|
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
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,690.14
|
|
|
Service Code
|
APR-DRG 2791
|
| Min. Negotiated Rate |
$2,562.04 |
| Max. Negotiated Rate |
$2,690.14 |
| Rate for Payer: BCBS Complete |
$2,690.14
|
| Rate for Payer: Mclaren Medicaid |
$2,562.04
|
| Rate for Payer: Meridian Medicaid |
$2,690.14
|
| Rate for Payer: PHP Medicaid |
$2,562.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,562.04
|
| Rate for Payer: UHCCP Medicaid |
$2,562.04
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,673.62
|
|
|
Service Code
|
APR-DRG 2793
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$20,072.60
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$19,116.76 |
| Max. Negotiated Rate |
$20,072.60 |
| Rate for Payer: BCBS Complete |
$20,072.60
|
| Rate for Payer: Mclaren Medicaid |
$19,116.76
|
| Rate for Payer: Meridian Medicaid |
$20,072.60
|
| Rate for Payer: PHP Medicaid |
$19,116.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,116.76
|
| Rate for Payer: UHCCP Medicaid |
$19,116.76
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$11,433.10
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$10,888.67 |
| Max. Negotiated Rate |
$11,433.10 |
| Rate for Payer: BCBS Complete |
$11,433.10
|
| Rate for Payer: Mclaren Medicaid |
$10,888.67
|
| Rate for Payer: Meridian Medicaid |
$11,433.10
|
| Rate for Payer: PHP Medicaid |
$10,888.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,888.67
|
| Rate for Payer: UHCCP Medicaid |
$10,888.67
|
|
|
APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 2271
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$7,341.23 |
| Max. Negotiated Rate |
$7,708.29 |
| Rate for Payer: BCBS Complete |
$7,708.29
|
| Rate for Payer: Mclaren Medicaid |
$7,341.23
|
| Rate for Payer: Meridian Medicaid |
$7,708.29
|
| Rate for Payer: PHP Medicaid |
$7,341.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,341.23
|
| Rate for Payer: UHCCP Medicaid |
$7,341.23
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 3081
|
| 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: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$8,794.69
|
|
|
Service Code
|
APR-DRG 3082
|
| Min. Negotiated Rate |
$8,375.90 |
| Max. Negotiated Rate |
$8,794.69 |
| Rate for Payer: BCBS Complete |
$8,794.69
|
| Rate for Payer: Mclaren Medicaid |
$8,375.90
|
| Rate for Payer: Meridian Medicaid |
$8,794.69
|
| 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: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$16,089.12
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$15,322.97 |
| Max. Negotiated Rate |
$16,089.12 |
| Rate for Payer: BCBS Complete |
$16,089.12
|
| Rate for Payer: Mclaren Medicaid |
$15,322.97
|
| Rate for Payer: Meridian Medicaid |
$16,089.12
|
| Rate for Payer: PHP Medicaid |
$15,322.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,322.97
|
| Rate for Payer: UHCCP Medicaid |
$15,322.97
|
|
|
APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$11,174.44
|
|
|
Service Code
|
APR-DRG 3083
|
| Min. Negotiated Rate |
$10,642.32 |
| Max. Negotiated Rate |
$11,174.44 |
| Rate for Payer: BCBS Complete |
$11,174.44
|
| Rate for Payer: Mclaren Medicaid |
$10,642.32
|
| Rate for Payer: Meridian Medicaid |
$11,174.44
|
| Rate for Payer: PHP Medicaid |
$10,642.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,642.32
|
| Rate for Payer: UHCCP Medicaid |
$10,642.32
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$7,087.49
|
|
|
Service Code
|
APR-DRG 8923
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$11,640.04
|
|
|
Service Code
|
APR-DRG 8924
|
| Min. Negotiated Rate |
$11,085.75 |
| Max. Negotiated Rate |
$11,640.04 |
| Rate for Payer: BCBS Complete |
$11,640.04
|
| Rate for Payer: Mclaren Medicaid |
$11,085.75
|
| Rate for Payer: Meridian Medicaid |
$11,640.04
|
| Rate for Payer: PHP Medicaid |
$11,085.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,085.75
|
| Rate for Payer: UHCCP Medicaid |
$11,085.75
|
|
|
APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 8922
|
| 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: HIV WITH MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 8921
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 8901
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$17,692.86
|
|
|
Service Code
|
APR-DRG 8904
|
| Min. Negotiated Rate |
$16,850.34 |
| Max. Negotiated Rate |
$17,692.86 |
| Rate for Payer: BCBS Complete |
$17,692.86
|
| Rate for Payer: Mclaren Medicaid |
$16,850.34
|
| Rate for Payer: Meridian Medicaid |
$17,692.86
|
| Rate for Payer: PHP Medicaid |
$16,850.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,850.34
|
| Rate for Payer: UHCCP Medicaid |
$16,850.34
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,742.42
|
|
|
Service Code
|
APR-DRG 8902
|
| 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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$9,932.83
|
|
|
Service Code
|
APR-DRG 8903
|
| Min. Negotiated Rate |
$9,459.84 |
| Max. Negotiated Rate |
$9,932.83 |
| Rate for Payer: BCBS Complete |
$9,932.83
|
| Rate for Payer: Mclaren Medicaid |
$9,459.84
|
| Rate for Payer: Meridian Medicaid |
$9,932.83
|
| Rate for Payer: PHP Medicaid |
$9,459.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,459.84
|
| Rate for Payer: UHCCP Medicaid |
$9,459.84
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,518.42
|
|
|
Service Code
|
APR-DRG 8933
|
| Min. Negotiated Rate |
$6,208.02 |
| Max. Negotiated Rate |
$6,518.42 |
| Rate for Payer: BCBS Complete |
$6,518.42
|
| Rate for Payer: Mclaren Medicaid |
$6,208.02
|
| Rate for Payer: Meridian Medicaid |
$6,518.42
|
| Rate for Payer: PHP Medicaid |
$6,208.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,208.02
|
| Rate for Payer: UHCCP Medicaid |
$6,208.02
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 8934
|
| 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 MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 8932
|
| Min. Negotiated Rate |
$5,124.08 |
| Max. Negotiated Rate |
$5,380.28 |
| Rate for Payer: BCBS Complete |
$5,380.28
|
| Rate for Payer: Mclaren Medicaid |
$5,124.08
|
| Rate for Payer: Meridian Medicaid |
$5,380.28
|
| Rate for Payer: PHP Medicaid |
$5,124.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,124.08
|
| Rate for Payer: UHCCP Medicaid |
$5,124.08
|
|
|
APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 8931
|
| 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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 8941
|
| Min. Negotiated Rate |
$3,301.09 |
| Max. Negotiated Rate |
$3,466.14 |
| Rate for Payer: BCBS Complete |
$3,466.14
|
| Rate for Payer: Mclaren Medicaid |
$3,301.09
|
| Rate for Payer: Meridian Medicaid |
$3,466.14
|
| Rate for Payer: PHP Medicaid |
$3,301.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,301.09
|
| Rate for Payer: UHCCP Medicaid |
$3,301.09
|
|
|
APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 8943
|
| 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
|
|