|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 5012
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 5011
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,276.82
|
|
|
Service Code
|
APR-DRG 5013
|
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$10,760.57
|
|
|
Service Code
|
APR-DRG 5014
|
| Min. Negotiated Rate |
$10,248.16 |
| Max. Negotiated Rate |
$10,760.57 |
| Rate for Payer: BCBS Complete |
$10,760.57
|
| Rate for Payer: Mclaren Medicaid |
$10,248.16
|
| Rate for Payer: Meridian Medicaid |
$10,760.57
|
| Rate for Payer: PHP Medicaid |
$10,248.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,248.16
|
| Rate for Payer: UHCCP Medicaid |
$10,248.16
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 2521
|
| Min. Negotiated Rate |
$3,941.60 |
| Max. Negotiated Rate |
$4,138.68 |
| Rate for Payer: BCBS Complete |
$4,138.68
|
| Rate for Payer: Mclaren Medicaid |
$3,941.60
|
| Rate for Payer: Meridian Medicaid |
$4,138.68
|
| Rate for Payer: PHP Medicaid |
$3,941.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,941.60
|
| Rate for Payer: UHCCP Medicaid |
$3,941.60
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,483.75
|
|
|
Service Code
|
APR-DRG 2522
|
| Min. Negotiated Rate |
$5,222.62 |
| Max. Negotiated Rate |
$5,483.75 |
| Rate for Payer: BCBS Complete |
$5,483.75
|
| Rate for Payer: Mclaren Medicaid |
$5,222.62
|
| Rate for Payer: Meridian Medicaid |
$5,483.75
|
| Rate for Payer: PHP Medicaid |
$5,222.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,222.62
|
| Rate for Payer: UHCCP Medicaid |
$5,222.62
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,363.22
|
|
|
Service Code
|
APR-DRG 2523
|
| Min. Negotiated Rate |
$6,060.21 |
| Max. Negotiated Rate |
$6,363.22 |
| Rate for Payer: BCBS Complete |
$6,363.22
|
| Rate for Payer: Mclaren Medicaid |
$6,060.21
|
| Rate for Payer: Meridian Medicaid |
$6,363.22
|
| Rate for Payer: PHP Medicaid |
$6,060.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,060.21
|
| Rate for Payer: UHCCP Medicaid |
$6,060.21
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,708.83
|
|
|
Service Code
|
APR-DRG 2524
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,673.62
|
|
|
Service Code
|
APR-DRG 2063
|
| Min. Negotiated Rate |
$6,355.83 |
| Max. Negotiated Rate |
$6,673.62 |
| Rate for Payer: BCBS Complete |
$6,673.62
|
| Rate for Payer: Mclaren Medicaid |
$6,355.83
|
| Rate for Payer: Meridian Medicaid |
$6,673.62
|
| Rate for Payer: PHP Medicaid |
$6,355.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,355.83
|
| Rate for Payer: UHCCP Medicaid |
$6,355.83
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 2061
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 2062
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,209.11
|
|
|
Service Code
|
APR-DRG 2064
|
| Min. Negotiated Rate |
$11,627.72 |
| Max. Negotiated Rate |
$12,209.11 |
| Rate for Payer: BCBS Complete |
$12,209.11
|
| Rate for Payer: Mclaren Medicaid |
$11,627.72
|
| Rate for Payer: Meridian Medicaid |
$12,209.11
|
| Rate for Payer: PHP Medicaid |
$11,627.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,627.72
|
| Rate for Payer: UHCCP Medicaid |
$11,627.72
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$4,040.14 |
| Max. Negotiated Rate |
$4,242.15 |
| Rate for Payer: BCBS Complete |
$4,242.15
|
| Rate for Payer: Mclaren Medicaid |
$4,040.14
|
| Rate for Payer: Meridian Medicaid |
$4,242.15
|
| Rate for Payer: PHP Medicaid |
$4,040.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,040.14
|
| Rate for Payer: UHCCP Medicaid |
$4,040.14
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$5,912.40 |
| Max. Negotiated Rate |
$6,208.02 |
| Rate for Payer: BCBS Complete |
$6,208.02
|
| Rate for Payer: Mclaren Medicaid |
$5,912.40
|
| Rate for Payer: Meridian Medicaid |
$6,208.02
|
| Rate for Payer: PHP Medicaid |
$5,912.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,912.40
|
| Rate for Payer: UHCCP Medicaid |
$5,912.40
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$8,898.16
|
|
|
Service Code
|
APR-DRG 4664
|
| Min. Negotiated Rate |
$8,474.44 |
| Max. Negotiated Rate |
$8,898.16 |
| Rate for Payer: BCBS Complete |
$8,898.16
|
| Rate for Payer: Mclaren Medicaid |
$8,474.44
|
| Rate for Payer: Meridian Medicaid |
$8,898.16
|
| Rate for Payer: PHP Medicaid |
$8,474.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,474.44
|
| Rate for Payer: UHCCP Medicaid |
$8,474.44
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,207.48
|
|
|
Service Code
|
APR-DRG 4661
|
| Min. Negotiated Rate |
$3,054.74 |
| Max. Negotiated Rate |
$3,207.48 |
| Rate for Payer: BCBS Complete |
$3,207.48
|
| Rate for Payer: Mclaren Medicaid |
$3,054.74
|
| Rate for Payer: Meridian Medicaid |
$3,207.48
|
| Rate for Payer: PHP Medicaid |
$3,054.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,054.74
|
| Rate for Payer: UHCCP Medicaid |
$3,054.74
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,949.35
|
|
|
Service Code
|
APR-DRG 3492
|
| Min. Negotiated Rate |
$5,666.05 |
| Max. Negotiated Rate |
$5,949.35 |
| Rate for Payer: BCBS Complete |
$5,949.35
|
| Rate for Payer: Mclaren Medicaid |
$5,666.05
|
| Rate for Payer: Meridian Medicaid |
$5,949.35
|
| Rate for Payer: PHP Medicaid |
$5,666.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,666.05
|
| Rate for Payer: UHCCP Medicaid |
$5,666.05
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,915.77
|
|
|
Service Code
|
APR-DRG 3494
|
| 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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 3491
|
| Min. Negotiated Rate |
$3,990.87 |
| Max. Negotiated Rate |
$4,190.41 |
| Rate for Payer: BCBS Complete |
$4,190.41
|
| Rate for Payer: Mclaren Medicaid |
$3,990.87
|
| Rate for Payer: Meridian Medicaid |
$4,190.41
|
| Rate for Payer: PHP Medicaid |
$3,990.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,990.87
|
| Rate for Payer: UHCCP Medicaid |
$3,990.87
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$16,037.38
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$15,273.70 |
| Max. Negotiated Rate |
$16,037.38 |
| Rate for Payer: BCBS Complete |
$16,037.38
|
| Rate for Payer: Mclaren Medicaid |
$15,273.70
|
| Rate for Payer: Meridian Medicaid |
$16,037.38
|
| Rate for Payer: PHP Medicaid |
$15,273.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,273.70
|
| Rate for Payer: UHCCP Medicaid |
$15,273.70
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 5001
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 5002
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$10,191.50
|
|
|
Service Code
|
APR-DRG 5003
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 2812
|
| 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
|
|