|
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: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 3402
|
| Min. Negotiated Rate |
$3,695.25 |
| Max. Negotiated Rate |
$3,880.01 |
| Rate for Payer: BCBS Complete |
$3,880.01
|
| Rate for Payer: Mclaren Medicaid |
$3,695.25
|
| Rate for Payer: Meridian Medicaid |
$3,880.01
|
| Rate for Payer: PHP Medicaid |
$3,695.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,695.25
|
| Rate for Payer: UHCCP Medicaid |
$3,695.25
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$10,657.10
|
|
|
Service Code
|
APR-DRG 3404
|
| Min. Negotiated Rate |
$10,149.62 |
| Max. Negotiated Rate |
$10,657.10 |
| Rate for Payer: BCBS Complete |
$10,657.10
|
| Rate for Payer: Mclaren Medicaid |
$10,149.62
|
| Rate for Payer: Meridian Medicaid |
$10,657.10
|
| Rate for Payer: PHP Medicaid |
$10,149.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,149.62
|
| Rate for Payer: UHCCP Medicaid |
$10,149.62
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 3401
|
| Min. Negotiated Rate |
$2,956.20 |
| Max. Negotiated Rate |
$3,104.01 |
| Rate for Payer: BCBS Complete |
$3,104.01
|
| Rate for Payer: Mclaren Medicaid |
$2,956.20
|
| Rate for Payer: Meridian Medicaid |
$3,104.01
|
| Rate for Payer: PHP Medicaid |
$2,956.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,956.20
|
| Rate for Payer: UHCCP Medicaid |
$2,956.20
|
|
|
APR-DRG 42.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$7,139.22
|
|
|
Service Code
|
APR-DRG 3403
|
| Min. Negotiated Rate |
$6,799.26 |
| Max. Negotiated Rate |
$7,139.22 |
| Rate for Payer: BCBS Complete |
$7,139.22
|
| Rate for Payer: Mclaren Medicaid |
$6,799.26
|
| Rate for Payer: Meridian Medicaid |
$7,139.22
|
| Rate for Payer: PHP Medicaid |
$6,799.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,799.26
|
| Rate for Payer: UHCCP Medicaid |
$6,799.26
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 3411
|
| 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: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 3412
|
| Min. Negotiated Rate |
$3,843.06 |
| Max. Negotiated Rate |
$4,035.21 |
| Rate for Payer: BCBS Complete |
$4,035.21
|
| Rate for Payer: Mclaren Medicaid |
$3,843.06
|
| Rate for Payer: Meridian Medicaid |
$4,035.21
|
| Rate for Payer: PHP Medicaid |
$3,843.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,843.06
|
| Rate for Payer: UHCCP Medicaid |
$3,843.06
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$14,692.31
|
|
|
Service Code
|
APR-DRG 3414
|
| Min. Negotiated Rate |
$13,992.68 |
| Max. Negotiated Rate |
$14,692.31 |
| Rate for Payer: BCBS Complete |
$14,692.31
|
| Rate for Payer: Mclaren Medicaid |
$13,992.68
|
| Rate for Payer: Meridian Medicaid |
$14,692.31
|
| Rate for Payer: PHP Medicaid |
$13,992.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,992.68
|
| Rate for Payer: UHCCP Medicaid |
$13,992.68
|
|
|
APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 3413
|
| Min. Negotiated Rate |
$8,129.55 |
| Max. Negotiated Rate |
$8,536.03 |
| Rate for Payer: BCBS Complete |
$8,536.03
|
| Rate for Payer: Mclaren Medicaid |
$8,129.55
|
| Rate for Payer: Meridian Medicaid |
$8,536.03
|
| Rate for Payer: PHP Medicaid |
$8,129.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,129.55
|
| Rate for Payer: UHCCP Medicaid |
$8,129.55
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 3423
|
| Min. Negotiated Rate |
$6,306.56 |
| Max. Negotiated Rate |
$6,621.89 |
| Rate for Payer: BCBS Complete |
$6,621.89
|
| Rate for Payer: Mclaren Medicaid |
$6,306.56
|
| Rate for Payer: Meridian Medicaid |
$6,621.89
|
| Rate for Payer: PHP Medicaid |
$6,306.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,306.56
|
| Rate for Payer: UHCCP Medicaid |
$6,306.56
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$11,846.97
|
|
|
Service Code
|
APR-DRG 3424
|
| Min. Negotiated Rate |
$11,282.83 |
| Max. Negotiated Rate |
$11,846.97 |
| Rate for Payer: BCBS Complete |
$11,846.97
|
| Rate for Payer: Mclaren Medicaid |
$11,282.83
|
| Rate for Payer: Meridian Medicaid |
$11,846.97
|
| Rate for Payer: PHP Medicaid |
$11,282.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,282.83
|
| Rate for Payer: UHCCP Medicaid |
$11,282.83
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 3422
|
| Min. Negotiated Rate |
$4,631.38 |
| Max. Negotiated Rate |
$4,862.95 |
| Rate for Payer: BCBS Complete |
$4,862.95
|
| Rate for Payer: Mclaren Medicaid |
$4,631.38
|
| Rate for Payer: Meridian Medicaid |
$4,862.95
|
| Rate for Payer: PHP Medicaid |
$4,631.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,631.38
|
| Rate for Payer: UHCCP Medicaid |
$4,631.38
|
|
|
APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 3421
|
| 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: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 2322
|
| Min. Negotiated Rate |
$8,129.55 |
| Max. Negotiated Rate |
$8,536.03 |
| Rate for Payer: BCBS Complete |
$8,536.03
|
| Rate for Payer: Mclaren Medicaid |
$8,129.55
|
| Rate for Payer: Meridian Medicaid |
$8,536.03
|
| Rate for Payer: PHP Medicaid |
$8,129.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,129.55
|
| Rate for Payer: UHCCP Medicaid |
$8,129.55
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$21,779.80
|
|
|
Service Code
|
APR-DRG 2324
|
| Min. Negotiated Rate |
$20,742.67 |
| Max. Negotiated Rate |
$21,779.80 |
| Rate for Payer: BCBS Complete |
$21,779.80
|
| Rate for Payer: Mclaren Medicaid |
$20,742.67
|
| Rate for Payer: Meridian Medicaid |
$21,779.80
|
| Rate for Payer: PHP Medicaid |
$20,742.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,742.67
|
| Rate for Payer: UHCCP Medicaid |
$20,742.67
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$13,554.18
|
|
|
Service Code
|
APR-DRG 2323
|
| Min. Negotiated Rate |
$12,908.74 |
| Max. Negotiated Rate |
$13,554.18 |
| Rate for Payer: BCBS Complete |
$13,554.18
|
| Rate for Payer: Mclaren Medicaid |
$12,908.74
|
| Rate for Payer: Meridian Medicaid |
$13,554.18
|
| Rate for Payer: PHP Medicaid |
$12,908.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,908.74
|
| Rate for Payer: UHCCP Medicaid |
$12,908.74
|
|
|
APR-DRG 42.00: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 2321
|
| Min. Negotiated Rate |
$6,503.64 |
| Max. Negotiated Rate |
$6,828.82 |
| Rate for Payer: BCBS Complete |
$6,828.82
|
| Rate for Payer: Mclaren Medicaid |
$6,503.64
|
| Rate for Payer: Meridian Medicaid |
$6,828.82
|
| Rate for Payer: PHP Medicaid |
$6,503.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,503.64
|
| Rate for Payer: UHCCP Medicaid |
$6,503.64
|
|
|
APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 2461
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$13,812.84
|
|
|
Service Code
|
APR-DRG 2464
|
| 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: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$7,553.09
|
|
|
Service Code
|
APR-DRG 2463
|
| Min. Negotiated Rate |
$7,193.42 |
| Max. Negotiated Rate |
$7,553.09 |
| Rate for Payer: BCBS Complete |
$7,553.09
|
| Rate for Payer: Mclaren Medicaid |
$7,193.42
|
| Rate for Payer: Meridian Medicaid |
$7,553.09
|
| Rate for Payer: PHP Medicaid |
$7,193.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,193.42
|
| Rate for Payer: UHCCP Medicaid |
$7,193.42
|
|
|
APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 2462
|
| Min. Negotiated Rate |
$4,927.00 |
| Max. Negotiated Rate |
$5,173.35 |
| Rate for Payer: BCBS Complete |
$5,173.35
|
| Rate for Payer: Mclaren Medicaid |
$4,927.00
|
| Rate for Payer: Meridian Medicaid |
$5,173.35
|
| Rate for Payer: PHP Medicaid |
$4,927.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,927.00
|
| Rate for Payer: UHCCP Medicaid |
$4,927.00
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$8,794.70
|
|
|
Service Code
|
APR-DRG 8511
|
| Min. Negotiated Rate |
$8,375.90 |
| Max. Negotiated Rate |
$8,794.70 |
| Rate for Payer: BCBS Complete |
$8,794.70
|
| Rate for Payer: Mclaren Medicaid |
$8,375.90
|
| Rate for Payer: Meridian Medicaid |
$8,794.70
|
| Rate for Payer: PHP Medicaid |
$8,375.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,375.90
|
| Rate for Payer: UHCCP Medicaid |
$8,375.90
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$48,577.76
|
|
|
Service Code
|
APR-DRG 8513
|
| Min. Negotiated Rate |
$46,264.53 |
| Max. Negotiated Rate |
$48,577.76 |
| Rate for Payer: BCBS Complete |
$48,577.76
|
| Rate for Payer: Mclaren Medicaid |
$46,264.53
|
| Rate for Payer: Meridian Medicaid |
$48,577.76
|
| Rate for Payer: PHP Medicaid |
$46,264.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,264.53
|
| Rate for Payer: UHCCP Medicaid |
$46,264.53
|
|
|
APR-DRG 42.00: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$15,002.72
|
|
|
Service Code
|
APR-DRG 8512
|
| 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: GENDER RELATED PROCEDURES
|
Facility
|
IP
|
$48,577.76
|
|
|
Service Code
|
APR-DRG 8514
|
| Min. Negotiated Rate |
$46,264.53 |
| Max. Negotiated Rate |
$48,577.76 |
| Rate for Payer: BCBS Complete |
$48,577.76
|
| Rate for Payer: Mclaren Medicaid |
$46,264.53
|
| Rate for Payer: Meridian Medicaid |
$48,577.76
|
| Rate for Payer: PHP Medicaid |
$46,264.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$46,264.53
|
| Rate for Payer: UHCCP Medicaid |
$46,264.53
|
|