|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$15,106.18
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$14,386.84 |
| Max. Negotiated Rate |
$15,106.18 |
| Rate for Payer: BCBS Complete |
$15,106.18
|
| Rate for Payer: Mclaren Medicaid |
$14,386.84
|
| Rate for Payer: Meridian Medicaid |
$15,106.18
|
| Rate for Payer: PHP Medicaid |
$14,386.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,386.84
|
| Rate for Payer: UHCCP Medicaid |
$14,386.84
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,483.21
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$2,364.96 |
| Max. Negotiated Rate |
$2,483.21 |
| Rate for Payer: BCBS Complete |
$2,483.21
|
| Rate for Payer: Mclaren Medicaid |
$2,364.96
|
| Rate for Payer: Meridian Medicaid |
$2,483.21
|
| Rate for Payer: PHP Medicaid |
$2,364.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.96
|
| Rate for Payer: UHCCP Medicaid |
$2,364.96
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$4,397.35
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$4,187.95 |
| Max. Negotiated Rate |
$4,397.35 |
| Rate for Payer: BCBS Complete |
$4,397.35
|
| Rate for Payer: Mclaren Medicaid |
$4,187.95
|
| Rate for Payer: Meridian Medicaid |
$4,397.35
|
| Rate for Payer: PHP Medicaid |
$4,187.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,187.95
|
| Rate for Payer: UHCCP Medicaid |
$4,187.95
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$7,294.42
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$6,947.07 |
| Max. Negotiated Rate |
$7,294.42 |
| Rate for Payer: BCBS Complete |
$7,294.42
|
| Rate for Payer: Mclaren Medicaid |
$6,947.07
|
| Rate for Payer: Meridian Medicaid |
$7,294.42
|
| Rate for Payer: PHP Medicaid |
$6,947.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,947.07
|
| Rate for Payer: UHCCP Medicaid |
$6,947.07
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 2301
|
| Min. Negotiated Rate |
$6,010.94 |
| Max. Negotiated Rate |
$6,311.49 |
| Rate for Payer: BCBS Complete |
$6,311.49
|
| Rate for Payer: Mclaren Medicaid |
$6,010.94
|
| Rate for Payer: Meridian Medicaid |
$6,311.49
|
| Rate for Payer: PHP Medicaid |
$6,010.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,010.94
|
| Rate for Payer: UHCCP Medicaid |
$6,010.94
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 2302
|
| 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 SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$23,849.14
|
|
|
Service Code
|
APR-DRG 2304
|
| Min. Negotiated Rate |
$22,713.47 |
| Max. Negotiated Rate |
$23,849.14 |
| Rate for Payer: BCBS Complete |
$23,849.14
|
| Rate for Payer: Mclaren Medicaid |
$22,713.47
|
| Rate for Payer: Meridian Medicaid |
$23,849.14
|
| Rate for Payer: PHP Medicaid |
$22,713.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,713.47
|
| Rate for Payer: UHCCP Medicaid |
$22,713.47
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$15,054.45
|
|
|
Service Code
|
APR-DRG 2303
|
| Min. Negotiated Rate |
$14,337.57 |
| Max. Negotiated Rate |
$15,054.45 |
| Rate for Payer: BCBS Complete |
$15,054.45
|
| Rate for Payer: Mclaren Medicaid |
$14,337.57
|
| Rate for Payer: Meridian Medicaid |
$15,054.45
|
| Rate for Payer: PHP Medicaid |
$14,337.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,337.57
|
| Rate for Payer: UHCCP Medicaid |
$14,337.57
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$7,966.96
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$7,587.58 |
| Max. Negotiated Rate |
$7,966.96 |
| Rate for Payer: BCBS Complete |
$7,966.96
|
| Rate for Payer: Mclaren Medicaid |
$7,587.58
|
| Rate for Payer: Meridian Medicaid |
$7,966.96
|
| Rate for Payer: PHP Medicaid |
$7,587.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,587.58
|
| Rate for Payer: UHCCP Medicaid |
$7,587.58
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$11,484.84
|
|
|
Service Code
|
APR-DRG 2202
|
| 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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$16,813.39
|
|
|
Service Code
|
APR-DRG 2203
|
| Min. Negotiated Rate |
$16,012.75 |
| Max. Negotiated Rate |
$16,813.39 |
| Rate for Payer: BCBS Complete |
$16,813.39
|
| Rate for Payer: Mclaren Medicaid |
$16,012.75
|
| Rate for Payer: Meridian Medicaid |
$16,813.39
|
| Rate for Payer: PHP Medicaid |
$16,012.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,012.75
|
| Rate for Payer: UHCCP Medicaid |
$16,012.75
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$28,194.76
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$26,852.15 |
| Max. Negotiated Rate |
$28,194.76 |
| Rate for Payer: BCBS Complete |
$28,194.76
|
| Rate for Payer: Mclaren Medicaid |
$26,852.15
|
| Rate for Payer: Meridian Medicaid |
$28,194.76
|
| Rate for Payer: PHP Medicaid |
$26,852.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,852.15
|
| Rate for Payer: UHCCP Medicaid |
$26,852.15
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,621.34
|
|
|
Service Code
|
APR-DRG 5012
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 5013
|
| Min. Negotiated Rate |
$5,124.08 |
| Max. Negotiated Rate |
$5,380.28 |
| Rate for Payer: BCBS Complete |
$5,380.28
|
| Rate for Payer: Mclaren Medicaid |
$5,124.08
|
| Rate for Payer: Meridian Medicaid |
$5,380.28
|
| Rate for Payer: PHP Medicaid |
$5,124.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,124.08
|
| Rate for Payer: UHCCP Medicaid |
$5,124.08
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 5011
|
| Min. Negotiated Rate |
$2,709.85 |
| Max. Negotiated Rate |
$2,845.34 |
| Rate for Payer: BCBS Complete |
$2,845.34
|
| Rate for Payer: Mclaren Medicaid |
$2,709.85
|
| Rate for Payer: Meridian Medicaid |
$2,845.34
|
| Rate for Payer: PHP Medicaid |
$2,709.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,709.85
|
| Rate for Payer: UHCCP Medicaid |
$2,709.85
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 5014
|
| 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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 2521
|
| Min. Negotiated Rate |
$3,202.55 |
| Max. Negotiated Rate |
$3,362.68 |
| Rate for Payer: BCBS Complete |
$3,362.68
|
| Rate for Payer: Mclaren Medicaid |
$3,202.55
|
| Rate for Payer: Meridian Medicaid |
$3,362.68
|
| Rate for Payer: PHP Medicaid |
$3,202.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,202.55
|
| Rate for Payer: UHCCP Medicaid |
$3,202.55
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,397.35
|
|
|
Service Code
|
APR-DRG 2522
|
| Min. Negotiated Rate |
$4,187.95 |
| Max. Negotiated Rate |
$4,397.35 |
| Rate for Payer: BCBS Complete |
$4,397.35
|
| Rate for Payer: Mclaren Medicaid |
$4,187.95
|
| Rate for Payer: Meridian Medicaid |
$4,397.35
|
| Rate for Payer: PHP Medicaid |
$4,187.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,187.95
|
| Rate for Payer: UHCCP Medicaid |
$4,187.95
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 2523
|
| Min. Negotiated Rate |
$6,306.56 |
| Max. Negotiated Rate |
$6,621.89 |
| Rate for Payer: BCBS Complete |
$6,621.89
|
| Rate for Payer: Mclaren Medicaid |
$6,306.56
|
| Rate for Payer: Meridian Medicaid |
$6,621.89
|
| Rate for Payer: PHP Medicaid |
$6,306.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,306.56
|
| Rate for Payer: UHCCP Medicaid |
$6,306.56
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 2524
|
| Min. Negotiated Rate |
$11,775.53 |
| Max. Negotiated Rate |
$12,364.31 |
| Rate for Payer: BCBS Complete |
$12,364.31
|
| Rate for Payer: Mclaren Medicaid |
$11,775.53
|
| Rate for Payer: Meridian Medicaid |
$12,364.31
|
| Rate for Payer: PHP Medicaid |
$11,775.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,775.53
|
| Rate for Payer: UHCCP Medicaid |
$11,775.53
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 2062
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,105.64
|
|
|
Service Code
|
APR-DRG 2064
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 2063
|
| Min. Negotiated Rate |
$6,602.18 |
| Max. Negotiated Rate |
$6,932.29 |
| Rate for Payer: BCBS Complete |
$6,932.29
|
| Rate for Payer: Mclaren Medicaid |
$6,602.18
|
| Rate for Payer: Meridian Medicaid |
$6,932.29
|
| Rate for Payer: PHP Medicaid |
$6,602.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,602.18
|
| Rate for Payer: UHCCP Medicaid |
$6,602.18
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 2061
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,191.50
|
|
|
Service Code
|
APR-DRG 4664
|
| 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
|
|