|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$7,915.23
|
|
|
Service Code
|
APR-DRG 3463
|
| Min. Negotiated Rate |
$7,538.31 |
| Max. Negotiated Rate |
$7,915.23 |
| Rate for Payer: BCBS Complete |
$7,915.23
|
| Rate for Payer: Mclaren Medicaid |
$7,538.31
|
| Rate for Payer: Meridian Medicaid |
$7,915.23
|
| Rate for Payer: PHP Medicaid |
$7,538.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,538.31
|
| Rate for Payer: UHCCP Medicaid |
$7,538.31
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 3461
|
| Min. Negotiated Rate |
$4,729.92 |
| Max. Negotiated Rate |
$4,966.42 |
| Rate for Payer: BCBS Complete |
$4,966.42
|
| Rate for Payer: Mclaren Medicaid |
$4,729.92
|
| Rate for Payer: Meridian Medicaid |
$4,966.42
|
| Rate for Payer: PHP Medicaid |
$4,729.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,729.92
|
| Rate for Payer: UHCCP Medicaid |
$4,729.92
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$14,330.18
|
|
|
Service Code
|
APR-DRG 3464
|
| Min. Negotiated Rate |
$13,647.79 |
| Max. Negotiated Rate |
$14,330.18 |
| Rate for Payer: BCBS Complete |
$14,330.18
|
| Rate for Payer: Mclaren Medicaid |
$13,647.79
|
| Rate for Payer: Meridian Medicaid |
$14,330.18
|
| Rate for Payer: PHP Medicaid |
$13,647.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,647.79
|
| Rate for Payer: UHCCP Medicaid |
$13,647.79
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 3841
|
| Min. Negotiated Rate |
$3,399.63 |
| Max. Negotiated Rate |
$3,569.61 |
| Rate for Payer: BCBS Complete |
$3,569.61
|
| Rate for Payer: Mclaren Medicaid |
$3,399.63
|
| Rate for Payer: Meridian Medicaid |
$3,569.61
|
| Rate for Payer: PHP Medicaid |
$3,399.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,399.63
|
| Rate for Payer: UHCCP Medicaid |
$3,399.63
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 3842
|
| Min. Negotiated Rate |
$4,385.03 |
| Max. Negotiated Rate |
$4,604.28 |
| Rate for Payer: BCBS Complete |
$4,604.28
|
| Rate for Payer: Mclaren Medicaid |
$4,385.03
|
| Rate for Payer: Meridian Medicaid |
$4,604.28
|
| Rate for Payer: PHP Medicaid |
$4,385.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,385.03
|
| Rate for Payer: UHCCP Medicaid |
$4,385.03
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$7,449.62
|
|
|
Service Code
|
APR-DRG 3843
|
| Min. Negotiated Rate |
$7,094.88 |
| Max. Negotiated Rate |
$7,449.62 |
| Rate for Payer: BCBS Complete |
$7,449.62
|
| Rate for Payer: Mclaren Medicaid |
$7,094.88
|
| Rate for Payer: Meridian Medicaid |
$7,449.62
|
| Rate for Payer: PHP Medicaid |
$7,094.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,094.88
|
| Rate for Payer: UHCCP Medicaid |
$7,094.88
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$12,053.91
|
|
|
Service Code
|
APR-DRG 3844
|
| Min. Negotiated Rate |
$11,479.91 |
| Max. Negotiated Rate |
$12,053.91 |
| Rate for Payer: BCBS Complete |
$12,053.91
|
| Rate for Payer: Mclaren Medicaid |
$11,479.91
|
| Rate for Payer: Meridian Medicaid |
$12,053.91
|
| Rate for Payer: PHP Medicaid |
$11,479.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,479.91
|
| Rate for Payer: UHCCP Medicaid |
$11,479.91
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$28,608.63
|
|
|
Service Code
|
APR-DRG 1653
|
| Min. Negotiated Rate |
$27,246.31 |
| Max. Negotiated Rate |
$28,608.63 |
| Rate for Payer: BCBS Complete |
$28,608.63
|
| Rate for Payer: Mclaren Medicaid |
$27,246.31
|
| Rate for Payer: Meridian Medicaid |
$28,608.63
|
| Rate for Payer: PHP Medicaid |
$27,246.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,246.31
|
| Rate for Payer: UHCCP Medicaid |
$27,246.31
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$31,816.10
|
|
|
Service Code
|
APR-DRG 1654
|
| Min. Negotiated Rate |
$30,301.05 |
| Max. Negotiated Rate |
$31,816.10 |
| Rate for Payer: BCBS Complete |
$31,816.10
|
| Rate for Payer: Mclaren Medicaid |
$30,301.05
|
| Rate for Payer: Meridian Medicaid |
$31,816.10
|
| Rate for Payer: PHP Medicaid |
$30,301.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,301.05
|
| Rate for Payer: UHCCP Medicaid |
$30,301.05
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$23,693.94
|
|
|
Service Code
|
APR-DRG 1652
|
| Min. Negotiated Rate |
$22,565.66 |
| Max. Negotiated Rate |
$23,693.94 |
| Rate for Payer: BCBS Complete |
$23,693.94
|
| Rate for Payer: Mclaren Medicaid |
$22,565.66
|
| Rate for Payer: Meridian Medicaid |
$23,693.94
|
| Rate for Payer: PHP Medicaid |
$22,565.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,565.66
|
| Rate for Payer: UHCCP Medicaid |
$22,565.66
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,055.53
|
|
|
Service Code
|
APR-DRG 1651
|
| Min. Negotiated Rate |
$20,052.89 |
| Max. Negotiated Rate |
$21,055.53 |
| Rate for Payer: BCBS Complete |
$21,055.53
|
| Rate for Payer: Mclaren Medicaid |
$20,052.89
|
| Rate for Payer: Meridian Medicaid |
$21,055.53
|
| Rate for Payer: PHP Medicaid |
$20,052.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,052.89
|
| Rate for Payer: UHCCP Medicaid |
$20,052.89
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,331.27
|
|
|
Service Code
|
APR-DRG 1662
|
| Min. Negotiated Rate |
$19,363.11 |
| Max. Negotiated Rate |
$20,331.27 |
| Rate for Payer: BCBS Complete |
$20,331.27
|
| Rate for Payer: Mclaren Medicaid |
$19,363.11
|
| Rate for Payer: Meridian Medicaid |
$20,331.27
|
| Rate for Payer: PHP Medicaid |
$19,363.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,363.11
|
| Rate for Payer: UHCCP Medicaid |
$19,363.11
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$32,592.10
|
|
|
Service Code
|
APR-DRG 1664
|
| Min. Negotiated Rate |
$31,040.10 |
| Max. Negotiated Rate |
$32,592.10 |
| Rate for Payer: BCBS Complete |
$32,592.10
|
| Rate for Payer: Mclaren Medicaid |
$31,040.10
|
| Rate for Payer: Meridian Medicaid |
$32,592.10
|
| Rate for Payer: PHP Medicaid |
$31,040.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,040.10
|
| Rate for Payer: UHCCP Medicaid |
$31,040.10
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,968.59
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$16,160.56 |
| Max. Negotiated Rate |
$16,968.59 |
| Rate for Payer: BCBS Complete |
$16,968.59
|
| Rate for Payer: Mclaren Medicaid |
$16,160.56
|
| Rate for Payer: Meridian Medicaid |
$16,968.59
|
| Rate for Payer: PHP Medicaid |
$16,160.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,160.56
|
| Rate for Payer: UHCCP Medicaid |
$16,160.56
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,624.60
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$20,594.86 |
| Max. Negotiated Rate |
$21,624.60 |
| Rate for Payer: BCBS Complete |
$21,624.60
|
| Rate for Payer: Mclaren Medicaid |
$20,594.86
|
| Rate for Payer: Meridian Medicaid |
$21,624.60
|
| Rate for Payer: PHP Medicaid |
$20,594.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,594.86
|
| Rate for Payer: UHCCP Medicaid |
$20,594.86
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,071.51
|
|
|
Service Code
|
APR-DRG 9101
|
| Min. Negotiated Rate |
$13,401.44 |
| Max. Negotiated Rate |
$14,071.51 |
| Rate for Payer: BCBS Complete |
$14,071.51
|
| Rate for Payer: Mclaren Medicaid |
$13,401.44
|
| Rate for Payer: Meridian Medicaid |
$14,071.51
|
| Rate for Payer: PHP Medicaid |
$13,401.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,401.44
|
| Rate for Payer: UHCCP Medicaid |
$13,401.44
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$30,471.03
|
|
|
Service Code
|
APR-DRG 9104
|
| Min. Negotiated Rate |
$29,020.03 |
| Max. Negotiated Rate |
$30,471.03 |
| Rate for Payer: BCBS Complete |
$30,471.03
|
| Rate for Payer: Mclaren Medicaid |
$29,020.03
|
| Rate for Payer: Meridian Medicaid |
$30,471.03
|
| Rate for Payer: PHP Medicaid |
$29,020.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,020.03
|
| Rate for Payer: UHCCP Medicaid |
$29,020.03
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$24,883.81
|
|
|
Service Code
|
APR-DRG 9103
|
| Min. Negotiated Rate |
$23,698.87 |
| Max. Negotiated Rate |
$24,883.81 |
| Rate for Payer: BCBS Complete |
$24,883.81
|
| Rate for Payer: Mclaren Medicaid |
$23,698.87
|
| Rate for Payer: Meridian Medicaid |
$24,883.81
|
| Rate for Payer: PHP Medicaid |
$23,698.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,698.87
|
| Rate for Payer: UHCCP Medicaid |
$23,698.87
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,002.72
|
|
|
Service Code
|
APR-DRG 9102
|
| Min. Negotiated Rate |
$14,288.30 |
| Max. Negotiated Rate |
$15,002.72 |
| Rate for Payer: BCBS Complete |
$15,002.72
|
| Rate for Payer: Mclaren Medicaid |
$14,288.30
|
| Rate for Payer: Meridian Medicaid |
$15,002.72
|
| Rate for Payer: PHP Medicaid |
$14,288.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,288.30
|
| Rate for Payer: UHCCP Medicaid |
$14,288.30
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$12,829.91
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$12,218.96 |
| Max. Negotiated Rate |
$12,829.91 |
| Rate for Payer: BCBS Complete |
$12,829.91
|
| Rate for Payer: Mclaren Medicaid |
$12,218.96
|
| Rate for Payer: Meridian Medicaid |
$12,829.91
|
| Rate for Payer: PHP Medicaid |
$12,218.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,218.96
|
| Rate for Payer: UHCCP Medicaid |
$12,218.96
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$8,587.76
|
|
|
Service Code
|
APR-DRG 0453
|
| 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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 0452
|
| 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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 0451
|
| Min. Negotiated Rate |
$4,532.84 |
| Max. Negotiated Rate |
$4,759.48 |
| Rate for Payer: BCBS Complete |
$4,759.48
|
| Rate for Payer: Mclaren Medicaid |
$4,532.84
|
| Rate for Payer: Meridian Medicaid |
$4,759.48
|
| Rate for Payer: PHP Medicaid |
$4,532.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,532.84
|
| Rate for Payer: UHCCP Medicaid |
$4,532.84
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$15,778.72
|
|
|
Service Code
|
APR-DRG 1314
|
| Min. Negotiated Rate |
$15,027.35 |
| Max. Negotiated Rate |
$15,778.72 |
| Rate for Payer: BCBS Complete |
$15,778.72
|
| Rate for Payer: Mclaren Medicaid |
$15,027.35
|
| Rate for Payer: Meridian Medicaid |
$15,778.72
|
| Rate for Payer: PHP Medicaid |
$15,027.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,027.35
|
| Rate for Payer: UHCCP Medicaid |
$15,027.35
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 1311
|
| Min. Negotiated Rate |
$6,848.53 |
| Max. Negotiated Rate |
$7,190.96 |
| Rate for Payer: BCBS Complete |
$7,190.96
|
| Rate for Payer: Mclaren Medicaid |
$6,848.53
|
| Rate for Payer: Meridian Medicaid |
$7,190.96
|
| Rate for Payer: PHP Medicaid |
$6,848.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,848.53
|
| Rate for Payer: UHCCP Medicaid |
$6,848.53
|
|