|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 0822
|
| 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: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 0823
|
| Min. Negotiated Rate |
$5,912.40 |
| Max. Negotiated Rate |
$6,208.02 |
| Rate for Payer: BCBS Complete |
$6,208.02
|
| Rate for Payer: Mclaren Medicaid |
$5,912.40
|
| Rate for Payer: Meridian Medicaid |
$6,208.02
|
| Rate for Payer: PHP Medicaid |
$5,912.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,912.40
|
| Rate for Payer: UHCCP Medicaid |
$5,912.40
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$15,054.45
|
|
|
Service Code
|
APR-DRG 0923
|
| 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: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 0921
|
| Min. Negotiated Rate |
$7,784.66 |
| Max. Negotiated Rate |
$8,173.89 |
| Rate for Payer: BCBS Complete |
$8,173.89
|
| Rate for Payer: Mclaren Medicaid |
$7,784.66
|
| Rate for Payer: Meridian Medicaid |
$8,173.89
|
| Rate for Payer: PHP Medicaid |
$7,784.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,784.66
|
| Rate for Payer: UHCCP Medicaid |
$7,784.66
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 0922
|
| Min. Negotiated Rate |
$9,755.46 |
| Max. Negotiated Rate |
$10,243.23 |
| Rate for Payer: BCBS Complete |
$10,243.23
|
| Rate for Payer: Mclaren Medicaid |
$9,755.46
|
| Rate for Payer: Meridian Medicaid |
$10,243.23
|
| Rate for Payer: PHP Medicaid |
$9,755.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,755.46
|
| Rate for Payer: UHCCP Medicaid |
$9,755.46
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$26,487.55
|
|
|
Service Code
|
APR-DRG 0924
|
| Min. Negotiated Rate |
$25,226.24 |
| Max. Negotiated Rate |
$26,487.55 |
| Rate for Payer: BCBS Complete |
$26,487.55
|
| Rate for Payer: Mclaren Medicaid |
$25,226.24
|
| Rate for Payer: Meridian Medicaid |
$26,487.55
|
| Rate for Payer: PHP Medicaid |
$25,226.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,226.24
|
| Rate for Payer: UHCCP Medicaid |
$25,226.24
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,621.34
|
|
|
Service Code
|
APR-DRG 5312
|
| Min. Negotiated Rate |
$3,448.90 |
| Max. Negotiated Rate |
$3,621.34 |
| Rate for Payer: BCBS Complete |
$3,621.34
|
| Rate for Payer: Mclaren Medicaid |
$3,448.90
|
| Rate for Payer: Meridian Medicaid |
$3,621.34
|
| Rate for Payer: PHP Medicaid |
$3,448.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,448.90
|
| Rate for Payer: UHCCP Medicaid |
$3,448.90
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$11,329.64
|
|
|
Service Code
|
APR-DRG 5314
|
| Min. Negotiated Rate |
$10,790.13 |
| Max. Negotiated Rate |
$11,329.64 |
| Rate for Payer: BCBS Complete |
$11,329.64
|
| Rate for Payer: Mclaren Medicaid |
$10,790.13
|
| Rate for Payer: Meridian Medicaid |
$11,329.64
|
| Rate for Payer: PHP Medicaid |
$10,790.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,790.13
|
| Rate for Payer: UHCCP Medicaid |
$10,790.13
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$6,104.55
|
|
|
Service Code
|
APR-DRG 5313
|
| Min. Negotiated Rate |
$5,813.86 |
| Max. Negotiated Rate |
$6,104.55 |
| Rate for Payer: BCBS Complete |
$6,104.55
|
| Rate for Payer: Mclaren Medicaid |
$5,813.86
|
| Rate for Payer: Meridian Medicaid |
$6,104.55
|
| Rate for Payer: PHP Medicaid |
$5,813.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,813.86
|
| Rate for Payer: UHCCP Medicaid |
$5,813.86
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$2,741.88
|
|
|
Service Code
|
APR-DRG 5311
|
| 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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 5303
|
| 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
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 5302
|
| Min. Negotiated Rate |
$4,483.57 |
| Max. Negotiated Rate |
$4,707.75 |
| Rate for Payer: BCBS Complete |
$4,707.75
|
| Rate for Payer: Mclaren Medicaid |
$4,483.57
|
| Rate for Payer: Meridian Medicaid |
$4,707.75
|
| Rate for Payer: PHP Medicaid |
$4,483.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.57
|
| Rate for Payer: UHCCP Medicaid |
$4,483.57
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$11,381.37
|
|
|
Service Code
|
APR-DRG 5304
|
| Min. Negotiated Rate |
$10,839.40 |
| Max. Negotiated Rate |
$11,381.37 |
| Rate for Payer: BCBS Complete |
$11,381.37
|
| Rate for Payer: Mclaren Medicaid |
$10,839.40
|
| Rate for Payer: Meridian Medicaid |
$11,381.37
|
| Rate for Payer: PHP Medicaid |
$10,839.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,839.40
|
| Rate for Payer: UHCCP Medicaid |
$10,839.40
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 5301
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 5143
|
| Min. Negotiated Rate |
$9,755.46 |
| Max. Negotiated Rate |
$10,243.23 |
| Rate for Payer: BCBS Complete |
$10,243.23
|
| Rate for Payer: Mclaren Medicaid |
$9,755.46
|
| Rate for Payer: Meridian Medicaid |
$10,243.23
|
| Rate for Payer: PHP Medicaid |
$9,755.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,755.46
|
| Rate for Payer: UHCCP Medicaid |
$9,755.46
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$5,483.75
|
|
|
Service Code
|
APR-DRG 5141
|
| Min. Negotiated Rate |
$5,222.62 |
| Max. Negotiated Rate |
$5,483.75 |
| Rate for Payer: BCBS Complete |
$5,483.75
|
| Rate for Payer: Mclaren Medicaid |
$5,222.62
|
| Rate for Payer: Meridian Medicaid |
$5,483.75
|
| Rate for Payer: PHP Medicaid |
$5,222.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,222.62
|
| Rate for Payer: UHCCP Medicaid |
$5,222.62
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$21,210.74
|
|
|
Service Code
|
APR-DRG 5144
|
| Min. Negotiated Rate |
$20,200.70 |
| Max. Negotiated Rate |
$21,210.74 |
| Rate for Payer: BCBS Complete |
$21,210.74
|
| Rate for Payer: Mclaren Medicaid |
$20,200.70
|
| Rate for Payer: Meridian Medicaid |
$21,210.74
|
| Rate for Payer: PHP Medicaid |
$20,200.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,200.70
|
| Rate for Payer: UHCCP Medicaid |
$20,200.70
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 5142
|
| Min. Negotiated Rate |
$7,784.66 |
| Max. Negotiated Rate |
$8,173.89 |
| Rate for Payer: BCBS Complete |
$8,173.89
|
| Rate for Payer: Mclaren Medicaid |
$7,784.66
|
| Rate for Payer: Meridian Medicaid |
$8,173.89
|
| Rate for Payer: PHP Medicaid |
$7,784.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,784.66
|
| Rate for Payer: UHCCP Medicaid |
$7,784.66
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,431.47
|
|
|
Service Code
|
APR-DRG 7221
|
| Min. Negotiated Rate |
$2,315.69 |
| Max. Negotiated Rate |
$2,431.47 |
| Rate for Payer: BCBS Complete |
$2,431.47
|
| Rate for Payer: Mclaren Medicaid |
$2,315.69
|
| Rate for Payer: Meridian Medicaid |
$2,431.47
|
| Rate for Payer: PHP Medicaid |
$2,315.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,315.69
|
| Rate for Payer: UHCCP Medicaid |
$2,315.69
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 7223
|
| Min. Negotiated Rate |
$4,335.76 |
| Max. Negotiated Rate |
$4,552.55 |
| Rate for Payer: BCBS Complete |
$4,552.55
|
| Rate for Payer: Mclaren Medicaid |
$4,335.76
|
| Rate for Payer: Meridian Medicaid |
$4,552.55
|
| Rate for Payer: PHP Medicaid |
$4,335.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,335.76
|
| Rate for Payer: UHCCP Medicaid |
$4,335.76
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$7,087.49
|
|
|
Service Code
|
APR-DRG 7224
|
| Min. Negotiated Rate |
$6,749.99 |
| Max. Negotiated Rate |
$7,087.49 |
| Rate for Payer: BCBS Complete |
$7,087.49
|
| Rate for Payer: Mclaren Medicaid |
$6,749.99
|
| Rate for Payer: Meridian Medicaid |
$7,087.49
|
| Rate for Payer: PHP Medicaid |
$6,749.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,749.99
|
| Rate for Payer: UHCCP Medicaid |
$6,749.99
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 7222
|
| Min. Negotiated Rate |
$3,153.28 |
| Max. Negotiated Rate |
$3,310.94 |
| Rate for Payer: BCBS Complete |
$3,310.94
|
| Rate for Payer: Mclaren Medicaid |
$3,153.28
|
| Rate for Payer: Meridian Medicaid |
$3,310.94
|
| Rate for Payer: PHP Medicaid |
$3,153.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,153.28
|
| Rate for Payer: UHCCP Medicaid |
$3,153.28
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$10,088.03
|
|
|
Service Code
|
APR-DRG 3143
|
| Min. Negotiated Rate |
$9,607.65 |
| Max. Negotiated Rate |
$10,088.03 |
| Rate for Payer: BCBS Complete |
$10,088.03
|
| Rate for Payer: Mclaren Medicaid |
$9,607.65
|
| Rate for Payer: Meridian Medicaid |
$10,088.03
|
| Rate for Payer: PHP Medicaid |
$9,607.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,607.65
|
| Rate for Payer: UHCCP Medicaid |
$9,607.65
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$6,725.35
|
|
|
Service Code
|
APR-DRG 3142
|
| Min. Negotiated Rate |
$6,405.10 |
| Max. Negotiated Rate |
$6,725.35 |
| Rate for Payer: BCBS Complete |
$6,725.35
|
| Rate for Payer: Mclaren Medicaid |
$6,405.10
|
| Rate for Payer: Meridian Medicaid |
$6,725.35
|
| Rate for Payer: PHP Medicaid |
$6,405.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,405.10
|
| Rate for Payer: UHCCP Medicaid |
$6,405.10
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$16,192.59
|
|
|
Service Code
|
APR-DRG 3144
|
| Min. Negotiated Rate |
$15,421.51 |
| Max. Negotiated Rate |
$16,192.59 |
| Rate for Payer: BCBS Complete |
$16,192.59
|
| Rate for Payer: Mclaren Medicaid |
$15,421.51
|
| Rate for Payer: Meridian Medicaid |
$16,192.59
|
| Rate for Payer: PHP Medicaid |
$15,421.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,421.51
|
| Rate for Payer: UHCCP Medicaid |
$15,421.51
|
|