|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 4281
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$16,347.79
|
|
|
Service Code
|
APR-DRG 4283
|
| Min. Negotiated Rate |
$15,569.32 |
| Max. Negotiated Rate |
$16,347.79 |
| Rate for Payer: BCBS Complete |
$16,347.79
|
| Rate for Payer: Mclaren Medicaid |
$15,569.32
|
| Rate for Payer: Meridian Medicaid |
$16,347.79
|
| Rate for Payer: PHP Medicaid |
$15,569.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,569.32
|
| Rate for Payer: UHCCP Medicaid |
$15,569.32
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$27,729.16
|
|
|
Service Code
|
APR-DRG 4284
|
| Min. Negotiated Rate |
$26,408.72 |
| Max. Negotiated Rate |
$27,729.16 |
| Rate for Payer: BCBS Complete |
$27,729.16
|
| Rate for Payer: Mclaren Medicaid |
$26,408.72
|
| Rate for Payer: Meridian Medicaid |
$27,729.16
|
| Rate for Payer: PHP Medicaid |
$26,408.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,408.72
|
| Rate for Payer: UHCCP Medicaid |
$26,408.72
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$5,949.35
|
|
|
Service Code
|
APR-DRG 4282
|
| Min. Negotiated Rate |
$5,666.05 |
| Max. Negotiated Rate |
$5,949.35 |
| Rate for Payer: BCBS Complete |
$5,949.35
|
| Rate for Payer: Mclaren Medicaid |
$5,666.05
|
| Rate for Payer: Meridian Medicaid |
$5,949.35
|
| Rate for Payer: PHP Medicaid |
$5,666.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,666.05
|
| Rate for Payer: UHCCP Medicaid |
$5,666.05
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$16,347.79
|
|
|
Service Code
|
APR-DRG 3164
|
| Min. Negotiated Rate |
$15,569.32 |
| Max. Negotiated Rate |
$16,347.79 |
| Rate for Payer: BCBS Complete |
$16,347.79
|
| Rate for Payer: Mclaren Medicaid |
$15,569.32
|
| Rate for Payer: Meridian Medicaid |
$16,347.79
|
| Rate for Payer: PHP Medicaid |
$15,569.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,569.32
|
| Rate for Payer: UHCCP Medicaid |
$15,569.32
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$10,294.97
|
|
|
Service Code
|
APR-DRG 3163
|
| Min. Negotiated Rate |
$9,804.73 |
| Max. Negotiated Rate |
$10,294.97 |
| Rate for Payer: BCBS Complete |
$10,294.97
|
| Rate for Payer: Mclaren Medicaid |
$9,804.73
|
| Rate for Payer: Meridian Medicaid |
$10,294.97
|
| Rate for Payer: PHP Medicaid |
$9,804.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,804.73
|
| Rate for Payer: UHCCP Medicaid |
$9,804.73
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 3161
|
| 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: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$6,880.56
|
|
|
Service Code
|
APR-DRG 3162
|
| Min. Negotiated Rate |
$6,552.91 |
| Max. Negotiated Rate |
$6,880.56 |
| Rate for Payer: BCBS Complete |
$6,880.56
|
| Rate for Payer: Mclaren Medicaid |
$6,552.91
|
| Rate for Payer: Meridian Medicaid |
$6,880.56
|
| Rate for Payer: PHP Medicaid |
$6,552.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,552.91
|
| Rate for Payer: UHCCP Medicaid |
$6,552.91
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$14,330.18
|
|
|
Service Code
|
APR-DRG 0554
|
| Min. Negotiated Rate |
$13,647.79 |
| Max. Negotiated Rate |
$14,330.18 |
| Rate for Payer: BCBS Complete |
$14,330.18
|
| Rate for Payer: Mclaren Medicaid |
$13,647.79
|
| Rate for Payer: Meridian Medicaid |
$14,330.18
|
| Rate for Payer: PHP Medicaid |
$13,647.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,647.79
|
| Rate for Payer: UHCCP Medicaid |
$13,647.79
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$5,328.55
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$5,074.81 |
| Max. Negotiated Rate |
$5,328.55 |
| Rate for Payer: BCBS Complete |
$5,328.55
|
| Rate for Payer: Mclaren Medicaid |
$5,074.81
|
| Rate for Payer: Meridian Medicaid |
$5,328.55
|
| Rate for Payer: PHP Medicaid |
$5,074.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,074.81
|
| Rate for Payer: UHCCP Medicaid |
$5,074.81
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 0551
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$8,277.36
|
|
|
Service Code
|
APR-DRG 0553
|
| Min. Negotiated Rate |
$7,883.20 |
| Max. Negotiated Rate |
$8,277.36 |
| Rate for Payer: BCBS Complete |
$8,277.36
|
| Rate for Payer: Mclaren Medicaid |
$7,883.20
|
| Rate for Payer: Meridian Medicaid |
$8,277.36
|
| Rate for Payer: PHP Medicaid |
$7,883.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,883.20
|
| Rate for Payer: UHCCP Medicaid |
$7,883.20
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$59,648.73
|
|
|
Service Code
|
APR-DRG 0021
|
| Min. Negotiated Rate |
$56,808.31 |
| Max. Negotiated Rate |
$59,648.73 |
| Rate for Payer: BCBS Complete |
$59,648.73
|
| Rate for Payer: Mclaren Medicaid |
$56,808.31
|
| Rate for Payer: Meridian Medicaid |
$59,648.73
|
| Rate for Payer: PHP Medicaid |
$56,808.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$56,808.31
|
| Rate for Payer: UHCCP Medicaid |
$56,808.31
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$67,460.48
|
|
|
Service Code
|
APR-DRG 0022
|
| Min. Negotiated Rate |
$64,248.08 |
| Max. Negotiated Rate |
$67,460.48 |
| Rate for Payer: BCBS Complete |
$67,460.48
|
| Rate for Payer: Mclaren Medicaid |
$64,248.08
|
| Rate for Payer: Meridian Medicaid |
$67,460.48
|
| Rate for Payer: PHP Medicaid |
$64,248.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$64,248.08
|
| Rate for Payer: UHCCP Medicaid |
$64,248.08
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$89,085.09
|
|
|
Service Code
|
APR-DRG 0023
|
| Min. Negotiated Rate |
$84,842.94 |
| Max. Negotiated Rate |
$89,085.09 |
| Rate for Payer: BCBS Complete |
$89,085.09
|
| Rate for Payer: Mclaren Medicaid |
$84,842.94
|
| Rate for Payer: Meridian Medicaid |
$89,085.09
|
| Rate for Payer: PHP Medicaid |
$84,842.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$84,842.94
|
| Rate for Payer: UHCCP Medicaid |
$84,842.94
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$163,581.33
|
|
|
Service Code
|
APR-DRG 0024
|
| Min. Negotiated Rate |
$155,791.74 |
| Max. Negotiated Rate |
$163,581.33 |
| Rate for Payer: BCBS Complete |
$163,581.33
|
| Rate for Payer: Mclaren Medicaid |
$155,791.74
|
| Rate for Payer: Meridian Medicaid |
$163,581.33
|
| Rate for Payer: PHP Medicaid |
$155,791.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$155,791.74
|
| Rate for Payer: UHCCP Medicaid |
$155,791.74
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$2,741.88
|
|
|
Service Code
|
APR-DRG 1941
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$12,053.91
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$11,479.91 |
| Max. Negotiated Rate |
$12,053.91 |
| Rate for Payer: BCBS Complete |
$12,053.91
|
| Rate for Payer: Mclaren Medicaid |
$11,479.91
|
| Rate for Payer: Meridian Medicaid |
$12,053.91
|
| Rate for Payer: PHP Medicaid |
$11,479.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,479.91
|
| Rate for Payer: UHCCP Medicaid |
$11,479.91
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 1943
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 1942
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$5,863.13 |
| Max. Negotiated Rate |
$6,156.29 |
| Rate for Payer: BCBS Complete |
$6,156.29
|
| Rate for Payer: Mclaren Medicaid |
$5,863.13
|
| Rate for Payer: Meridian Medicaid |
$6,156.29
|
| Rate for Payer: PHP Medicaid |
$5,863.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,863.13
|
| Rate for Payer: UHCCP Medicaid |
$5,863.13
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 8101
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$11,846.97
|
|
|
Service Code
|
APR-DRG 8104
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 8102
|
| 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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$12,726.44
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$12,120.42 |
| Max. Negotiated Rate |
$12,726.44 |
| Rate for Payer: BCBS Complete |
$12,726.44
|
| Rate for Payer: Mclaren Medicaid |
$12,120.42
|
| Rate for Payer: Meridian Medicaid |
$12,726.44
|
| Rate for Payer: PHP Medicaid |
$12,120.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,120.42
|
| Rate for Payer: UHCCP Medicaid |
$12,120.42
|
|