|
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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$17,951.52
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$17,096.69 |
| Max. Negotiated Rate |
$17,951.52 |
| Rate for Payer: BCBS Complete |
$17,951.52
|
| Rate for Payer: Mclaren Medicaid |
$17,096.69
|
| Rate for Payer: Meridian Medicaid |
$17,951.52
|
| Rate for Payer: PHP Medicaid |
$17,096.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,096.69
|
| Rate for Payer: UHCCP Medicaid |
$17,096.69
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$8,691.23
|
|
|
Service Code
|
APR-DRG 2282
|
| Min. Negotiated Rate |
$8,277.36 |
| Max. Negotiated Rate |
$8,691.23 |
| Rate for Payer: BCBS Complete |
$8,691.23
|
| Rate for Payer: Mclaren Medicaid |
$8,277.36
|
| Rate for Payer: Meridian Medicaid |
$8,691.23
|
| Rate for Payer: PHP Medicaid |
$8,277.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,277.36
|
| Rate for Payer: UHCCP Medicaid |
$8,277.36
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 2281
|
| Min. Negotiated Rate |
$5,863.13 |
| Max. Negotiated Rate |
$6,156.29 |
| Rate for Payer: BCBS Complete |
$6,156.29
|
| Rate for Payer: Mclaren Medicaid |
$5,863.13
|
| Rate for Payer: Meridian Medicaid |
$6,156.29
|
| Rate for Payer: PHP Medicaid |
$5,863.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,863.13
|
| Rate for Payer: UHCCP Medicaid |
$5,863.13
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$10,036.30
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$9,558.38 |
| Max. Negotiated Rate |
$10,036.30 |
| Rate for Payer: BCBS Complete |
$10,036.30
|
| Rate for Payer: Mclaren Medicaid |
$9,558.38
|
| Rate for Payer: Meridian Medicaid |
$10,036.30
|
| Rate for Payer: PHP Medicaid |
$9,558.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,558.38
|
| Rate for Payer: UHCCP Medicaid |
$9,558.38
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$9,467.23
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$9,016.41 |
| Max. Negotiated Rate |
$9,467.23 |
| Rate for Payer: BCBS Complete |
$9,467.23
|
| Rate for Payer: Mclaren Medicaid |
$9,016.41
|
| Rate for Payer: Meridian Medicaid |
$9,467.23
|
| Rate for Payer: PHP Medicaid |
$9,016.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,016.41
|
| Rate for Payer: UHCCP Medicaid |
$9,016.41
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$35,178.78
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$33,503.60 |
| Max. Negotiated Rate |
$35,178.78 |
| Rate for Payer: BCBS Complete |
$35,178.78
|
| Rate for Payer: Mclaren Medicaid |
$33,503.60
|
| Rate for Payer: Meridian Medicaid |
$35,178.78
|
| Rate for Payer: PHP Medicaid |
$33,503.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,503.60
|
| Rate for Payer: UHCCP Medicaid |
$33,503.60
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$19,865.66
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$18,919.68 |
| Max. Negotiated Rate |
$19,865.66 |
| Rate for Payer: BCBS Complete |
$19,865.66
|
| Rate for Payer: Mclaren Medicaid |
$18,919.68
|
| Rate for Payer: Meridian Medicaid |
$19,865.66
|
| Rate for Payer: PHP Medicaid |
$18,919.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,919.68
|
| Rate for Payer: UHCCP Medicaid |
$18,919.68
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$24,314.74
|
|
|
Service Code
|
APR-DRG 1763
|
| Min. Negotiated Rate |
$23,156.90 |
| Max. Negotiated Rate |
$24,314.74 |
| Rate for Payer: BCBS Complete |
$24,314.74
|
| Rate for Payer: Mclaren Medicaid |
$23,156.90
|
| Rate for Payer: Meridian Medicaid |
$24,314.74
|
| Rate for Payer: PHP Medicaid |
$23,156.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,156.90
|
| Rate for Payer: UHCCP Medicaid |
$23,156.90
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 8172
|
| Min. Negotiated Rate |
$3,251.82 |
| Max. Negotiated Rate |
$3,414.41 |
| Rate for Payer: BCBS Complete |
$3,414.41
|
| Rate for Payer: Mclaren Medicaid |
$3,251.82
|
| Rate for Payer: Meridian Medicaid |
$3,414.41
|
| Rate for Payer: PHP Medicaid |
$3,251.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,251.82
|
| Rate for Payer: UHCCP Medicaid |
$3,251.82
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$10,294.97
|
|
|
Service Code
|
APR-DRG 8174
|
| Min. Negotiated Rate |
$9,804.73 |
| Max. Negotiated Rate |
$10,294.97 |
| Rate for Payer: BCBS Complete |
$10,294.97
|
| Rate for Payer: Mclaren Medicaid |
$9,804.73
|
| Rate for Payer: Meridian Medicaid |
$10,294.97
|
| Rate for Payer: PHP Medicaid |
$9,804.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,804.73
|
| Rate for Payer: UHCCP Medicaid |
$9,804.73
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,328.01
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,217.15 |
| Max. Negotiated Rate |
$2,328.01 |
| Rate for Payer: BCBS Complete |
$2,328.01
|
| Rate for Payer: Mclaren Medicaid |
$2,217.15
|
| Rate for Payer: Meridian Medicaid |
$2,328.01
|
| Rate for Payer: PHP Medicaid |
$2,217.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,217.15
|
| Rate for Payer: UHCCP Medicaid |
$2,217.15
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$6,363.22
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$6,060.21 |
| Max. Negotiated Rate |
$6,363.22 |
| Rate for Payer: BCBS Complete |
$6,363.22
|
| Rate for Payer: Mclaren Medicaid |
$6,060.21
|
| Rate for Payer: Meridian Medicaid |
$6,363.22
|
| Rate for Payer: PHP Medicaid |
$6,060.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,060.21
|
| Rate for Payer: UHCCP Medicaid |
$6,060.21
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$9,467.23
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$9,016.41 |
| Max. Negotiated Rate |
$9,467.23 |
| Rate for Payer: BCBS Complete |
$9,467.23
|
| Rate for Payer: Mclaren Medicaid |
$9,016.41
|
| Rate for Payer: Meridian Medicaid |
$9,467.23
|
| Rate for Payer: PHP Medicaid |
$9,016.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,016.41
|
| Rate for Payer: UHCCP Medicaid |
$9,016.41
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 1422
|
| Min. Negotiated Rate |
$4,631.38 |
| Max. Negotiated Rate |
$4,862.95 |
| Rate for Payer: BCBS Complete |
$4,862.95
|
| Rate for Payer: Mclaren Medicaid |
$4,631.38
|
| Rate for Payer: Meridian Medicaid |
$4,862.95
|
| Rate for Payer: PHP Medicaid |
$4,631.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,631.38
|
| Rate for Payer: UHCCP Medicaid |
$4,631.38
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$6,673.62
|
|
|
Service Code
|
APR-DRG 1423
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,259.21
|
|
|
Service Code
|
APR-DRG 1421
|
| Min. Negotiated Rate |
$3,104.01 |
| Max. Negotiated Rate |
$3,259.21 |
| Rate for Payer: BCBS Complete |
$3,259.21
|
| Rate for Payer: Mclaren Medicaid |
$3,104.01
|
| Rate for Payer: Meridian Medicaid |
$3,259.21
|
| Rate for Payer: PHP Medicaid |
$3,104.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,104.01
|
| Rate for Payer: UHCCP Medicaid |
$3,104.01
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 2471
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 2473
|
| Min. Negotiated Rate |
$4,927.00 |
| Max. Negotiated Rate |
$5,173.35 |
| Rate for Payer: BCBS Complete |
$5,173.35
|
| Rate for Payer: Mclaren Medicaid |
$4,927.00
|
| Rate for Payer: Meridian Medicaid |
$5,173.35
|
| Rate for Payer: PHP Medicaid |
$4,927.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,927.00
|
| Rate for Payer: UHCCP Medicaid |
$4,927.00
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,621.34
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,448.90 |
| Max. Negotiated Rate |
$3,621.34 |
| Rate for Payer: BCBS Complete |
$3,621.34
|
| Rate for Payer: Mclaren Medicaid |
$3,448.90
|
| Rate for Payer: Meridian Medicaid |
$3,621.34
|
| Rate for Payer: PHP Medicaid |
$3,448.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,448.90
|
| Rate for Payer: UHCCP Medicaid |
$3,448.90
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 2474
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$7,242.69
|
|
|
Service Code
|
APR-DRG 0442
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$13,812.84
|
|
|
Service Code
|
APR-DRG 0444
|
| Min. Negotiated Rate |
$13,155.09 |
| Max. Negotiated Rate |
$13,812.84 |
| Rate for Payer: BCBS Complete |
$13,812.84
|
| Rate for Payer: Mclaren Medicaid |
$13,155.09
|
| Rate for Payer: Meridian Medicaid |
$13,812.84
|
| Rate for Payer: PHP Medicaid |
$13,155.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,155.09
|
| Rate for Payer: UHCCP Medicaid |
$13,155.09
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$10,967.50
|
|
|
Service Code
|
APR-DRG 0443
|
| Min. Negotiated Rate |
$10,445.24 |
| Max. Negotiated Rate |
$10,967.50 |
| Rate for Payer: BCBS Complete |
$10,967.50
|
| Rate for Payer: Mclaren Medicaid |
$10,445.24
|
| Rate for Payer: Meridian Medicaid |
$10,967.50
|
| Rate for Payer: PHP Medicaid |
$10,445.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,445.24
|
| Rate for Payer: UHCCP Medicaid |
$10,445.24
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 0441
|
| Min. Negotiated Rate |
$4,532.84 |
| Max. Negotiated Rate |
$4,759.48 |
| Rate for Payer: BCBS Complete |
$4,759.48
|
| Rate for Payer: Mclaren Medicaid |
$4,532.84
|
| Rate for Payer: Meridian Medicaid |
$4,759.48
|
| Rate for Payer: PHP Medicaid |
$4,532.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,532.84
|
| Rate for Payer: UHCCP Medicaid |
$4,532.84
|
|