|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$3,983.48
|
|
|
Service Code
|
APR-DRG 1351
|
| Min. Negotiated Rate |
$3,793.79 |
| Max. Negotiated Rate |
$3,983.48 |
| Rate for Payer: BCBS Complete |
$3,983.48
|
| Rate for Payer: Mclaren Medicaid |
$3,793.79
|
| Rate for Payer: Meridian Medicaid |
$3,983.48
|
| Rate for Payer: PHP Medicaid |
$3,793.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,793.79
|
| Rate for Payer: UHCCP Medicaid |
$3,793.79
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 1353
|
| 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: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,174.44
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$10,642.32 |
| Max. Negotiated Rate |
$11,174.44 |
| Rate for Payer: BCBS Complete |
$11,174.44
|
| Rate for Payer: Mclaren Medicaid |
$10,642.32
|
| Rate for Payer: Meridian Medicaid |
$11,174.44
|
| Rate for Payer: PHP Medicaid |
$10,642.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,642.32
|
| Rate for Payer: UHCCP Medicaid |
$10,642.32
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$21,572.87
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$20,545.59 |
| Max. Negotiated Rate |
$21,572.87 |
| Rate for Payer: BCBS Complete |
$21,572.87
|
| Rate for Payer: Mclaren Medicaid |
$20,545.59
|
| Rate for Payer: Meridian Medicaid |
$21,572.87
|
| Rate for Payer: PHP Medicaid |
$20,545.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,545.59
|
| Rate for Payer: UHCCP Medicaid |
$20,545.59
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$28,867.29
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$27,492.66 |
| Max. Negotiated Rate |
$28,867.29 |
| Rate for Payer: BCBS Complete |
$28,867.29
|
| Rate for Payer: Mclaren Medicaid |
$27,492.66
|
| Rate for Payer: Meridian Medicaid |
$28,867.29
|
| Rate for Payer: PHP Medicaid |
$27,492.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,492.66
|
| Rate for Payer: UHCCP Medicaid |
$27,492.66
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$15,726.98
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$14,978.08 |
| Max. Negotiated Rate |
$15,726.98 |
| Rate for Payer: BCBS Complete |
$15,726.98
|
| Rate for Payer: Mclaren Medicaid |
$14,978.08
|
| Rate for Payer: Meridian Medicaid |
$15,726.98
|
| Rate for Payer: PHP Medicaid |
$14,978.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,978.08
|
| Rate for Payer: UHCCP Medicaid |
$14,978.08
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 2423
|
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$11,484.84
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$10,937.94 |
| Max. Negotiated Rate |
$11,484.84 |
| Rate for Payer: BCBS Complete |
$11,484.84
|
| Rate for Payer: Mclaren Medicaid |
$10,937.94
|
| Rate for Payer: Meridian Medicaid |
$11,484.84
|
| Rate for Payer: PHP Medicaid |
$10,937.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,937.94
|
| Rate for Payer: UHCCP Medicaid |
$10,937.94
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,276.82
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$5,025.54 |
| Max. Negotiated Rate |
$5,276.82 |
| Rate for Payer: BCBS Complete |
$5,276.82
|
| Rate for Payer: Mclaren Medicaid |
$5,025.54
|
| Rate for Payer: Meridian Medicaid |
$5,276.82
|
| Rate for Payer: PHP Medicaid |
$5,025.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,025.54
|
| Rate for Payer: UHCCP Medicaid |
$5,025.54
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$3,547.44 |
| Max. Negotiated Rate |
$3,724.81 |
| Rate for Payer: BCBS Complete |
$3,724.81
|
| Rate for Payer: Mclaren Medicaid |
$3,547.44
|
| Rate for Payer: Meridian Medicaid |
$3,724.81
|
| Rate for Payer: PHP Medicaid |
$3,547.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,547.44
|
| Rate for Payer: UHCCP Medicaid |
$3,547.44
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 2483
|
| 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: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$4,335.76 |
| Max. Negotiated Rate |
$4,552.55 |
| Rate for Payer: BCBS Complete |
$4,552.55
|
| Rate for Payer: Mclaren Medicaid |
$4,335.76
|
| Rate for Payer: Meridian Medicaid |
$4,552.55
|
| Rate for Payer: PHP Medicaid |
$4,335.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,335.76
|
| Rate for Payer: UHCCP Medicaid |
$4,335.76
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$3,301.09 |
| Max. Negotiated Rate |
$3,466.14 |
| Rate for Payer: BCBS Complete |
$3,466.14
|
| Rate for Payer: Mclaren Medicaid |
$3,301.09
|
| Rate for Payer: Meridian Medicaid |
$3,466.14
|
| Rate for Payer: PHP Medicaid |
$3,301.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,301.09
|
| Rate for Payer: UHCCP Medicaid |
$3,301.09
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$9,415.50
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$8,967.14 |
| Max. Negotiated Rate |
$9,415.50 |
| Rate for Payer: BCBS Complete |
$9,415.50
|
| Rate for Payer: Mclaren Medicaid |
$8,967.14
|
| Rate for Payer: Meridian Medicaid |
$9,415.50
|
| Rate for Payer: PHP Medicaid |
$8,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,967.14
|
| Rate for Payer: UHCCP Medicaid |
$8,967.14
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 6602
|
| 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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$7,863.49
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$7,489.04 |
| Max. Negotiated Rate |
$7,863.49 |
| Rate for Payer: BCBS Complete |
$7,863.49
|
| Rate for Payer: Mclaren Medicaid |
$7,489.04
|
| Rate for Payer: Meridian Medicaid |
$7,863.49
|
| Rate for Payer: PHP Medicaid |
$7,489.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,489.04
|
| Rate for Payer: UHCCP Medicaid |
$7,489.04
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$15,002.72
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$14,288.30 |
| Max. Negotiated Rate |
$15,002.72 |
| Rate for Payer: BCBS Complete |
$15,002.72
|
| Rate for Payer: Mclaren Medicaid |
$14,288.30
|
| Rate for Payer: Meridian Medicaid |
$15,002.72
|
| Rate for Payer: PHP Medicaid |
$14,288.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,288.30
|
| Rate for Payer: UHCCP Medicaid |
$14,288.30
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$3,892.33 |
| Max. Negotiated Rate |
$4,086.95 |
| Rate for Payer: BCBS Complete |
$4,086.95
|
| Rate for Payer: Mclaren Medicaid |
$3,892.33
|
| Rate for Payer: Meridian Medicaid |
$4,086.95
|
| Rate for Payer: PHP Medicaid |
$3,892.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,892.33
|
| Rate for Payer: UHCCP Medicaid |
$3,892.33
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$22,866.21
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$21,777.34 |
| Max. Negotiated Rate |
$22,866.21 |
| Rate for Payer: BCBS Complete |
$22,866.21
|
| Rate for Payer: Mclaren Medicaid |
$21,777.34
|
| Rate for Payer: Meridian Medicaid |
$22,866.21
|
| Rate for Payer: PHP Medicaid |
$21,777.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,777.34
|
| Rate for Payer: UHCCP Medicaid |
$21,777.34
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,708.83
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$10,198.89 |
| Max. Negotiated Rate |
$10,708.83 |
| Rate for Payer: BCBS Complete |
$10,708.83
|
| Rate for Payer: Mclaren Medicaid |
$10,198.89
|
| Rate for Payer: Meridian Medicaid |
$10,708.83
|
| Rate for Payer: PHP Medicaid |
$10,198.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,198.89
|
| Rate for Payer: UHCCP Medicaid |
$10,198.89
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$15,416.58
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$14,682.46 |
| Max. Negotiated Rate |
$15,416.58 |
| Rate for Payer: BCBS Complete |
$15,416.58
|
| Rate for Payer: Mclaren Medicaid |
$14,682.46
|
| Rate for Payer: Meridian Medicaid |
$15,416.58
|
| Rate for Payer: PHP Medicaid |
$14,682.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,682.46
|
| Rate for Payer: UHCCP Medicaid |
$14,682.46
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 2311
|
| 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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,605.91
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$12,958.01 |
| Max. Negotiated Rate |
$13,605.91 |
| Rate for Payer: BCBS Complete |
$13,605.91
|
| Rate for Payer: Mclaren Medicaid |
$12,958.01
|
| Rate for Payer: Meridian Medicaid |
$13,605.91
|
| Rate for Payer: PHP Medicaid |
$12,958.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,958.01
|
| Rate for Payer: UHCCP Medicaid |
$12,958.01
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 6801
|
| 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: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$19,400.06
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$18,476.25 |
| Max. Negotiated Rate |
$19,400.06 |
| Rate for Payer: BCBS Complete |
$19,400.06
|
| Rate for Payer: Mclaren Medicaid |
$18,476.25
|
| Rate for Payer: Meridian Medicaid |
$19,400.06
|
| Rate for Payer: PHP Medicaid |
$18,476.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,476.25
|
| Rate for Payer: UHCCP Medicaid |
$18,476.25
|
|