|
APR-DRG 42.00: HYPERTENSION
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 1992
|
| 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: 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,741.88
|
|
|
Service Code
|
APR-DRG 4222
|
| 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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,069.34
|
|
|
Service Code
|
APR-DRG 4221
|
| Min. Negotiated Rate |
$1,970.80 |
| Max. Negotiated Rate |
$2,069.34 |
| Rate for Payer: BCBS Complete |
$2,069.34
|
| Rate for Payer: Mclaren Medicaid |
$1,970.80
|
| Rate for Payer: Meridian Medicaid |
$2,069.34
|
| Rate for Payer: PHP Medicaid |
$1,970.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,970.80
|
| Rate for Payer: UHCCP Medicaid |
$1,970.80
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,139.22
|
|
|
Service Code
|
APR-DRG 4224
|
| Min. Negotiated Rate |
$6,799.26 |
| Max. Negotiated Rate |
$7,139.22 |
| Rate for Payer: BCBS Complete |
$7,139.22
|
| Rate for Payer: Mclaren Medicaid |
$6,799.26
|
| Rate for Payer: Meridian Medicaid |
$7,139.22
|
| Rate for Payer: PHP Medicaid |
$6,799.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,799.26
|
| Rate for Payer: UHCCP Medicaid |
$6,799.26
|
|
|
APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 4223
|
| 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: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$76,824.25
|
|
|
Service Code
|
APR-DRG 1612
|
| Min. Negotiated Rate |
$73,165.95 |
| Max. Negotiated Rate |
$76,824.25 |
| Rate for Payer: BCBS Complete |
$76,824.25
|
| Rate for Payer: Mclaren Medicaid |
$73,165.95
|
| Rate for Payer: Meridian Medicaid |
$76,824.25
|
| Rate for Payer: PHP Medicaid |
$73,165.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$73,165.95
|
| Rate for Payer: UHCCP Medicaid |
$73,165.95
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$87,326.15
|
|
|
Service Code
|
APR-DRG 1613
|
| Min. Negotiated Rate |
$83,167.76 |
| Max. Negotiated Rate |
$87,326.15 |
| Rate for Payer: BCBS Complete |
$87,326.15
|
| Rate for Payer: Mclaren Medicaid |
$83,167.76
|
| Rate for Payer: Meridian Medicaid |
$87,326.15
|
| Rate for Payer: PHP Medicaid |
$83,167.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$83,167.76
|
| Rate for Payer: UHCCP Medicaid |
$83,167.76
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$66,839.68
|
|
|
Service Code
|
APR-DRG 1611
|
| Min. Negotiated Rate |
$63,656.84 |
| Max. Negotiated Rate |
$66,839.68 |
| Rate for Payer: BCBS Complete |
$66,839.68
|
| Rate for Payer: Mclaren Medicaid |
$63,656.84
|
| Rate for Payer: Meridian Medicaid |
$66,839.68
|
| Rate for Payer: PHP Medicaid |
$63,656.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$63,656.84
|
| Rate for Payer: UHCCP Medicaid |
$63,656.84
|
|
|
APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$145,164.20
|
|
|
Service Code
|
APR-DRG 1614
|
| Min. Negotiated Rate |
$138,251.62 |
| Max. Negotiated Rate |
$145,164.20 |
| Rate for Payer: BCBS Complete |
$145,164.20
|
| Rate for Payer: Mclaren Medicaid |
$138,251.62
|
| Rate for Payer: Meridian Medicaid |
$145,164.20
|
| Rate for Payer: PHP Medicaid |
$138,251.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$138,251.62
|
| Rate for Payer: UHCCP Medicaid |
$138,251.62
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$2,857.66 |
| Max. Negotiated Rate |
$3,000.54 |
| Rate for Payer: BCBS Complete |
$3,000.54
|
| Rate for Payer: Mclaren Medicaid |
$2,857.66
|
| Rate for Payer: Meridian Medicaid |
$3,000.54
|
| Rate for Payer: PHP Medicaid |
$2,857.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,857.66
|
| Rate for Payer: UHCCP Medicaid |
$2,857.66
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$17,899.79
|
|
|
Service Code
|
APR-DRG 4234
|
| Min. Negotiated Rate |
$17,047.42 |
| Max. Negotiated Rate |
$17,899.79 |
| Rate for Payer: BCBS Complete |
$17,899.79
|
| Rate for Payer: Mclaren Medicaid |
$17,047.42
|
| Rate for Payer: Meridian Medicaid |
$17,899.79
|
| Rate for Payer: PHP Medicaid |
$17,047.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,047.42
|
| Rate for Payer: UHCCP Medicaid |
$17,047.42
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$10,191.50
|
|
|
Service Code
|
APR-DRG 4233
|
| Min. Negotiated Rate |
$9,706.19 |
| Max. Negotiated Rate |
$10,191.50 |
| Rate for Payer: BCBS Complete |
$10,191.50
|
| Rate for Payer: Mclaren Medicaid |
$9,706.19
|
| Rate for Payer: Meridian Medicaid |
$10,191.50
|
| Rate for Payer: PHP Medicaid |
$9,706.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,706.19
|
| Rate for Payer: UHCCP Medicaid |
$9,706.19
|
|
|
APR-DRG 42.00: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 4232
|
| 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: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 1132
|
| 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: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,224.54
|
|
|
Service Code
|
APR-DRG 1131
|
| Min. Negotiated Rate |
$2,118.61 |
| Max. Negotiated Rate |
$2,224.54 |
| Rate for Payer: BCBS Complete |
$2,224.54
|
| Rate for Payer: Mclaren Medicaid |
$2,118.61
|
| Rate for Payer: Meridian Medicaid |
$2,224.54
|
| Rate for Payer: PHP Medicaid |
$2,118.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,118.61
|
| Rate for Payer: UHCCP Medicaid |
$2,118.61
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$8,432.56
|
|
|
Service Code
|
APR-DRG 1134
|
| Min. Negotiated Rate |
$8,031.01 |
| Max. Negotiated Rate |
$8,432.56 |
| Rate for Payer: BCBS Complete |
$8,432.56
|
| Rate for Payer: Mclaren Medicaid |
$8,031.01
|
| Rate for Payer: Meridian Medicaid |
$8,432.56
|
| Rate for Payer: PHP Medicaid |
$8,031.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,031.01
|
| Rate for Payer: UHCCP Medicaid |
$8,031.01
|
|
|
APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 1133
|
| Min. Negotiated Rate |
$4,483.57 |
| Max. Negotiated Rate |
$4,707.75 |
| Rate for Payer: BCBS Complete |
$4,707.75
|
| Rate for Payer: Mclaren Medicaid |
$4,483.57
|
| Rate for Payer: Meridian Medicaid |
$4,707.75
|
| Rate for Payer: PHP Medicaid |
$4,483.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.57
|
| Rate for Payer: UHCCP Medicaid |
$4,483.57
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,915.23
|
|
|
Service Code
|
APR-DRG 7102
|
| Min. Negotiated Rate |
$7,538.31 |
| Max. Negotiated Rate |
$7,915.23 |
| Rate for Payer: BCBS Complete |
$7,915.23
|
| Rate for Payer: Mclaren Medicaid |
$7,538.31
|
| Rate for Payer: Meridian Medicaid |
$7,915.23
|
| Rate for Payer: PHP Medicaid |
$7,538.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,538.31
|
| Rate for Payer: UHCCP Medicaid |
$7,538.31
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$13,192.04
|
|
|
Service Code
|
APR-DRG 7103
|
| Min. Negotiated Rate |
$12,563.85 |
| Max. Negotiated Rate |
$13,192.04 |
| Rate for Payer: BCBS Complete |
$13,192.04
|
| Rate for Payer: Mclaren Medicaid |
$12,563.85
|
| Rate for Payer: Meridian Medicaid |
$13,192.04
|
| Rate for Payer: PHP Medicaid |
$12,563.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,563.85
|
| Rate for Payer: UHCCP Medicaid |
$12,563.85
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$19,089.66
|
|
|
Service Code
|
APR-DRG 7104
|
| Min. Negotiated Rate |
$18,180.63 |
| Max. Negotiated Rate |
$19,089.66 |
| Rate for Payer: BCBS Complete |
$19,089.66
|
| Rate for Payer: Mclaren Medicaid |
$18,180.63
|
| Rate for Payer: Meridian Medicaid |
$19,089.66
|
| Rate for Payer: PHP Medicaid |
$18,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,180.63
|
| Rate for Payer: UHCCP Medicaid |
$18,180.63
|
|
|
APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,242.69
|
|
|
Service Code
|
APR-DRG 7101
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,155.74
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$3,005.47 |
| Max. Negotiated Rate |
$3,155.74 |
| Rate for Payer: BCBS Complete |
$3,155.74
|
| Rate for Payer: Mclaren Medicaid |
$3,005.47
|
| Rate for Payer: Meridian Medicaid |
$3,155.74
|
| Rate for Payer: PHP Medicaid |
$3,005.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,005.47
|
| Rate for Payer: UHCCP Medicaid |
$3,005.47
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,500.81
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$6,725.36
|
|
|
Service Code
|
APR-DRG 2453
|
| 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
|
|