|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$10,191.50
|
|
|
Service Code
|
APR-DRG 1923
|
| 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 CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$5,432.02
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$5,173.35 |
| Max. Negotiated Rate |
$5,432.02 |
| Rate for Payer: BCBS Complete |
$5,432.02
|
| Rate for Payer: Mclaren Medicaid |
$5,173.35
|
| Rate for Payer: Meridian Medicaid |
$5,432.02
|
| Rate for Payer: PHP Medicaid |
$5,173.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,173.35
|
| Rate for Payer: UHCCP Medicaid |
$5,173.35
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$18,675.79
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$17,786.47 |
| Max. Negotiated Rate |
$18,675.79 |
| Rate for Payer: BCBS Complete |
$18,675.79
|
| Rate for Payer: Mclaren Medicaid |
$17,786.47
|
| Rate for Payer: Meridian Medicaid |
$18,675.79
|
| Rate for Payer: PHP Medicaid |
$17,786.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,786.47
|
| Rate for Payer: UHCCP Medicaid |
$17,786.47
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,450.17
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$9,952.54 |
| Max. Negotiated Rate |
$10,450.17 |
| Rate for Payer: BCBS Complete |
$10,450.17
|
| Rate for Payer: Mclaren Medicaid |
$9,952.54
|
| Rate for Payer: Meridian Medicaid |
$10,450.17
|
| Rate for Payer: PHP Medicaid |
$9,952.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,952.54
|
| Rate for Payer: UHCCP Medicaid |
$9,952.54
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$6,880.56
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$6,552.91 |
| Max. Negotiated Rate |
$6,880.56 |
| Rate for Payer: BCBS Complete |
$6,880.56
|
| Rate for Payer: Mclaren Medicaid |
$6,552.91
|
| Rate for Payer: Meridian Medicaid |
$6,880.56
|
| Rate for Payer: PHP Medicaid |
$6,552.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,552.91
|
| Rate for Payer: UHCCP Medicaid |
$6,552.91
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$13,036.84
|
|
|
Service Code
|
APR-DRG 1773
|
| 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 STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 2002
|
| Min. Negotiated Rate |
$4,335.76 |
| Max. Negotiated Rate |
$4,552.55 |
| Rate for Payer: BCBS Complete |
$4,552.55
|
| Rate for Payer: Mclaren Medicaid |
$4,335.76
|
| Rate for Payer: Meridian Medicaid |
$4,552.55
|
| Rate for Payer: PHP Medicaid |
$4,335.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,335.76
|
| Rate for Payer: UHCCP Medicaid |
$4,335.76
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$11,846.97
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$11,282.83 |
| Max. Negotiated Rate |
$11,846.97 |
| Rate for Payer: BCBS Complete |
$11,846.97
|
| Rate for Payer: Mclaren Medicaid |
$11,282.83
|
| Rate for Payer: Meridian Medicaid |
$11,846.97
|
| Rate for Payer: PHP Medicaid |
$11,282.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,282.83
|
| Rate for Payer: UHCCP Medicaid |
$11,282.83
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$6,725.35
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$6,405.10 |
| Max. Negotiated Rate |
$6,725.35 |
| Rate for Payer: BCBS Complete |
$6,725.35
|
| Rate for Payer: Mclaren Medicaid |
$6,405.10
|
| Rate for Payer: Meridian Medicaid |
$6,725.35
|
| Rate for Payer: PHP Medicaid |
$6,405.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,405.10
|
| Rate for Payer: UHCCP Medicaid |
$6,405.10
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$3,251.82 |
| Max. Negotiated Rate |
$3,414.41 |
| Rate for Payer: BCBS Complete |
$3,414.41
|
| Rate for Payer: Mclaren Medicaid |
$3,251.82
|
| Rate for Payer: Meridian Medicaid |
$3,414.41
|
| Rate for Payer: PHP Medicaid |
$3,251.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,251.82
|
| Rate for Payer: UHCCP Medicaid |
$3,251.82
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$26,021.95
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$24,782.81 |
| Max. Negotiated Rate |
$26,021.95 |
| Rate for Payer: BCBS Complete |
$26,021.95
|
| Rate for Payer: Mclaren Medicaid |
$24,782.81
|
| Rate for Payer: Meridian Medicaid |
$26,021.95
|
| Rate for Payer: PHP Medicaid |
$24,782.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,782.81
|
| Rate for Payer: UHCCP Medicaid |
$24,782.81
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$34,454.51
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$32,813.82 |
| Max. Negotiated Rate |
$34,454.51 |
| Rate for Payer: BCBS Complete |
$34,454.51
|
| Rate for Payer: Mclaren Medicaid |
$32,813.82
|
| Rate for Payer: Meridian Medicaid |
$34,454.51
|
| Rate for Payer: PHP Medicaid |
$32,813.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,813.82
|
| Rate for Payer: UHCCP Medicaid |
$32,813.82
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$47,077.49
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$44,835.70 |
| Max. Negotiated Rate |
$47,077.49 |
| Rate for Payer: BCBS Complete |
$47,077.49
|
| Rate for Payer: Mclaren Medicaid |
$44,835.70
|
| Rate for Payer: Meridian Medicaid |
$47,077.49
|
| Rate for Payer: PHP Medicaid |
$44,835.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,835.70
|
| Rate for Payer: UHCCP Medicaid |
$44,835.70
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,676.34
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$20,644.13 |
| Max. Negotiated Rate |
$21,676.34 |
| Rate for Payer: BCBS Complete |
$21,676.34
|
| Rate for Payer: Mclaren Medicaid |
$20,644.13
|
| Rate for Payer: Meridian Medicaid |
$21,676.34
|
| Rate for Payer: PHP Medicaid |
$20,644.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,644.13
|
| Rate for Payer: UHCCP Medicaid |
$20,644.13
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,313.66
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$17,441.58 |
| Max. Negotiated Rate |
$18,313.66 |
| Rate for Payer: BCBS Complete |
$18,313.66
|
| Rate for Payer: Mclaren Medicaid |
$17,441.58
|
| Rate for Payer: Meridian Medicaid |
$18,313.66
|
| Rate for Payer: PHP Medicaid |
$17,441.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,441.58
|
| Rate for Payer: UHCCP Medicaid |
$17,441.58
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$29,643.30
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$28,231.71 |
| Max. Negotiated Rate |
$29,643.30 |
| Rate for Payer: BCBS Complete |
$29,643.30
|
| Rate for Payer: Mclaren Medicaid |
$28,231.71
|
| Rate for Payer: Meridian Medicaid |
$29,643.30
|
| Rate for Payer: PHP Medicaid |
$28,231.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,231.71
|
| Rate for Payer: UHCCP Medicaid |
$28,231.71
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$41,231.60
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$39,268.19 |
| Max. Negotiated Rate |
$41,231.60 |
| Rate for Payer: BCBS Complete |
$41,231.60
|
| Rate for Payer: Mclaren Medicaid |
$39,268.19
|
| Rate for Payer: Meridian Medicaid |
$41,231.60
|
| Rate for Payer: PHP Medicaid |
$39,268.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,268.19
|
| Rate for Payer: UHCCP Medicaid |
$39,268.19
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,883.27
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$20,841.21 |
| Max. Negotiated Rate |
$21,883.27 |
| Rate for Payer: BCBS Complete |
$21,883.27
|
| Rate for Payer: Mclaren Medicaid |
$20,841.21
|
| Rate for Payer: Meridian Medicaid |
$21,883.27
|
| Rate for Payer: PHP Medicaid |
$20,841.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,841.21
|
| Rate for Payer: UHCCP Medicaid |
$20,841.21
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 2051
|
| Min. Negotiated Rate |
$2,857.66 |
| Max. Negotiated Rate |
$3,000.54 |
| Rate for Payer: BCBS Complete |
$3,000.54
|
| Rate for Payer: Mclaren Medicaid |
$2,857.66
|
| Rate for Payer: Meridian Medicaid |
$3,000.54
|
| Rate for Payer: PHP Medicaid |
$2,857.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,857.66
|
| Rate for Payer: UHCCP Medicaid |
$2,857.66
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 2052
|
| 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: CARDIOMYOPATHY
|
Facility
|
IP
|
$5,897.62
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$5,616.78 |
| Max. Negotiated Rate |
$5,897.62 |
| Rate for Payer: BCBS Complete |
$5,897.62
|
| Rate for Payer: Mclaren Medicaid |
$5,616.78
|
| Rate for Payer: Meridian Medicaid |
$5,897.62
|
| Rate for Payer: PHP Medicaid |
$5,616.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.78
|
| Rate for Payer: UHCCP Medicaid |
$5,616.78
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$11,019.24
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$10,494.51 |
| Max. Negotiated Rate |
$11,019.24 |
| Rate for Payer: BCBS Complete |
$11,019.24
|
| Rate for Payer: Mclaren Medicaid |
$10,494.51
|
| Rate for Payer: Meridian Medicaid |
$11,019.24
|
| Rate for Payer: PHP Medicaid |
$10,494.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,494.51
|
| Rate for Payer: UHCCP Medicaid |
$10,494.51
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$9,881.10
|
|
|
Service Code
|
APR-DRG 3834
|
| Min. Negotiated Rate |
$9,410.57 |
| Max. Negotiated Rate |
$9,881.10 |
| Rate for Payer: BCBS Complete |
$9,881.10
|
| Rate for Payer: Mclaren Medicaid |
$9,410.57
|
| Rate for Payer: Meridian Medicaid |
$9,881.10
|
| Rate for Payer: PHP Medicaid |
$9,410.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,410.57
|
| Rate for Payer: UHCCP Medicaid |
$9,410.57
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,483.21
|
|
|
Service Code
|
APR-DRG 3831
|
| 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: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 3833
|
| Min. Negotiated Rate |
$4,927.00 |
| Max. Negotiated Rate |
$5,173.35 |
| Rate for Payer: BCBS Complete |
$5,173.35
|
| Rate for Payer: Mclaren Medicaid |
$4,927.00
|
| Rate for Payer: Meridian Medicaid |
$5,173.35
|
| Rate for Payer: PHP Medicaid |
$4,927.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,927.00
|
| Rate for Payer: UHCCP Medicaid |
$4,927.00
|
|