$42,076.58
|
| Rate for Payer: Meridian Medicaid |
$44,180.41
|
| Rate for Payer: PHP Medicaid |
$42,076.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$42,076.58
|
| Rate for Payer: UHCCP Medicaid |
$42,076.58
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,383.00
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$19,412.38 |
| Max. Negotiated Rate |
$20,383.00 |
| Rate for Payer: BCBS Complete |
$20,383.00
|
| Rate for Payer: Mclaren Medicaid |
$19,412.38
|
| Rate for Payer: Meridian Medicaid |
$20,383.00
|
| Rate for Payer: PHP Medicaid |
$19,412.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,412.38
|
| Rate for Payer: UHCCP Medicaid |
$19,412.38
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,245.40
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$21,186.10 |
| Max. Negotiated Rate |
$22,245.40 |
| Rate for Payer: BCBS Complete |
$22,245.40
|
| Rate for Payer: Mclaren Medicaid |
$21,186.10
|
| Rate for Payer: Meridian Medicaid |
$22,245.40
|
| Rate for Payer: PHP Medicaid |
$21,186.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,186.10
|
| Rate for Payer: UHCCP Medicaid |
$21,186.10
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$29,850.23
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$28,428.79 |
| Max. Negotiated Rate |
$29,850.23 |
| Rate for Payer: BCBS Complete |
$29,850.23
|
| Rate for Payer: Mclaren Medicaid |
$28,428.79
|
| Rate for Payer: Meridian Medicaid |
$29,850.23
|
| Rate for Payer: PHP Medicaid |
$28,428.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,428.79
|
| Rate for Payer: UHCCP Medicaid |
$28,428.79
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$10,593.05 |
| Max. Negotiated Rate |
$11,122.70 |
| Rate for Payer: BCBS Complete |
$11,122.70
|
| Rate for Payer: Mclaren Medicaid |
$10,593.05
|
| Rate for Payer: Meridian Medicaid |
$11,122.70
|
| Rate for Payer: PHP Medicaid |
$10,593.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,593.05
|
| Rate for Payer: UHCCP Medicaid |
$10,593.05
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,207.48
|
|
|
Service Code
|
APR-DRG 2051
|
| Min. Negotiated Rate |
$3,054.74 |
| Max. Negotiated Rate |
$3,207.48 |
| Rate for Payer: BCBS Complete |
$3,207.48
|
| Rate for Payer: Mclaren Medicaid |
$3,054.74
|
| Rate for Payer: Meridian Medicaid |
$3,207.48
|
| Rate for Payer: PHP Medicaid |
$3,054.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,054.74
|
| Rate for Payer: UHCCP Medicaid |
$3,054.74
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$5,518.24 |
| Max. Negotiated Rate |
$5,794.15 |
| Rate for Payer: BCBS Complete |
$5,794.15
|
| Rate for Payer: Mclaren Medicaid |
$5,518.24
|
| Rate for Payer: Meridian Medicaid |
$5,794.15
|
| Rate for Payer: PHP Medicaid |
$5,518.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,518.24
|
| Rate for Payer: UHCCP Medicaid |
$5,518.24
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,983.48
|
|
|
Service Code
|
APR-DRG 2052
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 3832
|
| Min. Negotiated Rate |
$3,596.71 |
| Max. Negotiated Rate |
$3,776.55 |
| Rate for Payer: BCBS Complete |
$3,776.55
|
| Rate for Payer: Mclaren Medicaid |
$3,596.71
|
| Rate for Payer: Meridian Medicaid |
$3,776.55
|
| Rate for Payer: PHP Medicaid |
$3,596.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,596.71
|
| Rate for Payer: UHCCP Medicaid |
$3,596.71
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 3833
|
| Min. Negotiated Rate |
$5,271.89 |
| Max. Negotiated Rate |
$5,535.48 |
| Rate for Payer: BCBS Complete |
$5,535.48
|
| Rate for Payer: Mclaren Medicaid |
$5,271.89
|
| Rate for Payer: Meridian Medicaid |
$5,535.48
|
| Rate for Payer: PHP Medicaid |
$5,271.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,271.89
|
| Rate for Payer: UHCCP Medicaid |
$5,271.89
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 3834
|
| Min. Negotiated Rate |
$7,932.47 |
| Max. Negotiated Rate |
$8,329.09 |
| Rate for Payer: BCBS Complete |
$8,329.09
|
| Rate for Payer: Mclaren Medicaid |
$7,932.47
|
| Rate for Payer: Meridian Medicaid |
$8,329.09
|
| Rate for Payer: PHP Medicaid |
$7,932.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.47
|
| Rate for Payer: UHCCP Medicaid |
$7,932.47
|
|