|
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
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 5401
|
| Min. Negotiated Rate |
$3,990.87 |
| Max. Negotiated Rate |
$4,190.41 |
| Rate for Payer: BCBS Complete |
$4,190.41
|
| Rate for Payer: Mclaren Medicaid |
$3,990.87
|
| Rate for Payer: Meridian Medicaid |
$4,190.41
|
| Rate for Payer: PHP Medicaid |
$3,990.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,990.87
|
| Rate for Payer: UHCCP Medicaid |
$3,990.87
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$15,054.45
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$14,337.57 |
| Max. Negotiated Rate |
$15,054.45 |
| Rate for Payer: BCBS Complete |
$15,054.45
|
| Rate for Payer: Mclaren Medicaid |
$14,337.57
|
| Rate for Payer: Meridian Medicaid |
$15,054.45
|
| Rate for Payer: PHP Medicaid |
$14,337.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,337.57
|
| Rate for Payer: UHCCP Medicaid |
$14,337.57
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 5402
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 5403
|
| Min. Negotiated Rate |
$6,010.94 |
| Max. Negotiated Rate |
$6,311.49 |
| Rate for Payer: BCBS Complete |
$6,311.49
|
| Rate for Payer: Mclaren Medicaid |
$6,010.94
|
| Rate for Payer: Meridian Medicaid |
$6,311.49
|
| Rate for Payer: PHP Medicaid |
$6,010.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,010.94
|
| Rate for Payer: UHCCP Medicaid |
$6,010.94
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$2,690.14
|
|
|
Service Code
|
APR-DRG 5391
|
| Min. Negotiated Rate |
$2,562.04 |
| Max. Negotiated Rate |
$2,690.14 |
| Rate for Payer: BCBS Complete |
$2,690.14
|
| Rate for Payer: Mclaren Medicaid |
$2,562.04
|
| Rate for Payer: Meridian Medicaid |
$2,690.14
|
| Rate for Payer: PHP Medicaid |
$2,562.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,562.04
|
| Rate for Payer: UHCCP Medicaid |
$2,562.04
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$13,088.58
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$12,465.31 |
| Max. Negotiated Rate |
$13,088.58 |
| Rate for Payer: BCBS Complete |
$13,088.58
|
| Rate for Payer: Mclaren Medicaid |
$12,465.31
|
| Rate for Payer: Meridian Medicaid |
$13,088.58
|
| Rate for Payer: PHP Medicaid |
$12,465.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,465.31
|
| Rate for Payer: UHCCP Medicaid |
$12,465.31
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 5392
|
| Min. Negotiated Rate |
$3,301.09 |
| Max. Negotiated Rate |
$3,466.14 |
| Rate for Payer: BCBS Complete |
$3,466.14
|
| Rate for Payer: Mclaren Medicaid |
$3,301.09
|
| Rate for Payer: Meridian Medicaid |
$3,466.14
|
| Rate for Payer: PHP Medicaid |
$3,301.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,301.09
|
| Rate for Payer: UHCCP Medicaid |
$3,301.09
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 6952
|
| 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: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$30,522.76
|
|
|
Service Code
|
APR-DRG 6954
|
| Min. Negotiated Rate |
$29,069.30 |
| Max. Negotiated Rate |
$30,522.76 |
| Rate for Payer: BCBS Complete |
$30,522.76
|
| Rate for Payer: Mclaren Medicaid |
$29,069.30
|
| Rate for Payer: Meridian Medicaid |
$30,522.76
|
| Rate for Payer: PHP Medicaid |
$29,069.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,069.30
|
| Rate for Payer: UHCCP Medicaid |
$29,069.30
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 6951
|
| Min. Negotiated Rate |
$4,631.38 |
| Max. Negotiated Rate |
$4,862.95 |
| Rate for Payer: BCBS Complete |
$4,862.95
|
| Rate for Payer: Mclaren Medicaid |
$4,631.38
|
| Rate for Payer: Meridian Medicaid |
$4,862.95
|
| Rate for Payer: PHP Medicaid |
$4,631.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,631.38
|
| Rate for Payer: UHCCP Medicaid |
$4,631.38
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$15,468.32
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$14,731.73 |
| Max. Negotiated Rate |
$15,468.32 |
| Rate for Payer: BCBS Complete |
$15,468.32
|
| Rate for Payer: Mclaren Medicaid |
$14,731.73
|
| Rate for Payer: Meridian Medicaid |
$15,468.32
|
| Rate for Payer: PHP Medicaid |
$14,731.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,731.73
|
| Rate for Payer: UHCCP Medicaid |
$14,731.73
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$4,811.22
|
|
|
Service Code
|
APR-DRG 2033
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$4,345.61
|
|
|
Service Code
|
APR-DRG 2032
|
| Min. Negotiated Rate |
$4,138.68 |
| Max. Negotiated Rate |
$4,345.61 |
| Rate for Payer: BCBS Complete |
$4,345.61
|
| Rate for Payer: Mclaren Medicaid |
$4,138.68
|
| Rate for Payer: Meridian Medicaid |
$4,345.61
|
| Rate for Payer: PHP Medicaid |
$4,138.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,138.68
|
| Rate for Payer: UHCCP Medicaid |
$4,138.68
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 2031
|
| Min. Negotiated Rate |
$3,695.25 |
| Max. Negotiated Rate |
$3,880.01 |
| Rate for Payer: BCBS Complete |
$3,880.01
|
| Rate for Payer: Mclaren Medicaid |
$3,695.25
|
| Rate for Payer: Meridian Medicaid |
$3,880.01
|
| Rate for Payer: PHP Medicaid |
$3,695.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,695.25
|
| Rate for Payer: UHCCP Medicaid |
$3,695.25
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$7,242.69
|
|
|
Service Code
|
APR-DRG 2034
|
| 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: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$51,164.43
|
|
|
Service Code
|
APR-DRG 0111
|
| Min. Negotiated Rate |
$48,728.03 |
| Max. Negotiated Rate |
$51,164.43 |
| Rate for Payer: BCBS Complete |
$51,164.43
|
| Rate for Payer: Mclaren Medicaid |
$48,728.03
|
| Rate for Payer: Meridian Medicaid |
$51,164.43
|
| Rate for Payer: PHP Medicaid |
$48,728.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$48,728.03
|
| Rate for Payer: UHCCP Medicaid |
$48,728.03
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$130,627.09
|
|
|
Service Code
|
APR-DRG 0113
|
| Min. Negotiated Rate |
$124,406.75 |
| Max. Negotiated Rate |
$130,627.09 |
| Rate for Payer: BCBS Complete |
$130,627.09
|
| Rate for Payer: Mclaren Medicaid |
$124,406.75
|
| Rate for Payer: Meridian Medicaid |
$130,627.09
|
| Rate for Payer: PHP Medicaid |
$124,406.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$124,406.75
|
| Rate for Payer: UHCCP Medicaid |
$124,406.75
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$175,531.77
|
|
|
Service Code
|
APR-DRG 0114
|
| Min. Negotiated Rate |
$167,173.11 |
| Max. Negotiated Rate |
$175,531.77 |
| Rate for Payer: BCBS Complete |
$175,531.77
|
| Rate for Payer: Mclaren Medicaid |
$167,173.11
|
| Rate for Payer: Meridian Medicaid |
$175,531.77
|
| Rate for Payer: PHP Medicaid |
$167,173.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$167,173.11
|
| Rate for Payer: UHCCP Medicaid |
$167,173.11
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$103,829.13
|
|
|
Service Code
|
APR-DRG 0112
|
| Min. Negotiated Rate |
$98,884.89 |
| Max. Negotiated Rate |
$103,829.13 |
| Rate for Payer: BCBS Complete |
$103,829.13
|
| Rate for Payer: Mclaren Medicaid |
$98,884.89
|
| Rate for Payer: Meridian Medicaid |
$103,829.13
|
| Rate for Payer: PHP Medicaid |
$98,884.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$98,884.89
|
| Rate for Payer: UHCCP Medicaid |
$98,884.89
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$19,400.06
|
|
|
Service Code
|
APR-DRG 2634
|
| Min. Negotiated Rate |
$18,476.25 |
| Max. Negotiated Rate |
$19,400.06 |
| Rate for Payer: BCBS Complete |
$19,400.06
|
| Rate for Payer: Mclaren Medicaid |
$18,476.25
|
| Rate for Payer: Meridian Medicaid |
$19,400.06
|
| Rate for Payer: PHP Medicaid |
$18,476.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,476.25
|
| Rate for Payer: UHCCP Medicaid |
$18,476.25
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$8,380.83
|
|
|
Service Code
|
APR-DRG 2632
|
| Min. Negotiated Rate |
$7,981.74 |
| Max. Negotiated Rate |
$8,380.83 |
| Rate for Payer: BCBS Complete |
$8,380.83
|
| Rate for Payer: Mclaren Medicaid |
$7,981.74
|
| Rate for Payer: Meridian Medicaid |
$8,380.83
|
| Rate for Payer: PHP Medicaid |
$7,981.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,981.74
|
| Rate for Payer: UHCCP Medicaid |
$7,981.74
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 2631
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$11,536.57
|
|
|
Service Code
|
APR-DRG 2633
|
| Min. Negotiated Rate |
$10,987.21 |
| Max. Negotiated Rate |
$11,536.57 |
| Rate for Payer: BCBS Complete |
$11,536.57
|
| Rate for Payer: Mclaren Medicaid |
$10,987.21
|
| Rate for Payer: Meridian Medicaid |
$11,536.57
|
| Rate for Payer: PHP Medicaid |
$10,987.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,987.21
|
| Rate for Payer: UHCCP Medicaid |
$10,987.21
|
|