|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 4282
|
| Min. Negotiated Rate |
$4,877.73 |
| Max. Negotiated Rate |
$5,121.62 |
| Rate for Payer: BCBS Complete |
$5,121.62
|
| Rate for Payer: Mclaren Medicaid |
$4,877.73
|
| Rate for Payer: Meridian Medicaid |
$5,121.62
|
| Rate for Payer: PHP Medicaid |
$4,877.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,877.73
|
| Rate for Payer: UHCCP Medicaid |
$4,877.73
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$24,004.34
|
|
|
Service Code
|
APR-DRG 4284
|
| Min. Negotiated Rate |
$22,861.28 |
| Max. Negotiated Rate |
$24,004.34 |
| Rate for Payer: BCBS Complete |
$24,004.34
|
| Rate for Payer: Mclaren Medicaid |
$22,861.28
|
| Rate for Payer: Meridian Medicaid |
$24,004.34
|
| Rate for Payer: PHP Medicaid |
$22,861.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,861.28
|
| Rate for Payer: UHCCP Medicaid |
$22,861.28
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$14,174.98
|
|
|
Service Code
|
APR-DRG 4283
|
| Min. Negotiated Rate |
$13,499.98 |
| Max. Negotiated Rate |
$14,174.98 |
| Rate for Payer: BCBS Complete |
$14,174.98
|
| Rate for Payer: Mclaren Medicaid |
$13,499.98
|
| Rate for Payer: Meridian Medicaid |
$14,174.98
|
| Rate for Payer: PHP Medicaid |
$13,499.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,499.98
|
| Rate for Payer: UHCCP Medicaid |
$13,499.98
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 4281
|
| 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: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$7,087.49
|
|
|
Service Code
|
APR-DRG 3162
|
| 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: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$6,363.22
|
|
|
Service Code
|
APR-DRG 3161
|
| Min. Negotiated Rate |
$6,060.21 |
| Max. Negotiated Rate |
$6,363.22 |
| Rate for Payer: BCBS Complete |
$6,363.22
|
| Rate for Payer: Mclaren Medicaid |
$6,060.21
|
| Rate for Payer: Meridian Medicaid |
$6,363.22
|
| Rate for Payer: PHP Medicaid |
$6,060.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,060.21
|
| Rate for Payer: UHCCP Medicaid |
$6,060.21
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$16,813.39
|
|
|
Service Code
|
APR-DRG 3164
|
| Min. Negotiated Rate |
$16,012.75 |
| Max. Negotiated Rate |
$16,813.39 |
| Rate for Payer: BCBS Complete |
$16,813.39
|
| Rate for Payer: Mclaren Medicaid |
$16,012.75
|
| Rate for Payer: Meridian Medicaid |
$16,813.39
|
| Rate for Payer: PHP Medicaid |
$16,012.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,012.75
|
| Rate for Payer: UHCCP Medicaid |
$16,012.75
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$10,657.10
|
|
|
Service Code
|
APR-DRG 3163
|
| 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: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$3,983.48
|
|
|
Service Code
|
APR-DRG 0551
|
| Min. Negotiated Rate |
$3,793.79 |
| Max. Negotiated Rate |
$3,983.48 |
| Rate for Payer: BCBS Complete |
$3,983.48
|
| Rate for Payer: Mclaren Medicaid |
$3,793.79
|
| Rate for Payer: Meridian Medicaid |
$3,983.48
|
| Rate for Payer: PHP Medicaid |
$3,793.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,793.79
|
| Rate for Payer: UHCCP Medicaid |
$3,793.79
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$13,243.78
|
|
|
Service Code
|
APR-DRG 0554
|
| Min. Negotiated Rate |
$12,613.12 |
| Max. Negotiated Rate |
$13,243.78 |
| Rate for Payer: BCBS Complete |
$13,243.78
|
| Rate for Payer: Mclaren Medicaid |
$12,613.12
|
| Rate for Payer: Meridian Medicaid |
$13,243.78
|
| Rate for Payer: PHP Medicaid |
$12,613.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,613.12
|
| Rate for Payer: UHCCP Medicaid |
$12,613.12
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$5,742.42
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$5,468.97 |
| Max. Negotiated Rate |
$5,742.42 |
| Rate for Payer: BCBS Complete |
$5,742.42
|
| Rate for Payer: Mclaren Medicaid |
$5,468.97
|
| Rate for Payer: Meridian Medicaid |
$5,742.42
|
| Rate for Payer: PHP Medicaid |
$5,468.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,468.97
|
| Rate for Payer: UHCCP Medicaid |
$5,468.97
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$9,415.50
|
|
|
Service Code
|
APR-DRG 0553
|
| Min. Negotiated Rate |
$8,967.14 |
| Max. Negotiated Rate |
$9,415.50 |
| Rate for Payer: BCBS Complete |
$9,415.50
|
| Rate for Payer: Mclaren Medicaid |
$8,967.14
|
| Rate for Payer: Meridian Medicaid |
$9,415.50
|
| Rate for Payer: PHP Medicaid |
$8,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,967.14
|
| Rate for Payer: UHCCP Medicaid |
$8,967.14
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$11,775.53 |
| Max. Negotiated Rate |
$12,364.31 |
| Rate for Payer: BCBS Complete |
$12,364.31
|
| Rate for Payer: Mclaren Medicaid |
$11,775.53
|
| Rate for Payer: Meridian Medicaid |
$12,364.31
|
| Rate for Payer: PHP Medicaid |
$11,775.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,775.53
|
| Rate for Payer: UHCCP Medicaid |
$11,775.53
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 1941
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 1942
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$5,587.22
|
|
|
Service Code
|
APR-DRG 1943
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 8102
|
| Min. Negotiated Rate |
$4,040.14 |
| Max. Negotiated Rate |
$4,242.15 |
| Rate for Payer: BCBS Complete |
$4,242.15
|
| Rate for Payer: Mclaren Medicaid |
$4,040.14
|
| Rate for Payer: Meridian Medicaid |
$4,242.15
|
| Rate for Payer: PHP Medicaid |
$4,040.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,040.14
|
| Rate for Payer: UHCCP Medicaid |
$4,040.14
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 8101
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,725.36
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$6,405.10 |
| Max. Negotiated Rate |
$6,725.36 |
| Rate for Payer: BCBS Complete |
$6,725.36
|
| Rate for Payer: Mclaren Medicaid |
$6,405.10
|
| Rate for Payer: Meridian Medicaid |
$6,725.36
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$12,829.91
|
|
|
Service Code
|
APR-DRG 8104
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 2793
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 2792
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 2791
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$14,537.11
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$13,844.87 |
| Max. Negotiated Rate |
$14,537.11 |
| Rate for Payer: BCBS Complete |
$14,537.11
|
| Rate for Payer: Mclaren Medicaid |
$13,844.87
|
| Rate for Payer: Meridian Medicaid |
$14,537.11
|
| Rate for Payer: PHP Medicaid |
$13,844.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,844.87
|
| Rate for Payer: UHCCP Medicaid |
$13,844.87
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$9,725.90
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$9,262.76 |
| Max. Negotiated Rate |
$9,725.90 |
| Rate for Payer: BCBS Complete |
$9,725.90
|
| Rate for Payer: Mclaren Medicaid |
$9,262.76
|
| Rate for Payer: Meridian Medicaid |
$9,725.90
|
| Rate for Payer: PHP Medicaid |
$9,262.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,262.76
|
| Rate for Payer: UHCCP Medicaid |
$9,262.76
|
|