|
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
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$7,242.69
|
|
|
Service Code
|
APR-DRG 6603
|
| 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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 6602
|
| Min. Negotiated Rate |
$4,385.03 |
| Max. Negotiated Rate |
$4,604.28 |
| Rate for Payer: BCBS Complete |
$4,604.28
|
| Rate for Payer: Mclaren Medicaid |
$4,385.03
|
| Rate for Payer: Meridian Medicaid |
$4,604.28
|
| Rate for Payer: PHP Medicaid |
$4,385.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,385.03
|
| Rate for Payer: UHCCP Medicaid |
$4,385.03
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$3,621.34
|
|
|
Service Code
|
APR-DRG 6601
|
| 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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$13,761.11
|
|
|
Service Code
|
APR-DRG 6604
|
| 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 LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$21,055.53
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$20,052.89 |
| Max. Negotiated Rate |
$21,055.53 |
| Rate for Payer: BCBS Complete |
$21,055.53
|
| Rate for Payer: Mclaren Medicaid |
$20,052.89
|
| Rate for Payer: Meridian Medicaid |
$21,055.53
|
| Rate for Payer: PHP Medicaid |
$20,052.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,052.89
|
| Rate for Payer: UHCCP Medicaid |
$20,052.89
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$14,174.98
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$13,499.98 |
| Max. Negotiated Rate |
$14,174.98 |
| Rate for Payer: BCBS Complete |
$14,174.98
|
| Rate for Payer: Mclaren Medicaid |
$13,499.98
|
| Rate for Payer: Meridian Medicaid |
$14,174.98
|
| Rate for Payer: PHP Medicaid |
$13,499.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,499.98
|
| Rate for Payer: UHCCP Medicaid |
$13,499.98
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,881.10
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$9,410.57 |
| Max. Negotiated Rate |
$9,881.10 |
| Rate for Payer: BCBS Complete |
$9,881.10
|
| Rate for Payer: Mclaren Medicaid |
$9,410.57
|
| Rate for Payer: Meridian Medicaid |
$9,881.10
|
| Rate for Payer: PHP Medicaid |
$9,410.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,410.57
|
| Rate for Payer: UHCCP Medicaid |
$9,410.57
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$7,341.23 |
| Max. Negotiated Rate |
$7,708.29 |
| Rate for Payer: BCBS Complete |
$7,708.29
|
| Rate for Payer: Mclaren Medicaid |
$7,341.23
|
| Rate for Payer: Meridian Medicaid |
$7,708.29
|
| Rate for Payer: PHP Medicaid |
$7,341.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,341.23
|
| Rate for Payer: UHCCP Medicaid |
$7,341.23
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$8,129.55 |
| Max. Negotiated Rate |
$8,536.03 |
| Rate for Payer: BCBS Complete |
$8,536.03
|
| Rate for Payer: Mclaren Medicaid |
$8,129.55
|
| Rate for Payer: Meridian Medicaid |
$8,536.03
|
| Rate for Payer: PHP Medicaid |
$8,129.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,129.55
|
| Rate for Payer: UHCCP Medicaid |
$8,129.55
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$18,624.06
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$17,737.20 |
| Max. Negotiated Rate |
$18,624.06 |
| Rate for Payer: BCBS Complete |
$18,624.06
|
| Rate for Payer: Mclaren Medicaid |
$17,737.20
|
| Rate for Payer: Meridian Medicaid |
$18,624.06
|
| Rate for Payer: PHP Medicaid |
$17,737.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,737.20
|
| Rate for Payer: UHCCP Medicaid |
$17,737.20
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$34,195.84
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$32,567.47 |
| Max. Negotiated Rate |
$34,195.84 |
| Rate for Payer: BCBS Complete |
$34,195.84
|
| Rate for Payer: Mclaren Medicaid |
$32,567.47
|
| Rate for Payer: Meridian Medicaid |
$34,195.84
|
| Rate for Payer: PHP Medicaid |
$32,567.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,567.47
|
| Rate for Payer: UHCCP Medicaid |
$32,567.47
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$11,743.50
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$11,184.29 |
| Max. Negotiated Rate |
$11,743.50 |
| Rate for Payer: BCBS Complete |
$11,743.50
|
| Rate for Payer: Mclaren Medicaid |
$11,184.29
|
| Rate for Payer: Meridian Medicaid |
$11,743.50
|
| Rate for Payer: PHP Medicaid |
$11,184.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,184.29
|
| Rate for Payer: UHCCP Medicaid |
$11,184.29
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$29,695.03
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$28,280.98 |
| Max. Negotiated Rate |
$29,695.03 |
| Rate for Payer: BCBS Complete |
$29,695.03
|
| Rate for Payer: Mclaren Medicaid |
$28,280.98
|
| Rate for Payer: Meridian Medicaid |
$29,695.03
|
| Rate for Payer: PHP Medicaid |
$28,280.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,280.98
|
| Rate for Payer: UHCCP Medicaid |
$28,280.98
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$9,725.90
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$9,262.76 |
| Max. Negotiated Rate |
$9,725.90 |
| Rate for Payer: BCBS Complete |
$9,725.90
|
| Rate for Payer: Mclaren Medicaid |
$9,262.76
|
| Rate for Payer: Meridian Medicaid |
$9,725.90
|
| Rate for Payer: PHP Medicaid |
$9,262.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,262.76
|
| Rate for Payer: UHCCP Medicaid |
$9,262.76
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$17,589.39
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$16,751.80 |
| Max. Negotiated Rate |
$17,589.39 |
| Rate for Payer: BCBS Complete |
$17,589.39
|
| Rate for Payer: Mclaren Medicaid |
$16,751.80
|
| Rate for Payer: Meridian Medicaid |
$17,589.39
|
| Rate for Payer: PHP Medicaid |
$16,751.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,751.80
|
| Rate for Payer: UHCCP Medicaid |
$16,751.80
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$13,243.78
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$12,613.12 |
| Max. Negotiated Rate |
$13,243.78 |
| Rate for Payer: BCBS Complete |
$13,243.78
|
| Rate for Payer: Mclaren Medicaid |
$12,613.12
|
| Rate for Payer: Meridian Medicaid |
$13,243.78
|
| Rate for Payer: PHP Medicaid |
$12,613.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,613.12
|
| Rate for Payer: UHCCP Medicaid |
$12,613.12
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$18,054.99
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$17,195.23 |
| Max. Negotiated Rate |
$18,054.99 |
| Rate for Payer: BCBS Complete |
$18,054.99
|
| Rate for Payer: Mclaren Medicaid |
$17,195.23
|
| Rate for Payer: Meridian Medicaid |
$18,054.99
|
| Rate for Payer: PHP Medicaid |
$17,195.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,195.23
|
| Rate for Payer: UHCCP Medicaid |
$17,195.23
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$9,674.16
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$9,213.49 |
| Max. Negotiated Rate |
$9,674.16 |
| Rate for Payer: BCBS Complete |
$9,674.16
|
| Rate for Payer: Mclaren Medicaid |
$9,213.49
|
| Rate for Payer: Meridian Medicaid |
$9,674.16
|
| Rate for Payer: PHP Medicaid |
$9,213.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,213.49
|
| Rate for Payer: UHCCP Medicaid |
$9,213.49
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$12,002.17
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$11,430.64 |
| Max. Negotiated Rate |
$12,002.17 |
| Rate for Payer: BCBS Complete |
$12,002.17
|
| Rate for Payer: Mclaren Medicaid |
$11,430.64
|
| Rate for Payer: Meridian Medicaid |
$12,002.17
|
| Rate for Payer: PHP Medicaid |
$11,430.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,430.64
|
| Rate for Payer: UHCCP Medicaid |
$11,430.64
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$28,660.36
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$27,295.58 |
| Max. Negotiated Rate |
$28,660.36 |
| Rate for Payer: BCBS Complete |
$28,660.36
|
| Rate for Payer: Mclaren Medicaid |
$27,295.58
|
| Rate for Payer: Meridian Medicaid |
$28,660.36
|
| Rate for Payer: PHP Medicaid |
$27,295.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,295.58
|
| Rate for Payer: UHCCP Medicaid |
$27,295.58
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$5,432.02
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,173.35 |
| Max. Negotiated Rate |
$5,432.02 |
| Rate for Payer: BCBS Complete |
$5,432.02
|
| Rate for Payer: Mclaren Medicaid |
$5,173.35
|
| Rate for Payer: Meridian Medicaid |
$5,432.02
|
| Rate for Payer: PHP Medicaid |
$5,173.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,173.35
|
| Rate for Payer: UHCCP Medicaid |
$5,173.35
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$9,755.46 |
| Max. Negotiated Rate |
$10,243.23 |
| Rate for Payer: BCBS Complete |
$10,243.23
|
| Rate for Payer: Mclaren Medicaid |
$9,755.46
|
| Rate for Payer: Meridian Medicaid |
$10,243.23
|
| Rate for Payer: PHP Medicaid |
$9,755.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,755.46
|
| Rate for Payer: UHCCP Medicaid |
$9,755.46
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,498.17 |
| Max. Negotiated Rate |
$3,673.08 |
| Rate for Payer: BCBS Complete |
$3,673.08
|
| Rate for Payer: Mclaren Medicaid |
$3,498.17
|
| Rate for Payer: Meridian Medicaid |
$3,673.08
|
| Rate for Payer: PHP Medicaid |
$3,498.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,498.17
|
| Rate for Payer: UHCCP Medicaid |
$3,498.17
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,857.66 |
| Max. Negotiated Rate |
$3,000.54 |
| Rate for Payer: BCBS Complete |
$3,000.54
|
| Rate for Payer: Mclaren Medicaid |
$2,857.66
|
| Rate for Payer: Meridian Medicaid |
$3,000.54
|
| Rate for Payer: PHP Medicaid |
$2,857.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,857.66
|
| Rate for Payer: UHCCP Medicaid |
$2,857.66
|
|