|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 4661
|
| 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
|
|
|
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
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,052.82
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$5,764.59 |
| Max. Negotiated Rate |
$6,052.82 |
| Rate for Payer: BCBS Complete |
$6,052.82
|
| Rate for Payer: Mclaren Medicaid |
$5,764.59
|
| Rate for Payer: Meridian Medicaid |
$6,052.82
|
| Rate for Payer: PHP Medicaid |
$5,764.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,764.59
|
| Rate for Payer: UHCCP Medicaid |
$5,764.59
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,967.50
|
|
|
Service Code
|
APR-DRG 3494
|
| Min. Negotiated Rate |
$10,445.24 |
| Max. Negotiated Rate |
$10,967.50 |
| Rate for Payer: BCBS Complete |
$10,967.50
|
| Rate for Payer: Mclaren Medicaid |
$10,445.24
|
| Rate for Payer: Meridian Medicaid |
$10,967.50
|
| Rate for Payer: PHP Medicaid |
$10,445.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,445.24
|
| Rate for Payer: UHCCP Medicaid |
$10,445.24
|
|
|
APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 3492
|
| 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 ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 3491
|
| 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, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 3493
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$10,553.63
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$10,051.08 |
| Max. Negotiated Rate |
$10,553.63 |
| Rate for Payer: BCBS Complete |
$10,553.63
|
| Rate for Payer: Mclaren Medicaid |
$10,051.08
|
| Rate for Payer: Meridian Medicaid |
$10,553.63
|
| Rate for Payer: PHP Medicaid |
$10,051.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,051.08
|
| Rate for Payer: UHCCP Medicaid |
$10,051.08
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 5001
|
| Min. Negotiated Rate |
$3,596.71 |
| Max. Negotiated Rate |
$3,776.55 |
| Rate for Payer: BCBS Complete |
$3,776.55
|
| Rate for Payer: Mclaren Medicaid |
$3,596.71
|
| Rate for Payer: Meridian Medicaid |
$3,776.55
|
| Rate for Payer: PHP Medicaid |
$3,596.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,596.71
|
| Rate for Payer: UHCCP Medicaid |
$3,596.71
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$6,725.35
|
|
|
Service Code
|
APR-DRG 5003
|
| Min. Negotiated Rate |
$6,405.10 |
| Max. Negotiated Rate |
$6,725.35 |
| Rate for Payer: BCBS Complete |
$6,725.35
|
| Rate for Payer: Mclaren Medicaid |
$6,405.10
|
| Rate for Payer: Meridian Medicaid |
$6,725.35
|
| Rate for Payer: PHP Medicaid |
$6,405.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,405.10
|
| Rate for Payer: UHCCP Medicaid |
$6,405.10
|
|
|
APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 5002
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$7,294.42
|
|
|
Service Code
|
APR-DRG 2813
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$10,593.05 |
| Max. Negotiated Rate |
$11,122.70 |
| Rate for Payer: BCBS Complete |
$11,122.70
|
| Rate for Payer: Mclaren Medicaid |
$10,593.05
|
| Rate for Payer: Meridian Medicaid |
$11,122.70
|
| Rate for Payer: PHP Medicaid |
$10,593.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,593.05
|
| Rate for Payer: UHCCP Medicaid |
$10,593.05
|
|
|
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
|
|
|
APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 2811
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$10,760.57
|
|
|
Service Code
|
APR-DRG 3824
|
| 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: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$6,466.69
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$6,158.75 |
| Max. Negotiated Rate |
$6,466.69 |
| Rate for Payer: BCBS Complete |
$6,466.69
|
| Rate for Payer: Mclaren Medicaid |
$6,158.75
|
| Rate for Payer: Meridian Medicaid |
$6,466.69
|
| Rate for Payer: PHP Medicaid |
$6,158.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,158.75
|
| Rate for Payer: UHCCP Medicaid |
$6,158.75
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,811.22
|
|
|
Service Code
|
APR-DRG 3822
|
| Min. Negotiated Rate |
$4,582.11 |
| Max. Negotiated Rate |
$4,811.22 |
| Rate for Payer: BCBS Complete |
$4,811.22
|
| Rate for Payer: Mclaren Medicaid |
$4,582.11
|
| Rate for Payer: Meridian Medicaid |
$4,811.22
|
| Rate for Payer: PHP Medicaid |
$4,582.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,582.11
|
| Rate for Payer: UHCCP Medicaid |
$4,582.11
|
|
|
APR-DRG 42.00: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 3821
|
| Min. Negotiated Rate |
$3,547.44 |
| Max. Negotiated Rate |
$3,724.81 |
| Rate for Payer: BCBS Complete |
$3,724.81
|
| Rate for Payer: Mclaren Medicaid |
$3,547.44
|
| Rate for Payer: Meridian Medicaid |
$3,724.81
|
| Rate for Payer: PHP Medicaid |
$3,547.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,547.44
|
| Rate for Payer: UHCCP Medicaid |
$3,547.44
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 4212
|
| Min. Negotiated Rate |
$3,744.52 |
| Max. Negotiated Rate |
$3,931.75 |
| Rate for Payer: BCBS Complete |
$3,931.75
|
| Rate for Payer: Mclaren Medicaid |
$3,744.52
|
| Rate for Payer: Meridian Medicaid |
$3,931.75
|
| Rate for Payer: PHP Medicaid |
$3,744.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,744.52
|
| Rate for Payer: UHCCP Medicaid |
$3,744.52
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 4213
|
| Min. Negotiated Rate |
$5,863.13 |
| Max. Negotiated Rate |
$6,156.29 |
| Rate for Payer: BCBS Complete |
$6,156.29
|
| Rate for Payer: Mclaren Medicaid |
$5,863.13
|
| Rate for Payer: Meridian Medicaid |
$6,156.29
|
| Rate for Payer: PHP Medicaid |
$5,863.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,863.13
|
| Rate for Payer: UHCCP Medicaid |
$5,863.13
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,690.14
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$2,562.04 |
| Max. Negotiated Rate |
$2,690.14 |
| Rate for Payer: BCBS Complete |
$2,690.14
|
| Rate for Payer: Mclaren Medicaid |
$2,562.04
|
| Rate for Payer: Meridian Medicaid |
$2,690.14
|
| Rate for Payer: PHP Medicaid |
$2,562.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,562.04
|
| Rate for Payer: UHCCP Medicaid |
$2,562.04
|
|
|
APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,501.90
|
|
|
Service Code
|
APR-DRG 4214
|
| 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: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$12,260.84
|
|
|
Service Code
|
APR-DRG 3622
|
| Min. Negotiated Rate |
$11,676.99 |
| Max. Negotiated Rate |
$12,260.84 |
| Rate for Payer: BCBS Complete |
$12,260.84
|
| Rate for Payer: Mclaren Medicaid |
$11,676.99
|
| Rate for Payer: Meridian Medicaid |
$12,260.84
|
| Rate for Payer: PHP Medicaid |
$11,676.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,676.99
|
| Rate for Payer: UHCCP Medicaid |
$11,676.99
|
|
|
APR-DRG 42.00: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 3621
|
| Min. Negotiated Rate |
$7,784.66 |
| Max. Negotiated Rate |
$8,173.89 |
| Rate for Payer: BCBS Complete |
$8,173.89
|
| Rate for Payer: Mclaren Medicaid |
$7,784.66
|
| Rate for Payer: Meridian Medicaid |
$8,173.89
|
| Rate for Payer: PHP Medicaid |
$7,784.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,784.66
|
| Rate for Payer: UHCCP Medicaid |
$7,784.66
|
|