|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 2401
|
| Min. Negotiated Rate |
$3,941.60 |
| Max. Negotiated Rate |
$4,138.68 |
| Rate for Payer: BCBS Complete |
$4,138.68
|
| Rate for Payer: Mclaren Medicaid |
$3,941.60
|
| Rate for Payer: Meridian Medicaid |
$4,138.68
|
| Rate for Payer: PHP Medicaid |
$3,941.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,941.60
|
| Rate for Payer: UHCCP Medicaid |
$3,941.60
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 5172
|
| Min. Negotiated Rate |
$5,567.51 |
| Max. Negotiated Rate |
$5,845.89 |
| Rate for Payer: BCBS Complete |
$5,845.89
|
| Rate for Payer: Mclaren Medicaid |
$5,567.51
|
| Rate for Payer: Meridian Medicaid |
$5,845.89
|
| Rate for Payer: PHP Medicaid |
$5,567.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,567.51
|
| Rate for Payer: UHCCP Medicaid |
$5,567.51
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$13,398.98
|
|
|
Service Code
|
APR-DRG 5174
|
| Min. Negotiated Rate |
$12,760.93 |
| Max. Negotiated Rate |
$13,398.98 |
| Rate for Payer: BCBS Complete |
$13,398.98
|
| Rate for Payer: Mclaren Medicaid |
$12,760.93
|
| Rate for Payer: Meridian Medicaid |
$13,398.98
|
| Rate for Payer: PHP Medicaid |
$12,760.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,760.93
|
| Rate for Payer: UHCCP Medicaid |
$12,760.93
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$8,742.96
|
|
|
Service Code
|
APR-DRG 5173
|
| Min. Negotiated Rate |
$8,326.63 |
| Max. Negotiated Rate |
$8,742.96 |
| Rate for Payer: BCBS Complete |
$8,742.96
|
| Rate for Payer: Mclaren Medicaid |
$8,326.63
|
| Rate for Payer: Meridian Medicaid |
$8,742.96
|
| Rate for Payer: PHP Medicaid |
$8,326.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,326.63
|
| Rate for Payer: UHCCP Medicaid |
$8,326.63
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$4,293.88
|
|
|
Service Code
|
APR-DRG 5171
|
| 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: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$5,018.15
|
|
|
Service Code
|
APR-DRG 2842
|
| Min. Negotiated Rate |
$4,779.19 |
| Max. Negotiated Rate |
$5,018.15 |
| Rate for Payer: BCBS Complete |
$5,018.15
|
| Rate for Payer: Mclaren Medicaid |
$4,779.19
|
| Rate for Payer: Meridian Medicaid |
$5,018.15
|
| Rate for Payer: PHP Medicaid |
$4,779.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,779.19
|
| Rate for Payer: UHCCP Medicaid |
$4,779.19
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 2843
|
| Min. Negotiated Rate |
$6,602.18 |
| Max. Negotiated Rate |
$6,932.29 |
| Rate for Payer: BCBS Complete |
$6,932.29
|
| Rate for Payer: Mclaren Medicaid |
$6,602.18
|
| Rate for Payer: Meridian Medicaid |
$6,932.29
|
| Rate for Payer: PHP Medicaid |
$6,602.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,602.18
|
| Rate for Payer: UHCCP Medicaid |
$6,602.18
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 2841
|
| 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: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$11,640.04
|
|
|
Service Code
|
APR-DRG 2844
|
| Min. Negotiated Rate |
$11,085.75 |
| Max. Negotiated Rate |
$11,640.04 |
| Rate for Payer: BCBS Complete |
$11,640.04
|
| Rate for Payer: Mclaren Medicaid |
$11,085.75
|
| Rate for Payer: Meridian Medicaid |
$11,640.04
|
| Rate for Payer: PHP Medicaid |
$11,085.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,085.75
|
| Rate for Payer: UHCCP Medicaid |
$11,085.75
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$13,605.91
|
|
|
Service Code
|
APR-DRG 2824
|
| Min. Negotiated Rate |
$12,958.01 |
| Max. Negotiated Rate |
$13,605.91 |
| Rate for Payer: BCBS Complete |
$13,605.91
|
| Rate for Payer: Mclaren Medicaid |
$12,958.01
|
| Rate for Payer: Meridian Medicaid |
$13,605.91
|
| Rate for Payer: PHP Medicaid |
$12,958.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,958.01
|
| Rate for Payer: UHCCP Medicaid |
$12,958.01
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 2821
|
| Min. Negotiated Rate |
$2,709.85 |
| Max. Negotiated Rate |
$2,845.34 |
| Rate for Payer: BCBS Complete |
$2,845.34
|
| Rate for Payer: Mclaren Medicaid |
$2,709.85
|
| Rate for Payer: Meridian Medicaid |
$2,845.34
|
| Rate for Payer: PHP Medicaid |
$2,709.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,709.85
|
| Rate for Payer: UHCCP Medicaid |
$2,709.85
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 2823
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 2822
|
| 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: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$5,897.62
|
|
|
Service Code
|
APR-DRG 2443
|
| 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: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$2,741.88
|
|
|
Service Code
|
APR-DRG 2441
|
| Min. Negotiated Rate |
$2,611.31 |
| Max. Negotiated Rate |
$2,741.88 |
| Rate for Payer: BCBS Complete |
$2,741.88
|
| Rate for Payer: Mclaren Medicaid |
$2,611.31
|
| Rate for Payer: Meridian Medicaid |
$2,741.88
|
| Rate for Payer: PHP Medicaid |
$2,611.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,611.31
|
| Rate for Payer: UHCCP Medicaid |
$2,611.31
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 2442
|
| Min. Negotiated Rate |
$3,596.71 |
| Max. Negotiated Rate |
$3,776.55 |
| Rate for Payer: BCBS Complete |
$3,776.55
|
| Rate for Payer: Mclaren Medicaid |
$3,596.71
|
| Rate for Payer: Meridian Medicaid |
$3,776.55
|
| Rate for Payer: PHP Medicaid |
$3,596.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,596.71
|
| Rate for Payer: UHCCP Medicaid |
$3,596.71
|
|
|
APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
|
Facility
|
IP
|
$10,812.30
|
|
|
Service Code
|
APR-DRG 2444
|
| Min. Negotiated Rate |
$10,297.43 |
| Max. Negotiated Rate |
$10,812.30 |
| Rate for Payer: BCBS Complete |
$10,812.30
|
| Rate for Payer: Mclaren Medicaid |
$10,297.43
|
| Rate for Payer: Meridian Medicaid |
$10,812.30
|
| Rate for Payer: PHP Medicaid |
$10,297.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,297.43
|
| Rate for Payer: UHCCP Medicaid |
$10,297.43
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$17,485.92
|
|
|
Service Code
|
APR-DRG 3042
|
| Min. Negotiated Rate |
$16,653.26 |
| Max. Negotiated Rate |
$17,485.92 |
| Rate for Payer: BCBS Complete |
$17,485.92
|
| Rate for Payer: Mclaren Medicaid |
$16,653.26
|
| Rate for Payer: Meridian Medicaid |
$17,485.92
|
| Rate for Payer: PHP Medicaid |
$16,653.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,653.26
|
| Rate for Payer: UHCCP Medicaid |
$16,653.26
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$24,366.48
|
|
|
Service Code
|
APR-DRG 3043
|
| Min. Negotiated Rate |
$23,206.17 |
| Max. Negotiated Rate |
$24,366.48 |
| Rate for Payer: BCBS Complete |
$24,366.48
|
| Rate for Payer: Mclaren Medicaid |
$23,206.17
|
| Rate for Payer: Meridian Medicaid |
$24,366.48
|
| Rate for Payer: PHP Medicaid |
$23,206.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,206.17
|
| Rate for Payer: UHCCP Medicaid |
$23,206.17
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$33,057.71
|
|
|
Service Code
|
APR-DRG 3044
|
| Min. Negotiated Rate |
$31,483.53 |
| Max. Negotiated Rate |
$33,057.71 |
| Rate for Payer: BCBS Complete |
$33,057.71
|
| Rate for Payer: Mclaren Medicaid |
$31,483.53
|
| Rate for Payer: Meridian Medicaid |
$33,057.71
|
| Rate for Payer: PHP Medicaid |
$31,483.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,483.53
|
| Rate for Payer: UHCCP Medicaid |
$31,483.53
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$12,829.91
|
|
|
Service Code
|
APR-DRG 3041
|
| 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: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$46,870.55
|
|
|
Service Code
|
APR-DRG 3034
|
| Min. Negotiated Rate |
$44,638.62 |
| Max. Negotiated Rate |
$46,870.55 |
| Rate for Payer: BCBS Complete |
$46,870.55
|
| Rate for Payer: Mclaren Medicaid |
$44,638.62
|
| Rate for Payer: Meridian Medicaid |
$46,870.55
|
| Rate for Payer: PHP Medicaid |
$44,638.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,638.62
|
| Rate for Payer: UHCCP Medicaid |
$44,638.62
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$32,540.37
|
|
|
Service Code
|
APR-DRG 3033
|
| Min. Negotiated Rate |
$30,990.83 |
| Max. Negotiated Rate |
$32,540.37 |
| Rate for Payer: BCBS Complete |
$32,540.37
|
| Rate for Payer: Mclaren Medicaid |
$30,990.83
|
| Rate for Payer: Meridian Medicaid |
$32,540.37
|
| Rate for Payer: PHP Medicaid |
$30,990.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,990.83
|
| Rate for Payer: UHCCP Medicaid |
$30,990.83
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$23,642.21
|
|
|
Service Code
|
APR-DRG 3032
|
| Min. Negotiated Rate |
$22,516.39 |
| Max. Negotiated Rate |
$23,642.21 |
| Rate for Payer: BCBS Complete |
$23,642.21
|
| Rate for Payer: Mclaren Medicaid |
$22,516.39
|
| Rate for Payer: Meridian Medicaid |
$23,642.21
|
| Rate for Payer: PHP Medicaid |
$22,516.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,516.39
|
| Rate for Payer: UHCCP Medicaid |
$22,516.39
|
|
|
APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
|
Facility
|
IP
|
$20,486.47
|
|
|
Service Code
|
APR-DRG 3031
|
| Min. Negotiated Rate |
$19,510.92 |
| Max. Negotiated Rate |
$20,486.47 |
| Rate for Payer: BCBS Complete |
$20,486.47
|
| Rate for Payer: Mclaren Medicaid |
$19,510.92
|
| Rate for Payer: Meridian Medicaid |
$20,486.47
|
| Rate for Payer: PHP Medicaid |
$19,510.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,510.92
|
| Rate for Payer: UHCCP Medicaid |
$19,510.92
|
|