|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$8,587.76
|
|
|
Service Code
|
APR-DRG 3463
|
| Min. Negotiated Rate |
$8,178.82 |
| Max. Negotiated Rate |
$8,587.76 |
| Rate for Payer: BCBS Complete |
$8,587.76
|
| Rate for Payer: Mclaren Medicaid |
$8,178.82
|
| Rate for Payer: Meridian Medicaid |
$8,587.76
|
| Rate for Payer: PHP Medicaid |
$8,178.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,178.82
|
| Rate for Payer: UHCCP Medicaid |
$8,178.82
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$15,726.98
|
|
|
Service Code
|
APR-DRG 3464
|
| Min. Negotiated Rate |
$14,978.08 |
| Max. Negotiated Rate |
$15,726.98 |
| Rate for Payer: BCBS Complete |
$15,726.98
|
| Rate for Payer: Mclaren Medicaid |
$14,978.08
|
| Rate for Payer: Meridian Medicaid |
$15,726.98
|
| Rate for Payer: PHP Medicaid |
$14,978.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,978.08
|
| Rate for Payer: UHCCP Medicaid |
$14,978.08
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$5,742.42
|
|
|
Service Code
|
APR-DRG 3462
|
| Min. Negotiated Rate |
$5,468.97 |
| Max. Negotiated Rate |
$5,742.42 |
| Rate for Payer: BCBS Complete |
$5,742.42
|
| Rate for Payer: Mclaren Medicaid |
$5,468.97
|
| Rate for Payer: Meridian Medicaid |
$5,742.42
|
| Rate for Payer: PHP Medicaid |
$5,468.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,468.97
|
| Rate for Payer: UHCCP Medicaid |
$5,468.97
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$10,294.97
|
|
|
Service Code
|
APR-DRG 3844
|
| Min. Negotiated Rate |
$9,804.73 |
| Max. Negotiated Rate |
$10,294.97 |
| Rate for Payer: BCBS Complete |
$10,294.97
|
| Rate for Payer: Mclaren Medicaid |
$9,804.73
|
| Rate for Payer: Meridian Medicaid |
$10,294.97
|
| Rate for Payer: PHP Medicaid |
$9,804.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,804.73
|
| Rate for Payer: UHCCP Medicaid |
$9,804.73
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 3841
|
| Min. Negotiated Rate |
$3,498.17 |
| Max. Negotiated Rate |
$3,673.08 |
| Rate for Payer: BCBS Complete |
$3,673.08
|
| Rate for Payer: Mclaren Medicaid |
$3,498.17
|
| Rate for Payer: Meridian Medicaid |
$3,673.08
|
| Rate for Payer: PHP Medicaid |
$3,498.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,498.17
|
| Rate for Payer: UHCCP Medicaid |
$3,498.17
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 3843
|
| Min. Negotiated Rate |
$6,109.48 |
| Max. Negotiated Rate |
$6,414.95 |
| Rate for Payer: BCBS Complete |
$6,414.95
|
| Rate for Payer: Mclaren Medicaid |
$6,109.48
|
| Rate for Payer: Meridian Medicaid |
$6,414.95
|
| Rate for Payer: PHP Medicaid |
$6,109.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,109.48
|
| Rate for Payer: UHCCP Medicaid |
$6,109.48
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$4,500.81
|
|
|
Service Code
|
APR-DRG 3842
|
| Min. Negotiated Rate |
$4,286.49 |
| Max. Negotiated Rate |
$4,500.81 |
| Rate for Payer: BCBS Complete |
$4,500.81
|
| Rate for Payer: Mclaren Medicaid |
$4,286.49
|
| Rate for Payer: Meridian Medicaid |
$4,500.81
|
| Rate for Payer: PHP Medicaid |
$4,286.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,286.49
|
| Rate for Payer: UHCCP Medicaid |
$4,286.49
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,193.67
|
|
|
Service Code
|
APR-DRG 1652
|
| Min. Negotiated Rate |
$21,136.83 |
| Max. Negotiated Rate |
$22,193.67 |
| Rate for Payer: BCBS Complete |
$22,193.67
|
| Rate for Payer: Mclaren Medicaid |
$21,136.83
|
| Rate for Payer: Meridian Medicaid |
$22,193.67
|
| Rate for Payer: PHP Medicaid |
$21,136.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,136.83
|
| Rate for Payer: UHCCP Medicaid |
$21,136.83
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$27,522.22
|
|
|
Service Code
|
APR-DRG 1653
|
| Min. Negotiated Rate |
$26,211.64 |
| Max. Negotiated Rate |
$27,522.22 |
| Rate for Payer: BCBS Complete |
$27,522.22
|
| Rate for Payer: Mclaren Medicaid |
$26,211.64
|
| Rate for Payer: Meridian Medicaid |
$27,522.22
|
| Rate for Payer: PHP Medicaid |
$26,211.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,211.64
|
| Rate for Payer: UHCCP Medicaid |
$26,211.64
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,865.66
|
|
|
Service Code
|
APR-DRG 1651
|
| Min. Negotiated Rate |
$18,919.68 |
| Max. Negotiated Rate |
$19,865.66 |
| Rate for Payer: BCBS Complete |
$19,865.66
|
| Rate for Payer: Mclaren Medicaid |
$18,919.68
|
| Rate for Payer: Meridian Medicaid |
$19,865.66
|
| Rate for Payer: PHP Medicaid |
$18,919.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,919.68
|
| Rate for Payer: UHCCP Medicaid |
$18,919.68
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$37,041.19
|
|
|
Service Code
|
APR-DRG 1654
|
| Min. Negotiated Rate |
$35,277.32 |
| Max. Negotiated Rate |
$37,041.19 |
| Rate for Payer: BCBS Complete |
$37,041.19
|
| Rate for Payer: Mclaren Medicaid |
$35,277.32
|
| Rate for Payer: Meridian Medicaid |
$37,041.19
|
| Rate for Payer: PHP Medicaid |
$35,277.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,277.32
|
| Rate for Payer: UHCCP Medicaid |
$35,277.32
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$33,005.97
|
|
|
Service Code
|
APR-DRG 1664
|
| Min. Negotiated Rate |
$31,434.26 |
| Max. Negotiated Rate |
$33,005.97 |
| Rate for Payer: BCBS Complete |
$33,005.97
|
| Rate for Payer: Mclaren Medicaid |
$31,434.26
|
| Rate for Payer: Meridian Medicaid |
$33,005.97
|
| Rate for Payer: PHP Medicaid |
$31,434.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,434.26
|
| Rate for Payer: UHCCP Medicaid |
$31,434.26
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,400.06
|
|
|
Service Code
|
APR-DRG 1662
|
| 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: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,709.92
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$15,914.21 |
| Max. Negotiated Rate |
$16,709.92 |
| Rate for Payer: BCBS Complete |
$16,709.92
|
| Rate for Payer: Mclaren Medicaid |
$15,914.21
|
| Rate for Payer: Meridian Medicaid |
$16,709.92
|
| Rate for Payer: PHP Medicaid |
$15,914.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,914.21
|
| Rate for Payer: UHCCP Medicaid |
$15,914.21
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,211.28
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$23,058.36 |
| Max. Negotiated Rate |
$24,211.28 |
| Rate for Payer: BCBS Complete |
$24,211.28
|
| Rate for Payer: Mclaren Medicaid |
$23,058.36
|
| Rate for Payer: Meridian Medicaid |
$24,211.28
|
| Rate for Payer: PHP Medicaid |
$23,058.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,058.36
|
| Rate for Payer: UHCCP Medicaid |
$23,058.36
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$35,178.78
|
|
|
Service Code
|
APR-DRG 9104
|
| Min. Negotiated Rate |
$33,503.60 |
| Max. Negotiated Rate |
$35,178.78 |
| Rate for Payer: BCBS Complete |
$35,178.78
|
| Rate for Payer: Mclaren Medicaid |
$33,503.60
|
| Rate for Payer: Meridian Medicaid |
$35,178.78
|
| Rate for Payer: PHP Medicaid |
$33,503.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,503.60
|
| Rate for Payer: UHCCP Medicaid |
$33,503.60
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$22,711.01
|
|
|
Service Code
|
APR-DRG 9103
|
| Min. Negotiated Rate |
$21,629.53 |
| Max. Negotiated Rate |
$22,711.01 |
| Rate for Payer: BCBS Complete |
$22,711.01
|
| Rate for Payer: Mclaren Medicaid |
$21,629.53
|
| Rate for Payer: Meridian Medicaid |
$22,711.01
|
| Rate for Payer: PHP Medicaid |
$21,629.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,629.53
|
| Rate for Payer: UHCCP Medicaid |
$21,629.53
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$13,812.84
|
|
|
Service Code
|
APR-DRG 9102
|
| Min. Negotiated Rate |
$13,155.09 |
| Max. Negotiated Rate |
$13,812.84 |
| Rate for Payer: BCBS Complete |
$13,812.84
|
| Rate for Payer: Mclaren Medicaid |
$13,155.09
|
| Rate for Payer: Meridian Medicaid |
$13,812.84
|
| Rate for Payer: PHP Medicaid |
$13,155.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,155.09
|
| Rate for Payer: UHCCP Medicaid |
$13,155.09
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,881.64
|
|
|
Service Code
|
APR-DRG 9101
|
| Min. Negotiated Rate |
$12,268.23 |
| Max. Negotiated Rate |
$12,881.64 |
| Rate for Payer: BCBS Complete |
$12,881.64
|
| Rate for Payer: Mclaren Medicaid |
$12,268.23
|
| Rate for Payer: Meridian Medicaid |
$12,881.64
|
| Rate for Payer: PHP Medicaid |
$12,268.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,268.23
|
| Rate for Payer: UHCCP Medicaid |
$12,268.23
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$12,209.11
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$11,627.72 |
| Max. Negotiated Rate |
$12,209.11 |
| Rate for Payer: BCBS Complete |
$12,209.11
|
| Rate for Payer: Mclaren Medicaid |
$11,627.72
|
| Rate for Payer: Meridian Medicaid |
$12,209.11
|
| Rate for Payer: PHP Medicaid |
$11,627.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,627.72
|
| Rate for Payer: UHCCP Medicaid |
$11,627.72
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$7,346.16
|
|
|
Service Code
|
APR-DRG 0453
|
| Min. Negotiated Rate |
$6,996.34 |
| Max. Negotiated Rate |
$7,346.16 |
| Rate for Payer: BCBS Complete |
$7,346.16
|
| Rate for Payer: Mclaren Medicaid |
$6,996.34
|
| Rate for Payer: Meridian Medicaid |
$7,346.16
|
| Rate for Payer: PHP Medicaid |
$6,996.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,996.34
|
| Rate for Payer: UHCCP Medicaid |
$6,996.34
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$5,276.82
|
|
|
Service Code
|
APR-DRG 0452
|
| Min. Negotiated Rate |
$5,025.54 |
| Max. Negotiated Rate |
$5,276.82 |
| Rate for Payer: BCBS Complete |
$5,276.82
|
| Rate for Payer: Mclaren Medicaid |
$5,025.54
|
| Rate for Payer: Meridian Medicaid |
$5,276.82
|
| Rate for Payer: PHP Medicaid |
$5,025.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,025.54
|
| Rate for Payer: UHCCP Medicaid |
$5,025.54
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 0451
|
| Min. Negotiated Rate |
$3,892.33 |
| Max. Negotiated Rate |
$4,086.95 |
| Rate for Payer: BCBS Complete |
$4,086.95
|
| Rate for Payer: Mclaren Medicaid |
$3,892.33
|
| Rate for Payer: Meridian Medicaid |
$4,086.95
|
| Rate for Payer: PHP Medicaid |
$3,892.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,892.33
|
| Rate for Payer: UHCCP Medicaid |
$3,892.33
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$14,381.91
|
|
|
Service Code
|
APR-DRG 1314
|
| Min. Negotiated Rate |
$13,697.06 |
| Max. Negotiated Rate |
$14,381.91 |
| Rate for Payer: BCBS Complete |
$14,381.91
|
| Rate for Payer: Mclaren Medicaid |
$13,697.06
|
| Rate for Payer: Meridian Medicaid |
$14,381.91
|
| Rate for Payer: PHP Medicaid |
$13,697.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,697.06
|
| Rate for Payer: UHCCP Medicaid |
$13,697.06
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$12,260.84
|
|
|
Service Code
|
APR-DRG 1313
|
| Min. Negotiated Rate |
$11,676.99 |
| Max. Negotiated Rate |
$12,260.84 |
| Rate for Payer: BCBS Complete |
$12,260.84
|
| Rate for Payer: Mclaren Medicaid |
$11,676.99
|
| Rate for Payer: Meridian Medicaid |
$12,260.84
|
| Rate for Payer: PHP Medicaid |
$11,676.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,676.99
|
| Rate for Payer: UHCCP Medicaid |
$11,676.99
|
|