|
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
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$2,956.20 |
| Max. Negotiated Rate |
$3,104.01 |
| Rate for Payer: BCBS Complete |
$3,104.01
|
| Rate for Payer: Mclaren Medicaid |
$2,956.20
|
| Rate for Payer: Meridian Medicaid |
$3,104.01
|
| Rate for Payer: PHP Medicaid |
$2,956.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,956.20
|
| Rate for Payer: UHCCP Medicaid |
$2,956.20
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$10,543.78 |
| Max. Negotiated Rate |
$11,070.97 |
| Rate for Payer: BCBS Complete |
$11,070.97
|
| Rate for Payer: Mclaren Medicaid |
$10,543.78
|
| Rate for Payer: Meridian Medicaid |
$11,070.97
|
| Rate for Payer: PHP Medicaid |
$10,543.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,543.78
|
| Rate for Payer: UHCCP Medicaid |
$10,543.78
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 2452
|
| 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: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$6,466.69
|
|
|
Service Code
|
APR-DRG 2453
|
| Min. Negotiated Rate |
$6,158.75 |
| Max. Negotiated Rate |
$6,466.69 |
| Rate for Payer: BCBS Complete |
$6,466.69
|
| Rate for Payer: Mclaren Medicaid |
$6,158.75
|
| Rate for Payer: Meridian Medicaid |
$6,466.69
|
| Rate for Payer: PHP Medicaid |
$6,158.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,158.75
|
| Rate for Payer: UHCCP Medicaid |
$6,158.75
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$5,328.55
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,673.62
|
|
|
Service Code
|
APR-DRG 2282
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$9,312.03
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$8,868.60 |
| Max. Negotiated Rate |
$9,312.03 |
| Rate for Payer: BCBS Complete |
$9,312.03
|
| Rate for Payer: Mclaren Medicaid |
$8,868.60
|
| Rate for Payer: Meridian Medicaid |
$9,312.03
|
| Rate for Payer: PHP Medicaid |
$8,868.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,868.60
|
| Rate for Payer: UHCCP Medicaid |
$8,868.60
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$16,606.45
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$15,815.67 |
| Max. Negotiated Rate |
$16,606.45 |
| Rate for Payer: BCBS Complete |
$16,606.45
|
| Rate for Payer: Mclaren Medicaid |
$15,815.67
|
| Rate for Payer: Meridian Medicaid |
$16,606.45
|
| Rate for Payer: PHP Medicaid |
$15,815.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,815.67
|
| Rate for Payer: UHCCP Medicaid |
$15,815.67
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$12,312.57
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$11,726.26 |
| Max. Negotiated Rate |
$12,312.57 |
| Rate for Payer: BCBS Complete |
$12,312.57
|
| Rate for Payer: Mclaren Medicaid |
$11,726.26
|
| Rate for Payer: Meridian Medicaid |
$12,312.57
|
| Rate for Payer: PHP Medicaid |
$11,726.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,726.26
|
| Rate for Payer: UHCCP Medicaid |
$11,726.26
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$9,053.36
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$8,622.25 |
| Max. Negotiated Rate |
$9,053.36 |
| Rate for Payer: BCBS Complete |
$9,053.36
|
| Rate for Payer: Mclaren Medicaid |
$8,622.25
|
| Rate for Payer: Meridian Medicaid |
$9,053.36
|
| Rate for Payer: PHP Medicaid |
$8,622.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,622.25
|
| Rate for Payer: UHCCP Medicaid |
$8,622.25
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$23,383.54
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$22,270.04 |
| Max. Negotiated Rate |
$23,383.54 |
| Rate for Payer: BCBS Complete |
$23,383.54
|
| Rate for Payer: Mclaren Medicaid |
$22,270.04
|
| Rate for Payer: Meridian Medicaid |
$23,383.54
|
| Rate for Payer: PHP Medicaid |
$22,270.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,270.04
|
| Rate for Payer: UHCCP Medicaid |
$22,270.04
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$16,554.72
|
|
|
Service Code
|
APR-DRG 1763
|
| Min. Negotiated Rate |
$15,766.40 |
| Max. Negotiated Rate |
$16,554.72 |
| Rate for Payer: BCBS Complete |
$16,554.72
|
| Rate for Payer: Mclaren Medicaid |
$15,766.40
|
| Rate for Payer: Meridian Medicaid |
$16,554.72
|
| Rate for Payer: PHP Medicaid |
$15,766.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,766.40
|
| Rate for Payer: UHCCP Medicaid |
$15,766.40
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 8172
|
| Min. Negotiated Rate |
$2,956.20 |
| Max. Negotiated Rate |
$3,104.01 |
| Rate for Payer: BCBS Complete |
$3,104.01
|
| Rate for Payer: Mclaren Medicaid |
$2,956.20
|
| Rate for Payer: Meridian Medicaid |
$3,104.01
|
| Rate for Payer: PHP Medicaid |
$2,956.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,956.20
|
| Rate for Payer: UHCCP Medicaid |
$2,956.20
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,121.07
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,020.07 |
| Max. Negotiated Rate |
$2,121.07 |
| Rate for Payer: BCBS Complete |
$2,121.07
|
| Rate for Payer: Mclaren Medicaid |
$2,020.07
|
| Rate for Payer: Meridian Medicaid |
$2,121.07
|
| Rate for Payer: PHP Medicaid |
$2,020.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,020.07
|
| Rate for Payer: UHCCP Medicaid |
$2,020.07
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$11,898.70
|
|
|
Service Code
|
APR-DRG 8174
|
| Min. Negotiated Rate |
$11,332.10 |
| Max. Negotiated Rate |
$11,898.70 |
| Rate for Payer: BCBS Complete |
$11,898.70
|
| Rate for Payer: Mclaren Medicaid |
$11,332.10
|
| Rate for Payer: Meridian Medicaid |
$11,898.70
|
| Rate for Payer: PHP Medicaid |
$11,332.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,332.10
|
| Rate for Payer: UHCCP Medicaid |
$11,332.10
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$5,567.51 |
| Max. Negotiated Rate |
$5,845.89 |
| Rate for Payer: BCBS Complete |
$5,845.89
|
| Rate for Payer: Mclaren Medicaid |
$5,567.51
|
| Rate for Payer: Meridian Medicaid |
$5,845.89
|
| Rate for Payer: PHP Medicaid |
$5,567.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,567.51
|
| Rate for Payer: UHCCP Medicaid |
$5,567.51
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$6,984.02
|
|
|
Service Code
|
APR-DRG 1423
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 1422
|
| Min. Negotiated Rate |
$4,385.03 |
| Max. Negotiated Rate |
$4,604.28 |
| Rate for Payer: BCBS Complete |
$4,604.28
|
| Rate for Payer: Mclaren Medicaid |
$4,385.03
|
| Rate for Payer: Meridian Medicaid |
$4,604.28
|
| Rate for Payer: PHP Medicaid |
$4,385.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,385.03
|
| Rate for Payer: UHCCP Medicaid |
$4,385.03
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$10,864.03
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$10,346.70 |
| Max. Negotiated Rate |
$10,864.03 |
| Rate for Payer: BCBS Complete |
$10,864.03
|
| Rate for Payer: Mclaren Medicaid |
$10,346.70
|
| Rate for Payer: Meridian Medicaid |
$10,864.03
|
| Rate for Payer: PHP Medicaid |
$10,346.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,346.70
|
| Rate for Payer: UHCCP Medicaid |
$10,346.70
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 1421
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 2473
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,534.94
|
|
|
Service Code
|
APR-DRG 2471
|
| Min. Negotiated Rate |
$2,414.23 |
| Max. Negotiated Rate |
$2,534.94 |
| Rate for Payer: BCBS Complete |
$2,534.94
|
| Rate for Payer: Mclaren Medicaid |
$2,414.23
|
| Rate for Payer: Meridian Medicaid |
$2,534.94
|
| Rate for Payer: PHP Medicaid |
$2,414.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,414.23
|
| Rate for Payer: UHCCP Medicaid |
$2,414.23
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$9,674.16
|
|
|
Service Code
|
APR-DRG 2474
|
| Min. Negotiated Rate |
$9,213.49 |
| Max. Negotiated Rate |
$9,674.16 |
| Rate for Payer: BCBS Complete |
$9,674.16
|
| Rate for Payer: Mclaren Medicaid |
$9,213.49
|
| Rate for Payer: Meridian Medicaid |
$9,674.16
|
| Rate for Payer: PHP Medicaid |
$9,213.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,213.49
|
| Rate for Payer: UHCCP Medicaid |
$9,213.49
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,202.55 |
| Max. Negotiated Rate |
$3,362.68 |
| Rate for Payer: BCBS Complete |
$3,362.68
|
| Rate for Payer: Mclaren Medicaid |
$3,202.55
|
| Rate for Payer: Meridian Medicaid |
$3,362.68
|
| Rate for Payer: PHP Medicaid |
$3,202.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,202.55
|
| Rate for Payer: UHCCP Medicaid |
$3,202.55
|
|