|
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
|
|
|
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: HYPERTENSION
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 1992
|
| Min. Negotiated Rate |
$3,399.63 |
| Max. Negotiated Rate |
$3,569.61 |
| Rate for Payer: BCBS Complete |
$3,569.61
|
| Rate for Payer: Mclaren Medicaid |
$3,399.63
|
| Rate for Payer: Meridian Medicaid |
$3,569.61
|
| Rate for Payer: PHP Medicaid |
$3,399.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,399.63
|
| Rate for Payer: UHCCP Medicaid |
$3,399.63
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$10,088.03
|
|
|
Service Code
|
APR-DRG 1994
|
| Min. Negotiated Rate |
$9,607.65 |
| Max. Negotiated Rate |
$10,088.03 |
| Rate for Payer: BCBS Complete |
$10,088.03
|
| Rate for Payer: Mclaren Medicaid |
$9,607.65
|
| Rate for Payer: Meridian Medicaid |
$10,088.03
|
| Rate for Payer: PHP Medicaid |
$9,607.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,607.65
|
| Rate for Payer: UHCCP Medicaid |
$9,607.65
|
|
|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 1991
|
| 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: HYPERTENSION
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 1993
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,276.27
|
|
|
Service Code
|
APR-DRG 4221
|
| Min. Negotiated Rate |
$2,167.88 |
| Max. Negotiated Rate |
$2,276.27 |
| Rate for Payer: BCBS Complete |
$2,276.27
|
| Rate for Payer: Mclaren Medicaid |
$2,167.88
|
| Rate for Payer: Meridian Medicaid |
$2,276.27
|
| Rate for Payer: PHP Medicaid |
$2,167.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.88
|
| Rate for Payer: UHCCP Medicaid |
$2,167.88
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,242.69
|
|
|
Service Code
|
APR-DRG 4224
|
| Min. Negotiated Rate |
$6,897.80 |
| Max. Negotiated Rate |
$7,242.69 |
| Rate for Payer: BCBS Complete |
$7,242.69
|
| Rate for Payer: Mclaren Medicaid |
$6,897.80
|
| Rate for Payer: Meridian Medicaid |
$7,242.69
|
| Rate for Payer: PHP Medicaid |
$6,897.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,897.80
|
| Rate for Payer: UHCCP Medicaid |
$6,897.80
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 4222
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 4223
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$122,091.06
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$116,277.20 |
| Max. Negotiated Rate |
$122,091.06 |
| Rate for Payer: BCBS Complete |
$122,091.06
|
| Rate for Payer: Mclaren Medicaid |
$116,277.20
|
| Rate for Payer: Meridian Medicaid |
$122,091.06
|
| Rate for Payer: PHP Medicaid |
$116,277.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$116,277.20
|
| Rate for Payer: UHCCP Medicaid |
$116,277.20
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$70,357.56
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$67,007.20 |
| Max. Negotiated Rate |
$70,357.56 |
| Rate for Payer: BCBS Complete |
$70,357.56
|
| Rate for Payer: Mclaren Medicaid |
$67,007.20
|
| Rate for Payer: Meridian Medicaid |
$70,357.56
|
| Rate for Payer: PHP Medicaid |
$67,007.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$67,007.20
|
| Rate for Payer: UHCCP Medicaid |
$67,007.20
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$95,603.51
|
|
|
Service Code
|
APR-DRG 1613
|
| Min. Negotiated Rate |
$91,050.96 |
| Max. Negotiated Rate |
$95,603.51 |
| Rate for Payer: BCBS Complete |
$95,603.51
|
| Rate for Payer: Mclaren Medicaid |
$91,050.96
|
| Rate for Payer: Meridian Medicaid |
$95,603.51
|
| Rate for Payer: PHP Medicaid |
$91,050.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$91,050.96
|
| Rate for Payer: UHCCP Medicaid |
$91,050.96
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$70,357.56
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$67,007.20 |
| Max. Negotiated Rate |
$70,357.56 |
| Rate for Payer: BCBS Complete |
$70,357.56
|
| Rate for Payer: Mclaren Medicaid |
$67,007.20
|
| Rate for Payer: Meridian Medicaid |
$70,357.56
|
| Rate for Payer: PHP Medicaid |
$67,007.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$67,007.20
|
| Rate for Payer: UHCCP Medicaid |
$67,007.20
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$7,656.56
|
|
|
Service Code
|
APR-DRG 4233
|
| Min. Negotiated Rate |
$7,291.96 |
| Max. Negotiated Rate |
$7,656.56 |
| Rate for Payer: BCBS Complete |
$7,656.56
|
| Rate for Payer: Mclaren Medicaid |
$7,291.96
|
| Rate for Payer: Meridian Medicaid |
$7,656.56
|
| Rate for Payer: PHP Medicaid |
$7,291.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,291.96
|
| Rate for Payer: UHCCP Medicaid |
$7,291.96
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$19,658.73
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$18,722.60 |
| Max. Negotiated Rate |
$19,658.73 |
| Rate for Payer: BCBS Complete |
$19,658.73
|
| Rate for Payer: Mclaren Medicaid |
$18,722.60
|
| Rate for Payer: Meridian Medicaid |
$19,658.73
|
| Rate for Payer: PHP Medicaid |
$18,722.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,722.60
|
| Rate for Payer: UHCCP Medicaid |
$18,722.60
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$3,399.63 |
| Max. Negotiated Rate |
$3,569.61 |
| Rate for Payer: BCBS Complete |
$3,569.61
|
| Rate for Payer: Mclaren Medicaid |
$3,399.63
|
| Rate for Payer: Meridian Medicaid |
$3,569.61
|
| Rate for Payer: PHP Medicaid |
$3,399.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,399.63
|
| Rate for Payer: UHCCP Medicaid |
$3,399.63
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,018.15
|
|
|
Service Code
|
APR-DRG 4232
|
| Min. Negotiated Rate |
$4,779.19 |
| Max. Negotiated Rate |
$5,018.15 |
| Rate for Payer: BCBS Complete |
$5,018.15
|
| Rate for Payer: Mclaren Medicaid |
$4,779.19
|
| Rate for Payer: Meridian Medicaid |
$5,018.15
|
| Rate for Payer: PHP Medicaid |
$4,779.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,779.19
|
| Rate for Payer: UHCCP Medicaid |
$4,779.19
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$8,639.49
|
|
|
Service Code
|
APR-DRG 1134
|
| Min. Negotiated Rate |
$8,228.09 |
| Max. Negotiated Rate |
$8,639.49 |
| Rate for Payer: BCBS Complete |
$8,639.49
|
| Rate for Payer: Mclaren Medicaid |
$8,228.09
|
| Rate for Payer: Meridian Medicaid |
$8,639.49
|
| Rate for Payer: PHP Medicaid |
$8,228.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,228.09
|
| Rate for Payer: UHCCP Medicaid |
$8,228.09
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,500.81
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$4,286.49 |
| Max. Negotiated Rate |
$4,500.81 |
| Rate for Payer: BCBS Complete |
$4,500.81
|
| Rate for Payer: Mclaren Medicaid |
$4,286.49
|
| Rate for Payer: Meridian Medicaid |
$4,500.81
|
| Rate for Payer: PHP Medicaid |
$4,286.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,286.49
|
| Rate for Payer: UHCCP Medicaid |
$4,286.49
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,897.08
|
|
|
Service Code
|
APR-DRG 1132
|
| Min. Negotiated Rate |
$2,759.12 |
| Max. Negotiated Rate |
$2,897.08 |
| Rate for Payer: BCBS Complete |
$2,897.08
|
| Rate for Payer: Mclaren Medicaid |
$2,759.12
|
| Rate for Payer: Meridian Medicaid |
$2,897.08
|
| Rate for Payer: PHP Medicaid |
$2,759.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,759.12
|
| Rate for Payer: UHCCP Medicaid |
$2,759.12
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,017.61
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$1,921.53 |
| Max. Negotiated Rate |
$2,017.61 |
| Rate for Payer: BCBS Complete |
$2,017.61
|
| Rate for Payer: Mclaren Medicaid |
$1,921.53
|
| Rate for Payer: Meridian Medicaid |
$2,017.61
|
| Rate for Payer: PHP Medicaid |
$1,921.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,921.53
|
| Rate for Payer: UHCCP Medicaid |
$1,921.53
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$6,984.02
|
|
|
Service Code
|
APR-DRG 7101
|
| Min. Negotiated Rate |
$6,651.45 |
| Max. Negotiated Rate |
$6,984.02 |
| Rate for Payer: BCBS Complete |
$6,984.02
|
| Rate for Payer: Mclaren Medicaid |
$6,651.45
|
| Rate for Payer: Meridian Medicaid |
$6,984.02
|
| Rate for Payer: PHP Medicaid |
$6,651.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,651.45
|
| Rate for Payer: UHCCP Medicaid |
$6,651.45
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$15,261.38
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$14,534.65 |
| Max. Negotiated Rate |
$15,261.38 |
| Rate for Payer: BCBS Complete |
$15,261.38
|
| Rate for Payer: Mclaren Medicaid |
$14,534.65
|
| Rate for Payer: Meridian Medicaid |
$15,261.38
|
| Rate for Payer: PHP Medicaid |
$14,534.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,534.65
|
| Rate for Payer: UHCCP Medicaid |
$14,534.65
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$23,487.01
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$22,368.58 |
| Max. Negotiated Rate |
$23,487.01 |
| Rate for Payer: BCBS Complete |
$23,487.01
|
| Rate for Payer: Mclaren Medicaid |
$22,368.58
|
| Rate for Payer: Meridian Medicaid |
$23,487.01
|
| Rate for Payer: PHP Medicaid |
$22,368.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,368.58
|
| Rate for Payer: UHCCP Medicaid |
$22,368.58
|
|