|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 6941
|
| Min. Negotiated Rate |
$4,040.14 |
| Max. Negotiated Rate |
$4,242.15 |
| Rate for Payer: BCBS Complete |
$4,242.15
|
| Rate for Payer: Mclaren Medicaid |
$4,040.14
|
| Rate for Payer: Meridian Medicaid |
$4,242.15
|
| Rate for Payer: PHP Medicaid |
$4,040.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,040.14
|
| Rate for Payer: UHCCP Medicaid |
$4,040.14
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$6,848.53 |
| Max. Negotiated Rate |
$7,190.96 |
| Rate for Payer: BCBS Complete |
$7,190.96
|
| Rate for Payer: Mclaren Medicaid |
$6,848.53
|
| Rate for Payer: Meridian Medicaid |
$7,190.96
|
| Rate for Payer: PHP Medicaid |
$6,848.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,848.53
|
| Rate for Payer: UHCCP Medicaid |
$6,848.53
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$10,501.90
|
|
|
Service Code
|
APR-DRG 6944
|
| Min. Negotiated Rate |
$10,001.81 |
| Max. Negotiated Rate |
$10,501.90 |
| Rate for Payer: BCBS Complete |
$10,501.90
|
| Rate for Payer: Mclaren Medicaid |
$10,001.81
|
| Rate for Payer: Meridian Medicaid |
$10,501.90
|
| Rate for Payer: PHP Medicaid |
$10,001.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,001.81
|
| Rate for Payer: UHCCP Medicaid |
$10,001.81
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$8,742.96
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$8,326.63 |
| Max. Negotiated Rate |
$8,742.96 |
| Rate for Payer: BCBS Complete |
$8,742.96
|
| Rate for Payer: Mclaren Medicaid |
$8,326.63
|
| Rate for Payer: Meridian Medicaid |
$8,742.96
|
| Rate for Payer: PHP Medicaid |
$8,326.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,326.63
|
| Rate for Payer: UHCCP Medicaid |
$8,326.63
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,897.62
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$5,616.78 |
| Max. Negotiated Rate |
$5,897.62 |
| Rate for Payer: BCBS Complete |
$5,897.62
|
| Rate for Payer: Mclaren Medicaid |
$5,616.78
|
| Rate for Payer: Meridian Medicaid |
$5,897.62
|
| Rate for Payer: PHP Medicaid |
$5,616.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.78
|
| Rate for Payer: UHCCP Medicaid |
$5,616.78
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$19,037.93
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$18,131.36 |
| Max. Negotiated Rate |
$19,037.93 |
| Rate for Payer: BCBS Complete |
$19,037.93
|
| Rate for Payer: Mclaren Medicaid |
$18,131.36
|
| Rate for Payer: Meridian Medicaid |
$19,037.93
|
| Rate for Payer: PHP Medicaid |
$18,131.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,131.36
|
| Rate for Payer: UHCCP Medicaid |
$18,131.36
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,381.91
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$13,697.06 |
| Max. Negotiated Rate |
$14,381.91 |
| Rate for Payer: BCBS Complete |
$14,381.91
|
| Rate for Payer: Mclaren Medicaid |
$13,697.06
|
| Rate for Payer: Meridian Medicaid |
$14,381.91
|
| Rate for Payer: PHP Medicaid |
$13,697.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,697.06
|
| Rate for Payer: UHCCP Medicaid |
$13,697.06
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$29,901.96
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$28,478.06 |
| Max. Negotiated Rate |
$29,901.96 |
| Rate for Payer: BCBS Complete |
$29,901.96
|
| Rate for Payer: Mclaren Medicaid |
$28,478.06
|
| Rate for Payer: Meridian Medicaid |
$29,901.96
|
| Rate for Payer: PHP Medicaid |
$28,478.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,478.06
|
| Rate for Payer: UHCCP Medicaid |
$28,478.06
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,675.25
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$14,928.81 |
| Max. Negotiated Rate |
$15,675.25 |
| Rate for Payer: BCBS Complete |
$15,675.25
|
| Rate for Payer: Mclaren Medicaid |
$14,928.81
|
| Rate for Payer: Meridian Medicaid |
$15,675.25
|
| Rate for Payer: PHP Medicaid |
$14,928.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,928.81
|
| Rate for Payer: UHCCP Medicaid |
$14,928.81
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$23,900.88
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$22,762.74 |
| Max. Negotiated Rate |
$23,900.88 |
| Rate for Payer: BCBS Complete |
$23,900.88
|
| Rate for Payer: Mclaren Medicaid |
$22,762.74
|
| Rate for Payer: Meridian Medicaid |
$23,900.88
|
| Rate for Payer: PHP Medicaid |
$22,762.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,762.74
|
| Rate for Payer: UHCCP Medicaid |
$22,762.74
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,158.46
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$17,293.77 |
| Max. Negotiated Rate |
$18,158.46 |
| Rate for Payer: BCBS Complete |
$18,158.46
|
| Rate for Payer: Mclaren Medicaid |
$17,293.77
|
| Rate for Payer: Meridian Medicaid |
$18,158.46
|
| Rate for Payer: PHP Medicaid |
$17,293.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,293.77
|
| Rate for Payer: UHCCP Medicaid |
$17,293.77
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$15,209.65
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$14,485.38 |
| Max. Negotiated Rate |
$15,209.65 |
| Rate for Payer: BCBS Complete |
$15,209.65
|
| Rate for Payer: Mclaren Medicaid |
$14,485.38
|
| Rate for Payer: Meridian Medicaid |
$15,209.65
|
| Rate for Payer: PHP Medicaid |
$14,485.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,485.38
|
| Rate for Payer: UHCCP Medicaid |
$14,485.38
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$11,795.24
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$11,233.56 |
| Max. Negotiated Rate |
$11,795.24 |
| Rate for Payer: BCBS Complete |
$11,795.24
|
| Rate for Payer: Mclaren Medicaid |
$11,233.56
|
| Rate for Payer: Meridian Medicaid |
$11,795.24
|
| Rate for Payer: PHP Medicaid |
$11,233.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,233.56
|
| Rate for Payer: UHCCP Medicaid |
$11,233.56
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$28,712.09
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$27,344.85 |
| Max. Negotiated Rate |
$28,712.09 |
| Rate for Payer: BCBS Complete |
$28,712.09
|
| Rate for Payer: Mclaren Medicaid |
$27,344.85
|
| Rate for Payer: Meridian Medicaid |
$28,712.09
|
| Rate for Payer: PHP Medicaid |
$27,344.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,344.85
|
| Rate for Payer: UHCCP Medicaid |
$27,344.85
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 2611
|
| Min. Negotiated Rate |
$7,932.47 |
| Max. Negotiated Rate |
$8,329.09 |
| Rate for Payer: BCBS Complete |
$8,329.09
|
| Rate for Payer: Mclaren Medicaid |
$7,932.47
|
| Rate for Payer: Meridian Medicaid |
$8,329.09
|
| Rate for Payer: PHP Medicaid |
$7,932.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.47
|
| Rate for Payer: UHCCP Medicaid |
$7,932.47
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$28,815.56
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$27,443.39 |
| Max. Negotiated Rate |
$28,815.56 |
| Rate for Payer: BCBS Complete |
$28,815.56
|
| Rate for Payer: Mclaren Medicaid |
$27,443.39
|
| Rate for Payer: Meridian Medicaid |
$28,815.56
|
| Rate for Payer: PHP Medicaid |
$27,443.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,443.39
|
| Rate for Payer: UHCCP Medicaid |
$27,443.39
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$19,762.20
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$18,821.14 |
| Max. Negotiated Rate |
$19,762.20 |
| Rate for Payer: BCBS Complete |
$19,762.20
|
| Rate for Payer: Mclaren Medicaid |
$18,821.14
|
| Rate for Payer: Meridian Medicaid |
$19,762.20
|
| Rate for Payer: PHP Medicaid |
$18,821.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,821.14
|
| Rate for Payer: UHCCP Medicaid |
$18,821.14
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$12,105.64
|
|
|
Service Code
|
APR-DRG 4411
|
| Min. Negotiated Rate |
$11,529.18 |
| Max. Negotiated Rate |
$12,105.64 |
| Rate for Payer: BCBS Complete |
$12,105.64
|
| Rate for Payer: Mclaren Medicaid |
$11,529.18
|
| Rate for Payer: Meridian Medicaid |
$12,105.64
|
| Rate for Payer: PHP Medicaid |
$11,529.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,529.18
|
| Rate for Payer: UHCCP Medicaid |
$11,529.18
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$15,106.18
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$14,386.84 |
| Max. Negotiated Rate |
$15,106.18 |
| Rate for Payer: BCBS Complete |
$15,106.18
|
| Rate for Payer: Mclaren Medicaid |
$14,386.84
|
| Rate for Payer: Meridian Medicaid |
$15,106.18
|
| Rate for Payer: PHP Medicaid |
$14,386.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,386.84
|
| Rate for Payer: UHCCP Medicaid |
$14,386.84
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$26,280.62
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$25,029.16 |
| Max. Negotiated Rate |
$26,280.62 |
| Rate for Payer: BCBS Complete |
$26,280.62
|
| Rate for Payer: Mclaren Medicaid |
$25,029.16
|
| Rate for Payer: Meridian Medicaid |
$26,280.62
|
| Rate for Payer: PHP Medicaid |
$25,029.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,029.16
|
| Rate for Payer: UHCCP Medicaid |
$25,029.16
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$37,248.12
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$35,474.40 |
| Max. Negotiated Rate |
$37,248.12 |
| Rate for Payer: BCBS Complete |
$37,248.12
|
| Rate for Payer: Mclaren Medicaid |
$35,474.40
|
| Rate for Payer: Meridian Medicaid |
$37,248.12
|
| Rate for Payer: PHP Medicaid |
$35,474.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,474.40
|
| Rate for Payer: UHCCP Medicaid |
$35,474.40
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$78,997.05
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$75,235.29 |
| Max. Negotiated Rate |
$78,997.05 |
| Rate for Payer: BCBS Complete |
$78,997.05
|
| Rate for Payer: Mclaren Medicaid |
$75,235.29
|
| Rate for Payer: Meridian Medicaid |
$78,997.05
|
| Rate for Payer: PHP Medicaid |
$75,235.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$75,235.29
|
| Rate for Payer: UHCCP Medicaid |
$75,235.29
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$47,025.75
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$44,786.43 |
| Max. Negotiated Rate |
$47,025.75 |
| Rate for Payer: BCBS Complete |
$47,025.75
|
| Rate for Payer: Mclaren Medicaid |
$44,786.43
|
| Rate for Payer: Meridian Medicaid |
$47,025.75
|
| Rate for Payer: PHP Medicaid |
$44,786.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$44,786.43
|
| Rate for Payer: UHCCP Medicaid |
$44,786.43
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$10,812.30
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$10,297.43 |
| Max. Negotiated Rate |
$10,812.30 |
| Rate for Payer: BCBS Complete |
$10,812.30
|
| Rate for Payer: Mclaren Medicaid |
$10,297.43
|
| Rate for Payer: Meridian Medicaid |
$10,812.30
|
| Rate for Payer: PHP Medicaid |
$10,297.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,297.43
|
| Rate for Payer: UHCCP Medicaid |
$10,297.43
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 1352
|
| 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
|
|