|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$20,538.20
|
|
|
Service Code
|
APR-DRG 3134
|
| Min. Negotiated Rate |
$19,560.19 |
| Max. Negotiated Rate |
$20,538.20 |
| Rate for Payer: BCBS Complete |
$20,538.20
|
| Rate for Payer: Mclaren Medicaid |
$19,560.19
|
| Rate for Payer: Meridian Medicaid |
$20,538.20
|
| Rate for Payer: PHP Medicaid |
$19,560.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,560.19
|
| Rate for Payer: UHCCP Medicaid |
$19,560.19
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$13,864.58
|
|
|
Service Code
|
APR-DRG 3133
|
| Min. Negotiated Rate |
$13,204.36 |
| Max. Negotiated Rate |
$13,864.58 |
| Rate for Payer: BCBS Complete |
$13,864.58
|
| Rate for Payer: Mclaren Medicaid |
$13,204.36
|
| Rate for Payer: Meridian Medicaid |
$13,864.58
|
| Rate for Payer: PHP Medicaid |
$13,204.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,204.36
|
| Rate for Payer: UHCCP Medicaid |
$13,204.36
|
|
|
APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$9,777.63
|
|
|
Service Code
|
APR-DRG 3132
|
| Min. Negotiated Rate |
$9,312.03 |
| Max. Negotiated Rate |
$9,777.63 |
| Rate for Payer: BCBS Complete |
$9,777.63
|
| Rate for Payer: Mclaren Medicaid |
$9,312.03
|
| Rate for Payer: Meridian Medicaid |
$9,777.63
|
| Rate for Payer: PHP Medicaid |
$9,312.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,312.03
|
| Rate for Payer: UHCCP Medicaid |
$9,312.03
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$36,523.85
|
|
|
Service Code
|
APR-DRG 0012
|
| Min. Negotiated Rate |
$34,784.62 |
| Max. Negotiated Rate |
$36,523.85 |
| Rate for Payer: BCBS Complete |
$36,523.85
|
| Rate for Payer: Mclaren Medicaid |
$34,784.62
|
| Rate for Payer: Meridian Medicaid |
$36,523.85
|
| Rate for Payer: PHP Medicaid |
$34,784.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,784.62
|
| Rate for Payer: UHCCP Medicaid |
$34,784.62
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$47,284.42
|
|
|
Service Code
|
APR-DRG 0013
|
| Min. Negotiated Rate |
$45,032.78 |
| Max. Negotiated Rate |
$47,284.42 |
| Rate for Payer: BCBS Complete |
$47,284.42
|
| Rate for Payer: Mclaren Medicaid |
$45,032.78
|
| Rate for Payer: Meridian Medicaid |
$47,284.42
|
| Rate for Payer: PHP Medicaid |
$45,032.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,032.78
|
| Rate for Payer: UHCCP Medicaid |
$45,032.78
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$91,050.96
|
|
|
Service Code
|
APR-DRG 0014
|
| Min. Negotiated Rate |
$86,715.20 |
| Max. Negotiated Rate |
$91,050.96 |
| Rate for Payer: BCBS Complete |
$91,050.96
|
| Rate for Payer: Mclaren Medicaid |
$86,715.20
|
| Rate for Payer: Meridian Medicaid |
$91,050.96
|
| Rate for Payer: PHP Medicaid |
$86,715.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$86,715.20
|
| Rate for Payer: UHCCP Medicaid |
$86,715.20
|
|
|
APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$32,074.77
|
|
|
Service Code
|
APR-DRG 0011
|
| Min. Negotiated Rate |
$30,547.40 |
| Max. Negotiated Rate |
$32,074.77 |
| Rate for Payer: BCBS Complete |
$32,074.77
|
| Rate for Payer: Mclaren Medicaid |
$30,547.40
|
| Rate for Payer: Meridian Medicaid |
$32,074.77
|
| Rate for Payer: PHP Medicaid |
$30,547.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,547.40
|
| Rate for Payer: UHCCP Medicaid |
$30,547.40
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,467.77
|
|
|
Service Code
|
APR-DRG 1812
|
| Min. Negotiated Rate |
$11,874.07 |
| Max. Negotiated Rate |
$12,467.77 |
| Rate for Payer: BCBS Complete |
$12,467.77
|
| Rate for Payer: Mclaren Medicaid |
$11,874.07
|
| Rate for Payer: Meridian Medicaid |
$12,467.77
|
| Rate for Payer: PHP Medicaid |
$11,874.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,874.07
|
| Rate for Payer: UHCCP Medicaid |
$11,874.07
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,053.36
|
|
|
Service Code
|
APR-DRG 1811
|
| 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: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,211.28
|
|
|
Service Code
|
APR-DRG 1814
|
| Min. Negotiated Rate |
$23,058.36 |
| Max. Negotiated Rate |
$24,211.28 |
| Rate for Payer: BCBS Complete |
$24,211.28
|
| Rate for Payer: Mclaren Medicaid |
$23,058.36
|
| Rate for Payer: Meridian Medicaid |
$24,211.28
|
| Rate for Payer: PHP Medicaid |
$23,058.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,058.36
|
| Rate for Payer: UHCCP Medicaid |
$23,058.36
|
|
|
APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,658.19
|
|
|
Service Code
|
APR-DRG 1813
|
| Min. Negotiated Rate |
$15,864.94 |
| Max. Negotiated Rate |
$16,658.19 |
| Rate for Payer: BCBS Complete |
$16,658.19
|
| Rate for Payer: Mclaren Medicaid |
$15,864.94
|
| Rate for Payer: Meridian Medicaid |
$16,658.19
|
| Rate for Payer: PHP Medicaid |
$15,864.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,864.94
|
| Rate for Payer: UHCCP Medicaid |
$15,864.94
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 6942
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 6941
|
| 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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$12,312.57
|
|
|
Service Code
|
APR-DRG 6944
|
| 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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,449.62
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$7,094.88 |
| Max. Negotiated Rate |
$7,449.62 |
| Rate for Payer: BCBS Complete |
$7,449.62
|
| Rate for Payer: Mclaren Medicaid |
$7,094.88
|
| Rate for Payer: Meridian Medicaid |
$7,449.62
|
| Rate for Payer: PHP Medicaid |
$7,094.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,094.88
|
| Rate for Payer: UHCCP Medicaid |
$7,094.88
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,604.82
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$7,242.69 |
| Max. Negotiated Rate |
$7,604.82 |
| Rate for Payer: BCBS Complete |
$7,604.82
|
| Rate for Payer: Mclaren Medicaid |
$7,242.69
|
| Rate for Payer: Meridian Medicaid |
$7,604.82
|
| Rate for Payer: PHP Medicaid |
$7,242.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,242.69
|
| Rate for Payer: UHCCP Medicaid |
$7,242.69
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,329.64
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$10,790.13 |
| Max. Negotiated Rate |
$11,329.64 |
| Rate for Payer: BCBS Complete |
$11,329.64
|
| Rate for Payer: Mclaren Medicaid |
$10,790.13
|
| Rate for Payer: Meridian Medicaid |
$11,329.64
|
| Rate for Payer: PHP Medicaid |
$10,790.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,790.13
|
| Rate for Payer: UHCCP Medicaid |
$10,790.13
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$5,271.89 |
| Max. Negotiated Rate |
$5,535.48 |
| Rate for Payer: BCBS Complete |
$5,535.48
|
| Rate for Payer: Mclaren Medicaid |
$5,271.89
|
| Rate for Payer: Meridian Medicaid |
$5,535.48
|
| Rate for Payer: PHP Medicaid |
$5,271.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,271.89
|
| Rate for Payer: UHCCP Medicaid |
$5,271.89
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$19,244.86
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$18,328.44 |
| Max. Negotiated Rate |
$19,244.86 |
| Rate for Payer: BCBS Complete |
$19,244.86
|
| Rate for Payer: Mclaren Medicaid |
$18,328.44
|
| Rate for Payer: Meridian Medicaid |
$19,244.86
|
| Rate for Payer: PHP Medicaid |
$18,328.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,328.44
|
| Rate for Payer: UHCCP Medicaid |
$18,328.44
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$29,436.36
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$28,034.63 |
| Max. Negotiated Rate |
$29,436.36 |
| Rate for Payer: BCBS Complete |
$29,436.36
|
| Rate for Payer: Mclaren Medicaid |
$28,034.63
|
| Rate for Payer: Meridian Medicaid |
$29,436.36
|
| Rate for Payer: PHP Medicaid |
$28,034.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,034.63
|
| Rate for Payer: UHCCP Medicaid |
$28,034.63
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,296.05
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$15,520.05 |
| Max. Negotiated Rate |
$16,296.05 |
| Rate for Payer: BCBS Complete |
$16,296.05
|
| Rate for Payer: Mclaren Medicaid |
$15,520.05
|
| Rate for Payer: Meridian Medicaid |
$16,296.05
|
| Rate for Payer: PHP Medicaid |
$15,520.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,520.05
|
| Rate for Payer: UHCCP Medicaid |
$15,520.05
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$20,589.93
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$19,609.46 |
| Max. Negotiated Rate |
$20,589.93 |
| Rate for Payer: BCBS Complete |
$20,589.93
|
| Rate for Payer: Mclaren Medicaid |
$19,609.46
|
| Rate for Payer: Meridian Medicaid |
$20,589.93
|
| Rate for Payer: PHP Medicaid |
$19,609.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,609.46
|
| Rate for Payer: UHCCP Medicaid |
$19,609.46
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,657.64
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$13,007.28 |
| Max. Negotiated Rate |
$13,657.64 |
| Rate for Payer: BCBS Complete |
$13,657.64
|
| Rate for Payer: Mclaren Medicaid |
$13,007.28
|
| Rate for Payer: Meridian Medicaid |
$13,657.64
|
| Rate for Payer: PHP Medicaid |
$13,007.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,007.28
|
| Rate for Payer: UHCCP Medicaid |
$13,007.28
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$11,846.97
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$11,282.83 |
| Max. Negotiated Rate |
$11,846.97 |
| Rate for Payer: BCBS Complete |
$11,846.97
|
| Rate for Payer: Mclaren Medicaid |
$11,282.83
|
| Rate for Payer: Meridian Medicaid |
$11,846.97
|
| Rate for Payer: PHP Medicaid |
$11,282.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,282.83
|
| Rate for Payer: UHCCP Medicaid |
$11,282.83
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$8,432.56
|
|
|
Service Code
|
APR-DRG 2611
|
| 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
|
|