|
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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 5401
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 5403
|
| 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: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$12,778.17
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$12,169.69 |
| Max. Negotiated Rate |
$12,778.17 |
| Rate for Payer: BCBS Complete |
$12,778.17
|
| Rate for Payer: Mclaren Medicaid |
$12,169.69
|
| Rate for Payer: Meridian Medicaid |
$12,778.17
|
| Rate for Payer: PHP Medicaid |
$12,169.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,169.69
|
| Rate for Payer: UHCCP Medicaid |
$12,169.69
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 5402
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$14,744.05
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$14,041.95 |
| Max. Negotiated Rate |
$14,744.05 |
| Rate for Payer: BCBS Complete |
$14,744.05
|
| Rate for Payer: Mclaren Medicaid |
$14,041.95
|
| Rate for Payer: Meridian Medicaid |
$14,744.05
|
| Rate for Payer: PHP Medicaid |
$14,041.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,041.95
|
| Rate for Payer: UHCCP Medicaid |
$14,041.95
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$7,656.56
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$7,291.96 |
| Max. Negotiated Rate |
$7,656.56 |
| Rate for Payer: BCBS Complete |
$7,656.56
|
| Rate for Payer: Mclaren Medicaid |
$7,291.96
|
| Rate for Payer: Meridian Medicaid |
$7,656.56
|
| Rate for Payer: PHP Medicaid |
$7,291.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,291.96
|
| Rate for Payer: UHCCP Medicaid |
$7,291.96
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 5391
|
| 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: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 5392
|
| Min. Negotiated Rate |
$3,744.52 |
| Max. Negotiated Rate |
$3,931.75 |
| Rate for Payer: BCBS Complete |
$3,931.75
|
| Rate for Payer: Mclaren Medicaid |
$3,744.52
|
| Rate for Payer: Meridian Medicaid |
$3,931.75
|
| Rate for Payer: PHP Medicaid |
$3,744.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,744.52
|
| Rate for Payer: UHCCP Medicaid |
$3,744.52
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 6951
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,226.71
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$13,549.25 |
| Max. Negotiated Rate |
$14,226.71 |
| Rate for Payer: BCBS Complete |
$14,226.71
|
| Rate for Payer: Mclaren Medicaid |
$13,549.25
|
| Rate for Payer: Meridian Medicaid |
$14,226.71
|
| Rate for Payer: PHP Medicaid |
$13,549.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,549.25
|
| Rate for Payer: UHCCP Medicaid |
$13,549.25
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,139.22
|
|
|
Service Code
|
APR-DRG 6952
|
| Min. Negotiated Rate |
$6,799.26 |
| Max. Negotiated Rate |
$7,139.22 |
| Rate for Payer: BCBS Complete |
$7,139.22
|
| Rate for Payer: Mclaren Medicaid |
$6,799.26
|
| Rate for Payer: Meridian Medicaid |
$7,139.22
|
| Rate for Payer: PHP Medicaid |
$6,799.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,799.26
|
| Rate for Payer: UHCCP Medicaid |
$6,799.26
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$28,143.02
|
|
|
Service Code
|
APR-DRG 6954
|
| Min. Negotiated Rate |
$26,802.88 |
| Max. Negotiated Rate |
$28,143.02 |
| Rate for Payer: BCBS Complete |
$28,143.02
|
| Rate for Payer: Mclaren Medicaid |
$26,802.88
|
| Rate for Payer: Meridian Medicaid |
$28,143.02
|
| Rate for Payer: PHP Medicaid |
$26,802.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,802.88
|
| Rate for Payer: UHCCP Medicaid |
$26,802.88
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$4,293.88
|
|
|
Service Code
|
APR-DRG 2033
|
| Min. Negotiated Rate |
$4,089.41 |
| Max. Negotiated Rate |
$4,293.88 |
| Rate for Payer: BCBS Complete |
$4,293.88
|
| Rate for Payer: Mclaren Medicaid |
$4,089.41
|
| Rate for Payer: Meridian Medicaid |
$4,293.88
|
| Rate for Payer: PHP Medicaid |
$4,089.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,089.41
|
| Rate for Payer: UHCCP Medicaid |
$4,089.41
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$6,880.56
|
|
|
Service Code
|
APR-DRG 2034
|
| 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: CHEST PAIN
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 2031
|
| Min. Negotiated Rate |
$2,956.20 |
| Max. Negotiated Rate |
$3,104.01 |
| Rate for Payer: BCBS Complete |
$3,104.01
|
| Rate for Payer: Mclaren Medicaid |
$2,956.20
|
| Rate for Payer: Meridian Medicaid |
$3,104.01
|
| Rate for Payer: PHP Medicaid |
$2,956.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,956.20
|
| Rate for Payer: UHCCP Medicaid |
$2,956.20
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 2032
|
| 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: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$163,684.79
|
|
|
Service Code
|
APR-DRG 0114
|
| Min. Negotiated Rate |
$155,890.28 |
| Max. Negotiated Rate |
$163,684.79 |
| Rate for Payer: BCBS Complete |
$163,684.79
|
| Rate for Payer: Mclaren Medicaid |
$155,890.28
|
| Rate for Payer: Meridian Medicaid |
$163,684.79
|
| Rate for Payer: PHP Medicaid |
$155,890.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$155,890.28
|
| Rate for Payer: UHCCP Medicaid |
$155,890.28
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$47,698.29
|
|
|
Service Code
|
APR-DRG 0111
|
| Min. Negotiated Rate |
$45,426.94 |
| Max. Negotiated Rate |
$47,698.29 |
| Rate for Payer: BCBS Complete |
$47,698.29
|
| Rate for Payer: Mclaren Medicaid |
$45,426.94
|
| Rate for Payer: Meridian Medicaid |
$47,698.29
|
| Rate for Payer: PHP Medicaid |
$45,426.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,426.94
|
| Rate for Payer: UHCCP Medicaid |
$45,426.94
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$121,832.39
|
|
|
Service Code
|
APR-DRG 0113
|
| Min. Negotiated Rate |
$116,030.85 |
| Max. Negotiated Rate |
$121,832.39 |
| Rate for Payer: BCBS Complete |
$121,832.39
|
| Rate for Payer: Mclaren Medicaid |
$116,030.85
|
| Rate for Payer: Meridian Medicaid |
$121,832.39
|
| Rate for Payer: PHP Medicaid |
$116,030.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$116,030.85
|
| Rate for Payer: UHCCP Medicaid |
$116,030.85
|
|
|
APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$96,845.11
|
|
|
Service Code
|
APR-DRG 0112
|
| Min. Negotiated Rate |
$92,233.44 |
| Max. Negotiated Rate |
$96,845.11 |
| Rate for Payer: BCBS Complete |
$96,845.11
|
| Rate for Payer: Mclaren Medicaid |
$92,233.44
|
| Rate for Payer: Meridian Medicaid |
$96,845.11
|
| Rate for Payer: PHP Medicaid |
$92,233.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$92,233.44
|
| Rate for Payer: UHCCP Medicaid |
$92,233.44
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 2631
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: CHOLECYSTECTOMY
|
Facility
|
IP
|
$10,605.37
|
|
|
Service Code
|
APR-DRG 2633
|
| 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: CHOLECYSTECTOMY
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 2632
|
| 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: CHOLECYSTECTOMY
|
Facility
|
IP
|
$17,899.79
|
|
|
Service Code
|
APR-DRG 2634
|
| Min. Negotiated Rate |
$17,047.42 |
| Max. Negotiated Rate |
$17,899.79 |
| Rate for Payer: BCBS Complete |
$17,899.79
|
| Rate for Payer: Mclaren Medicaid |
$17,047.42
|
| Rate for Payer: Meridian Medicaid |
$17,899.79
|
| Rate for Payer: PHP Medicaid |
$17,047.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,047.42
|
| Rate for Payer: UHCCP Medicaid |
$17,047.42
|
|