|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$18,106.72
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$17,244.50 |
| Max. Negotiated Rate |
$18,106.72 |
| Rate for Payer: BCBS Complete |
$18,106.72
|
| Rate for Payer: Mclaren Medicaid |
$17,244.50
|
| Rate for Payer: Meridian Medicaid |
$18,106.72
|
| Rate for Payer: PHP Medicaid |
$17,244.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,244.50
|
| Rate for Payer: UHCCP Medicaid |
$17,244.50
|
|
|
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
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$7,966.96
|
|
|
Service Code
|
APR-DRG 2271
|
| Min. Negotiated Rate |
$7,587.58 |
| Max. Negotiated Rate |
$7,966.96 |
| Rate for Payer: BCBS Complete |
$7,966.96
|
| Rate for Payer: Mclaren Medicaid |
$7,587.58
|
| Rate for Payer: Meridian Medicaid |
$7,966.96
|
| Rate for Payer: PHP Medicaid |
$7,587.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,587.58
|
| Rate for Payer: UHCCP Medicaid |
$7,587.58
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$7,553.09
|
|
|
Service Code
|
APR-DRG 3081
|
| 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: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$12,209.11
|
|
|
Service Code
|
APR-DRG 3083
|
| Min. Negotiated Rate |
$11,627.72 |
| Max. Negotiated Rate |
$12,209.11 |
| Rate for Payer: BCBS Complete |
$12,209.11
|
| Rate for Payer: Mclaren Medicaid |
$11,627.72
|
| Rate for Payer: Meridian Medicaid |
$12,209.11
|
| Rate for Payer: PHP Medicaid |
$11,627.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,627.72
|
| Rate for Payer: UHCCP Medicaid |
$11,627.72
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$9,725.90
|
|
|
Service Code
|
APR-DRG 3082
|
| 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
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$21,003.80
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$20,003.62 |
| Max. Negotiated Rate |
$21,003.80 |
| Rate for Payer: BCBS Complete |
$21,003.80
|
| Rate for Payer: Mclaren Medicaid |
$20,003.62
|
| Rate for Payer: Meridian Medicaid |
$21,003.80
|
| Rate for Payer: PHP Medicaid |
$20,003.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,003.62
|
| Rate for Payer: UHCCP Medicaid |
$20,003.62
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 8924
|
| 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
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 8921
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 8923
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 8922
|
| Min. Negotiated Rate |
$3,941.60 |
| Max. Negotiated Rate |
$4,138.68 |
| Rate for Payer: BCBS Complete |
$4,138.68
|
| Rate for Payer: Mclaren Medicaid |
$3,941.60
|
| Rate for Payer: Meridian Medicaid |
$4,138.68
|
| Rate for Payer: PHP Medicaid |
$3,941.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,941.60
|
| Rate for Payer: UHCCP Medicaid |
$3,941.60
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 8901
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$13,709.38
|
|
|
Service Code
|
APR-DRG 8904
|
| Min. Negotiated Rate |
$13,056.55 |
| Max. Negotiated Rate |
$13,709.38 |
| Rate for Payer: BCBS Complete |
$13,709.38
|
| Rate for Payer: Mclaren Medicaid |
$13,056.55
|
| Rate for Payer: Meridian Medicaid |
$13,709.38
|
| Rate for Payer: PHP Medicaid |
$13,056.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,056.55
|
| Rate for Payer: UHCCP Medicaid |
$13,056.55
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 8902
|
| Min. Negotiated Rate |
$6,109.48 |
| Max. Negotiated Rate |
$6,414.95 |
| Rate for Payer: BCBS Complete |
$6,414.95
|
| Rate for Payer: Mclaren Medicaid |
$6,109.48
|
| Rate for Payer: Meridian Medicaid |
$6,414.95
|
| Rate for Payer: PHP Medicaid |
$6,109.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,109.48
|
| Rate for Payer: UHCCP Medicaid |
$6,109.48
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$8,587.76
|
|
|
Service Code
|
APR-DRG 8903
|
| Min. Negotiated Rate |
$8,178.82 |
| Max. Negotiated Rate |
$8,587.76 |
| Rate for Payer: BCBS Complete |
$8,587.76
|
| Rate for Payer: Mclaren Medicaid |
$8,178.82
|
| Rate for Payer: Meridian Medicaid |
$8,587.76
|
| Rate for Payer: PHP Medicaid |
$8,178.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,178.82
|
| Rate for Payer: UHCCP Medicaid |
$8,178.82
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,483.75
|
|
|
Service Code
|
APR-DRG 8932
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 8931
|
| 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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$10,346.70
|
|
|
Service Code
|
APR-DRG 8934
|
| Min. Negotiated Rate |
$9,854.00 |
| Max. Negotiated Rate |
$10,346.70 |
| Rate for Payer: BCBS Complete |
$10,346.70
|
| Rate for Payer: Mclaren Medicaid |
$9,854.00
|
| Rate for Payer: Meridian Medicaid |
$10,346.70
|
| Rate for Payer: PHP Medicaid |
$9,854.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,854.00
|
| Rate for Payer: UHCCP Medicaid |
$9,854.00
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 8933
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 8944
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$4,397.35
|
|
|
Service Code
|
APR-DRG 8943
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 8942
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$3,517.88
|
|
|
Service Code
|
APR-DRG 8941
|
| Min. Negotiated Rate |
$3,350.36 |
| Max. Negotiated Rate |
$3,517.88 |
| Rate for Payer: BCBS Complete |
$3,517.88
|
| Rate for Payer: Mclaren Medicaid |
$3,350.36
|
| Rate for Payer: Meridian Medicaid |
$3,517.88
|
| Rate for Payer: PHP Medicaid |
$3,350.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,350.36
|
| Rate for Payer: UHCCP Medicaid |
$3,350.36
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 1994
|
| Min. Negotiated Rate |
$9,509.11 |
| Max. Negotiated Rate |
$9,984.57 |
| Rate for Payer: BCBS Complete |
$9,984.57
|
| Rate for Payer: Mclaren Medicaid |
$9,509.11
|
| Rate for Payer: Meridian Medicaid |
$9,984.57
|
| Rate for Payer: PHP Medicaid |
$9,509.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,509.11
|
| Rate for Payer: UHCCP Medicaid |
$9,509.11
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$5,432.02
|
|
|
Service Code
|
APR-DRG 1993
|
| Min. Negotiated Rate |
$5,173.35 |
| Max. Negotiated Rate |
$5,432.02 |
| Rate for Payer: BCBS Complete |
$5,432.02
|
| Rate for Payer: Mclaren Medicaid |
$5,173.35
|
| Rate for Payer: Meridian Medicaid |
$5,432.02
|
| Rate for Payer: PHP Medicaid |
$5,173.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,173.35
|
| Rate for Payer: UHCCP Medicaid |
$5,173.35
|
|