|
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 PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$12,157.37
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$11,578.45 |
| Max. Negotiated Rate |
$12,157.37 |
| Rate for Payer: BCBS Complete |
$12,157.37
|
| Rate for Payer: Mclaren Medicaid |
$11,578.45
|
| Rate for Payer: Meridian Medicaid |
$12,157.37
|
| Rate for Payer: PHP Medicaid |
$11,578.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,578.45
|
| Rate for Payer: UHCCP Medicaid |
$11,578.45
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$21,055.53
|
|
|
Service Code
|
APR-DRG 2604
|
| 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 PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$9,053.36
|
|
|
Service Code
|
APR-DRG 2601
|
| 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: 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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$27,677.42
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$26,359.45 |
| Max. Negotiated Rate |
$27,677.42 |
| Rate for Payer: BCBS Complete |
$27,677.42
|
| Rate for Payer: Mclaren Medicaid |
$26,359.45
|
| Rate for Payer: Meridian Medicaid |
$27,677.42
|
| Rate for Payer: PHP Medicaid |
$26,359.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,359.45
|
| Rate for Payer: UHCCP Medicaid |
$26,359.45
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$19,607.00
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$18,673.33 |
| Max. Negotiated Rate |
$19,607.00 |
| Rate for Payer: BCBS Complete |
$19,607.00
|
| Rate for Payer: Mclaren Medicaid |
$18,673.33
|
| Rate for Payer: Meridian Medicaid |
$19,607.00
|
| Rate for Payer: PHP Medicaid |
$18,673.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,673.33
|
| Rate for Payer: UHCCP Medicaid |
$18,673.33
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$13,812.84
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$13,155.09 |
| Max. Negotiated Rate |
$13,812.84 |
| Rate for Payer: BCBS Complete |
$13,812.84
|
| Rate for Payer: Mclaren Medicaid |
$13,155.09
|
| Rate for Payer: Meridian Medicaid |
$13,812.84
|
| Rate for Payer: PHP Medicaid |
$13,155.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,155.09
|
| Rate for Payer: UHCCP Medicaid |
$13,155.09
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,191.50
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$9,706.19 |
| Max. Negotiated Rate |
$10,191.50 |
| Rate for Payer: BCBS Complete |
$10,191.50
|
| Rate for Payer: Mclaren Medicaid |
$9,706.19
|
| Rate for Payer: Meridian Medicaid |
$10,191.50
|
| Rate for Payer: PHP Medicaid |
$9,706.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,706.19
|
| Rate for Payer: UHCCP Medicaid |
$9,706.19
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$10,139.77
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$9,656.92 |
| Max. Negotiated Rate |
$10,139.77 |
| Rate for Payer: BCBS Complete |
$10,139.77
|
| Rate for Payer: Mclaren Medicaid |
$9,656.92
|
| Rate for Payer: Meridian Medicaid |
$10,139.77
|
| Rate for Payer: PHP Medicaid |
$9,656.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,656.92
|
| Rate for Payer: UHCCP Medicaid |
$9,656.92
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,843.06 |
| Max. Negotiated Rate |
$4,035.21 |
| Rate for Payer: BCBS Complete |
$4,035.21
|
| Rate for Payer: Mclaren Medicaid |
$3,843.06
|
| Rate for Payer: Meridian Medicaid |
$4,035.21
|
| Rate for Payer: PHP Medicaid |
$3,843.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,843.06
|
| Rate for Payer: UHCCP Medicaid |
$3,843.06
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$5,742.42
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$5,468.97 |
| Max. Negotiated Rate |
$5,742.42 |
| Rate for Payer: BCBS Complete |
$5,742.42
|
| Rate for Payer: Mclaren Medicaid |
$5,468.97
|
| Rate for Payer: Meridian Medicaid |
$5,742.42
|
| Rate for Payer: PHP Medicaid |
$5,468.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,468.97
|
| Rate for Payer: UHCCP Medicaid |
$5,468.97
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,276.27
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,167.88 |
| Max. Negotiated Rate |
$2,276.27 |
| Rate for Payer: BCBS Complete |
$2,276.27
|
| Rate for Payer: Mclaren Medicaid |
$2,167.88
|
| Rate for Payer: Meridian Medicaid |
$2,276.27
|
| Rate for Payer: PHP Medicaid |
$2,167.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.88
|
| Rate for Payer: UHCCP Medicaid |
$2,167.88
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$8,432.56
|
|
|
Service Code
|
APR-DRG 3813
|
| 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 SKIN DISORDERS
|
Facility
|
IP
|
$5,225.08
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$4,976.27 |
| Max. Negotiated Rate |
$5,225.08 |
| Rate for Payer: BCBS Complete |
$5,225.08
|
| Rate for Payer: Mclaren Medicaid |
$4,976.27
|
| Rate for Payer: Meridian Medicaid |
$5,225.08
|
| Rate for Payer: PHP Medicaid |
$4,976.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,976.27
|
| Rate for Payer: UHCCP Medicaid |
$4,976.27
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$18,313.66
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$17,441.58 |
| Max. Negotiated Rate |
$18,313.66 |
| Rate for Payer: BCBS Complete |
$18,313.66
|
| Rate for Payer: Mclaren Medicaid |
$17,441.58
|
| Rate for Payer: Meridian Medicaid |
$18,313.66
|
| Rate for Payer: PHP Medicaid |
$17,441.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,441.58
|
| Rate for Payer: UHCCP Medicaid |
$17,441.58
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,379.74
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,266.42 |
| Max. Negotiated Rate |
$2,379.74 |
| Rate for Payer: BCBS Complete |
$2,379.74
|
| Rate for Payer: Mclaren Medicaid |
$2,266.42
|
| Rate for Payer: Meridian Medicaid |
$2,379.74
|
| Rate for Payer: PHP Medicaid |
$2,266.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,266.42
|
| Rate for Payer: UHCCP Medicaid |
$2,266.42
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$25,918.48
|
|
|
Service Code
|
APR-DRG 2304
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 2301
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 2302
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$16,296.05
|
|
|
Service Code
|
APR-DRG 2303
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,156.83
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$8,720.79 |
| Max. Negotiated Rate |
$9,156.83 |
| Rate for Payer: BCBS Complete |
$9,156.83
|
| Rate for Payer: Mclaren Medicaid |
$8,720.79
|
| Rate for Payer: Meridian Medicaid |
$9,156.83
|
| Rate for Payer: PHP Medicaid |
$8,720.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,720.79
|
| Rate for Payer: UHCCP Medicaid |
$8,720.79
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$25,659.82
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$24,437.92 |
| Max. Negotiated Rate |
$25,659.82 |
| Rate for Payer: BCBS Complete |
$25,659.82
|
| Rate for Payer: Mclaren Medicaid |
$24,437.92
|
| Rate for Payer: Meridian Medicaid |
$25,659.82
|
| Rate for Payer: PHP Medicaid |
$24,437.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,437.92
|
| Rate for Payer: UHCCP Medicaid |
$24,437.92
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$10,915.77
|
|
|
Service Code
|
APR-DRG 2202
|
| Min. Negotiated Rate |
$10,395.97 |
| Max. Negotiated Rate |
$10,915.77 |
| Rate for Payer: BCBS Complete |
$10,915.77
|
| Rate for Payer: Mclaren Medicaid |
$10,395.97
|
| Rate for Payer: Meridian Medicaid |
$10,915.77
|
| Rate for Payer: PHP Medicaid |
$10,395.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,395.97
|
| Rate for Payer: UHCCP Medicaid |
$10,395.97
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$15,675.25
|
|
|
Service Code
|
APR-DRG 2203
|
| 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
|
|