|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$14,537.11
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$13,844.87 |
| Max. Negotiated Rate |
$14,537.11 |
| Rate for Payer: BCBS Complete |
$14,537.11
|
| Rate for Payer: Mclaren Medicaid |
$13,844.87
|
| Rate for Payer: Meridian Medicaid |
$14,537.11
|
| Rate for Payer: PHP Medicaid |
$13,844.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,844.87
|
| Rate for Payer: UHCCP Medicaid |
$13,844.87
|
|
|
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
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 4411
|
| 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: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$25,918.48
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$24,684.27 |
| Max. Negotiated Rate |
$25,918.48 |
| Rate for Payer: BCBS Complete |
$25,918.48
|
| Rate for Payer: Mclaren Medicaid |
$24,684.27
|
| Rate for Payer: Meridian Medicaid |
$25,918.48
|
| Rate for Payer: PHP Medicaid |
$24,684.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,684.27
|
| Rate for Payer: UHCCP Medicaid |
$24,684.27
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$13,761.11
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$13,105.82 |
| Max. Negotiated Rate |
$13,761.11 |
| Rate for Payer: BCBS Complete |
$13,761.11
|
| Rate for Payer: Mclaren Medicaid |
$13,105.82
|
| Rate for Payer: Meridian Medicaid |
$13,761.11
|
| Rate for Payer: PHP Medicaid |
$13,105.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,105.82
|
| Rate for Payer: UHCCP Medicaid |
$13,105.82
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$17,796.32
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$16,948.88 |
| Max. Negotiated Rate |
$17,796.32 |
| Rate for Payer: BCBS Complete |
$17,796.32
|
| Rate for Payer: Mclaren Medicaid |
$16,948.88
|
| Rate for Payer: Meridian Medicaid |
$17,796.32
|
| Rate for Payer: PHP Medicaid |
$16,948.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,948.88
|
| Rate for Payer: UHCCP Medicaid |
$16,948.88
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$17,227.26
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$16,406.91 |
| Max. Negotiated Rate |
$17,227.26 |
| Rate for Payer: BCBS Complete |
$17,227.26
|
| Rate for Payer: Mclaren Medicaid |
$16,406.91
|
| Rate for Payer: Meridian Medicaid |
$17,227.26
|
| Rate for Payer: PHP Medicaid |
$16,406.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,406.91
|
| Rate for Payer: UHCCP Medicaid |
$16,406.91
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$70,098.89
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$66,760.85 |
| Max. Negotiated Rate |
$70,098.89 |
| Rate for Payer: BCBS Complete |
$70,098.89
|
| Rate for Payer: Mclaren Medicaid |
$66,760.85
|
| Rate for Payer: Meridian Medicaid |
$70,098.89
|
| Rate for Payer: PHP Medicaid |
$66,760.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$66,760.85
|
| Rate for Payer: UHCCP Medicaid |
$66,760.85
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$32,488.64
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$30,941.56 |
| Max. Negotiated Rate |
$32,488.64 |
| Rate for Payer: BCBS Complete |
$32,488.64
|
| Rate for Payer: Mclaren Medicaid |
$30,941.56
|
| Rate for Payer: Meridian Medicaid |
$32,488.64
|
| Rate for Payer: PHP Medicaid |
$30,941.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,941.56
|
| Rate for Payer: UHCCP Medicaid |
$30,941.56
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$24,314.74
|
|
|
Service Code
|
APR-DRG 1602
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$11,640.04
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$11,085.75 |
| Max. Negotiated Rate |
$11,640.04 |
| Rate for Payer: BCBS Complete |
$11,640.04
|
| Rate for Payer: Mclaren Medicaid |
$11,085.75
|
| Rate for Payer: Meridian Medicaid |
$11,640.04
|
| Rate for Payer: PHP Medicaid |
$11,085.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,085.75
|
| Rate for Payer: UHCCP Medicaid |
$11,085.75
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$6,570.15
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$6,257.29 |
| Max. Negotiated Rate |
$6,570.15 |
| Rate for Payer: BCBS Complete |
$6,570.15
|
| Rate for Payer: Mclaren Medicaid |
$6,257.29
|
| Rate for Payer: Meridian Medicaid |
$6,570.15
|
| Rate for Payer: PHP Medicaid |
$6,257.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,257.29
|
| Rate for Payer: UHCCP Medicaid |
$6,257.29
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 1351
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,500.81
|
|
|
Service Code
|
APR-DRG 1352
|
| 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: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$20,745.13
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$19,757.27 |
| Max. Negotiated Rate |
$20,745.13 |
| Rate for Payer: BCBS Complete |
$20,745.13
|
| Rate for Payer: Mclaren Medicaid |
$19,757.27
|
| Rate for Payer: Meridian Medicaid |
$20,745.13
|
| Rate for Payer: PHP Medicaid |
$19,757.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,757.27
|
| Rate for Payer: UHCCP Medicaid |
$19,757.27
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$12,105.64
|
|
|
Service Code
|
APR-DRG 0892
|
| 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 CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$9,260.30
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$8,819.33 |
| Max. Negotiated Rate |
$9,260.30 |
| Rate for Payer: BCBS Complete |
$9,260.30
|
| Rate for Payer: Mclaren Medicaid |
$8,819.33
|
| Rate for Payer: Meridian Medicaid |
$9,260.30
|
| Rate for Payer: PHP Medicaid |
$8,819.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,819.33
|
| Rate for Payer: UHCCP Medicaid |
$8,819.33
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$27,780.89
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$26,457.99 |
| Max. Negotiated Rate |
$27,780.89 |
| Rate for Payer: BCBS Complete |
$27,780.89
|
| Rate for Payer: Mclaren Medicaid |
$26,457.99
|
| Rate for Payer: Meridian Medicaid |
$27,780.89
|
| Rate for Payer: PHP Medicaid |
$26,457.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,457.99
|
| Rate for Payer: UHCCP Medicaid |
$26,457.99
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$12,674.71
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$12,071.15 |
| Max. Negotiated Rate |
$12,674.71 |
| Rate for Payer: BCBS Complete |
$12,674.71
|
| Rate for Payer: Mclaren Medicaid |
$12,071.15
|
| Rate for Payer: Meridian Medicaid |
$12,674.71
|
| Rate for Payer: PHP Medicaid |
$12,071.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,071.15
|
| Rate for Payer: UHCCP Medicaid |
$12,071.15
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 2421
|
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,518.42
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$6,208.02 |
| Max. Negotiated Rate |
$6,518.42 |
| Rate for Payer: BCBS Complete |
$6,518.42
|
| Rate for Payer: Mclaren Medicaid |
$6,208.02
|
| Rate for Payer: Meridian Medicaid |
$6,518.42
|
| Rate for Payer: PHP Medicaid |
$6,208.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,208.02
|
| Rate for Payer: UHCCP Medicaid |
$6,208.02
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,345.61
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$4,138.68 |
| Max. Negotiated Rate |
$4,345.61 |
| Rate for Payer: BCBS Complete |
$4,345.61
|
| Rate for Payer: Mclaren Medicaid |
$4,138.68
|
| Rate for Payer: Meridian Medicaid |
$4,345.61
|
| Rate for Payer: PHP Medicaid |
$4,138.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,138.68
|
| Rate for Payer: UHCCP Medicaid |
$4,138.68
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$10,501.90
|
|
|
Service Code
|
APR-DRG 2484
|
| 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: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,983.48
|
|
|
Service Code
|
APR-DRG 2482
|
| 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 GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$6,001.09
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$5,715.32 |
| Max. Negotiated Rate |
$6,001.09 |
| Rate for Payer: BCBS Complete |
$6,001.09
|
| Rate for Payer: Mclaren Medicaid |
$5,715.32
|
| Rate for Payer: Meridian Medicaid |
$6,001.09
|
| Rate for Payer: PHP Medicaid |
$5,715.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,715.32
|
| Rate for Payer: UHCCP Medicaid |
$5,715.32
|
|