|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 0821
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|
|
APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$13,140.31
|
|
|
Service Code
|
APR-DRG 0824
|
| Min. Negotiated Rate |
$12,514.58 |
| Max. Negotiated Rate |
$13,140.31 |
| Rate for Payer: BCBS Complete |
$13,140.31
|
| Rate for Payer: Mclaren Medicaid |
$12,514.58
|
| Rate for Payer: Meridian Medicaid |
$13,140.31
|
| Rate for Payer: PHP Medicaid |
$12,514.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,514.58
|
| Rate for Payer: UHCCP Medicaid |
$12,514.58
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,329.64
|
|
|
Service Code
|
APR-DRG 0922
|
| 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: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$10,088.03
|
|
|
Service Code
|
APR-DRG 0921
|
| 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: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$30,781.43
|
|
|
Service Code
|
APR-DRG 0924
|
| Min. Negotiated Rate |
$29,315.65 |
| Max. Negotiated Rate |
$30,781.43 |
| Rate for Payer: BCBS Complete |
$30,781.43
|
| Rate for Payer: Mclaren Medicaid |
$29,315.65
|
| Rate for Payer: Meridian Medicaid |
$30,781.43
|
| Rate for Payer: PHP Medicaid |
$29,315.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,315.65
|
| Rate for Payer: UHCCP Medicaid |
$29,315.65
|
|
|
APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$17,641.12
|
|
|
Service Code
|
APR-DRG 0923
|
| Min. Negotiated Rate |
$16,801.07 |
| Max. Negotiated Rate |
$17,641.12 |
| Rate for Payer: BCBS Complete |
$17,641.12
|
| Rate for Payer: Mclaren Medicaid |
$16,801.07
|
| Rate for Payer: Meridian Medicaid |
$17,641.12
|
| Rate for Payer: PHP Medicaid |
$16,801.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,801.07
|
| Rate for Payer: UHCCP Medicaid |
$16,801.07
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$9,001.63
|
|
|
Service Code
|
APR-DRG 5314
|
| Min. Negotiated Rate |
$8,572.98 |
| Max. Negotiated Rate |
$9,001.63 |
| Rate for Payer: BCBS Complete |
$9,001.63
|
| Rate for Payer: Mclaren Medicaid |
$8,572.98
|
| Rate for Payer: Meridian Medicaid |
$9,001.63
|
| Rate for Payer: PHP Medicaid |
$8,572.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,572.98
|
| Rate for Payer: UHCCP Medicaid |
$8,572.98
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 5312
|
| 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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 5311
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 5313
|
| 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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,346.16
|
|
|
Service Code
|
APR-DRG 5303
|
| 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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$12,260.84
|
|
|
Service Code
|
APR-DRG 5304
|
| 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
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 5301
|
| 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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,587.22
|
|
|
Service Code
|
APR-DRG 5302
|
| Min. Negotiated Rate |
$5,321.16 |
| Max. Negotiated Rate |
$5,587.22 |
| Rate for Payer: BCBS Complete |
$5,587.22
|
| Rate for Payer: Mclaren Medicaid |
$5,321.16
|
| Rate for Payer: Meridian Medicaid |
$5,587.22
|
| Rate for Payer: PHP Medicaid |
$5,321.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,321.16
|
| Rate for Payer: UHCCP Medicaid |
$5,321.16
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 5143
|
| Min. Negotiated Rate |
$10,543.78 |
| Max. Negotiated Rate |
$11,070.97 |
| Rate for Payer: BCBS Complete |
$11,070.97
|
| Rate for Payer: Mclaren Medicaid |
$10,543.78
|
| Rate for Payer: Meridian Medicaid |
$11,070.97
|
| Rate for Payer: PHP Medicaid |
$10,543.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,543.78
|
| Rate for Payer: UHCCP Medicaid |
$10,543.78
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$10,139.77
|
|
|
Service Code
|
APR-DRG 5142
|
| Min. Negotiated Rate |
$9,656.92 |
| Max. Negotiated Rate |
$10,139.77 |
| Rate for Payer: BCBS Complete |
$10,139.77
|
| Rate for Payer: Mclaren Medicaid |
$9,656.92
|
| Rate for Payer: Meridian Medicaid |
$10,139.77
|
| Rate for Payer: PHP Medicaid |
$9,656.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,656.92
|
| Rate for Payer: UHCCP Medicaid |
$9,656.92
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$6,673.62
|
|
|
Service Code
|
APR-DRG 5141
|
| Min. Negotiated Rate |
$6,355.83 |
| Max. Negotiated Rate |
$6,673.62 |
| Rate for Payer: BCBS Complete |
$6,673.62
|
| Rate for Payer: Mclaren Medicaid |
$6,355.83
|
| Rate for Payer: Meridian Medicaid |
$6,673.62
|
| Rate for Payer: PHP Medicaid |
$6,355.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,355.83
|
| Rate for Payer: UHCCP Medicaid |
$6,355.83
|
|
|
APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$23,280.08
|
|
|
Service Code
|
APR-DRG 5144
|
| Min. Negotiated Rate |
$22,171.50 |
| Max. Negotiated Rate |
$23,280.08 |
| Rate for Payer: BCBS Complete |
$23,280.08
|
| Rate for Payer: Mclaren Medicaid |
$22,171.50
|
| Rate for Payer: Meridian Medicaid |
$23,280.08
|
| Rate for Payer: PHP Medicaid |
$22,171.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,171.50
|
| Rate for Payer: UHCCP Medicaid |
$22,171.50
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 7224
|
| Min. Negotiated Rate |
$8,671.52 |
| Max. Negotiated Rate |
$9,105.10 |
| Rate for Payer: BCBS Complete |
$9,105.10
|
| Rate for Payer: Mclaren Medicaid |
$8,671.52
|
| Rate for Payer: Meridian Medicaid |
$9,105.10
|
| Rate for Payer: PHP Medicaid |
$8,671.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,671.52
|
| Rate for Payer: UHCCP Medicaid |
$8,671.52
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$4,397.35
|
|
|
Service Code
|
APR-DRG 7223
|
| Min. Negotiated Rate |
$4,187.95 |
| Max. Negotiated Rate |
$4,397.35 |
| Rate for Payer: BCBS Complete |
$4,397.35
|
| Rate for Payer: Mclaren Medicaid |
$4,187.95
|
| Rate for Payer: Meridian Medicaid |
$4,397.35
|
| Rate for Payer: PHP Medicaid |
$4,187.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,187.95
|
| Rate for Payer: UHCCP Medicaid |
$4,187.95
|
|
|
APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,483.21
|
|
|
Service Code
|
APR-DRG 7221
|
| 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: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 7222
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$8,070.43
|
|
|
Service Code
|
APR-DRG 3142
|
| Min. Negotiated Rate |
$7,686.12 |
| Max. Negotiated Rate |
$8,070.43 |
| Rate for Payer: BCBS Complete |
$8,070.43
|
| Rate for Payer: Mclaren Medicaid |
$7,686.12
|
| Rate for Payer: Meridian Medicaid |
$8,070.43
|
| Rate for Payer: PHP Medicaid |
$7,686.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,686.12
|
| Rate for Payer: UHCCP Medicaid |
$7,686.12
|
|
|
APR-DRG 42.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 3141
|
| 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: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 3143
|
| Min. Negotiated Rate |
$10,593.05 |
| Max. Negotiated Rate |
$11,122.70 |
| Rate for Payer: BCBS Complete |
$11,122.70
|
| Rate for Payer: Mclaren Medicaid |
$10,593.05
|
| Rate for Payer: Meridian Medicaid |
$11,122.70
|
| Rate for Payer: PHP Medicaid |
$10,593.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,593.05
|
| Rate for Payer: UHCCP Medicaid |
$10,593.05
|
|