|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$7,863.49
|
|
|
Service Code
|
APR-DRG 0544
|
| Min. Negotiated Rate |
$7,489.04 |
| Max. Negotiated Rate |
$7,863.49 |
| Rate for Payer: BCBS Complete |
$7,863.49
|
| Rate for Payer: Mclaren Medicaid |
$7,489.04
|
| Rate for Payer: Meridian Medicaid |
$7,863.49
|
| Rate for Payer: PHP Medicaid |
$7,489.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,489.04
|
| Rate for Payer: UHCCP Medicaid |
$7,489.04
|
|
|
APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 0541
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,363.22
|
|
|
Service Code
|
APR-DRG 7931
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 7932
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$21,262.47
|
|
|
Service Code
|
APR-DRG 7934
|
| Min. Negotiated Rate |
$20,249.97 |
| Max. Negotiated Rate |
$21,262.47 |
| Rate for Payer: BCBS Complete |
$21,262.47
|
| Rate for Payer: Mclaren Medicaid |
$20,249.97
|
| Rate for Payer: Meridian Medicaid |
$21,262.47
|
| Rate for Payer: PHP Medicaid |
$20,249.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,249.97
|
| Rate for Payer: UHCCP Medicaid |
$20,249.97
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$12,209.11
|
|
|
Service Code
|
APR-DRG 7933
|
| 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: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$20,227.80
|
|
|
Service Code
|
APR-DRG 9514
|
| Min. Negotiated Rate |
$19,264.57 |
| Max. Negotiated Rate |
$20,227.80 |
| Rate for Payer: BCBS Complete |
$20,227.80
|
| Rate for Payer: Mclaren Medicaid |
$19,264.57
|
| Rate for Payer: Meridian Medicaid |
$20,227.80
|
| Rate for Payer: PHP Medicaid |
$19,264.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,264.57
|
| Rate for Payer: UHCCP Medicaid |
$19,264.57
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,312.03
|
|
|
Service Code
|
APR-DRG 9512
|
| Min. Negotiated Rate |
$8,868.60 |
| Max. Negotiated Rate |
$9,312.03 |
| Rate for Payer: BCBS Complete |
$9,312.03
|
| Rate for Payer: Mclaren Medicaid |
$8,868.60
|
| Rate for Payer: Meridian Medicaid |
$9,312.03
|
| Rate for Payer: PHP Medicaid |
$8,868.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,868.60
|
| Rate for Payer: UHCCP Medicaid |
$8,868.60
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,087.49
|
|
|
Service Code
|
APR-DRG 9511
|
| Min. Negotiated Rate |
$6,749.99 |
| Max. Negotiated Rate |
$7,087.49 |
| Rate for Payer: BCBS Complete |
$7,087.49
|
| Rate for Payer: Mclaren Medicaid |
$6,749.99
|
| Rate for Payer: Meridian Medicaid |
$7,087.49
|
| Rate for Payer: PHP Medicaid |
$6,749.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,749.99
|
| Rate for Payer: UHCCP Medicaid |
$6,749.99
|
|
|
APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$12,674.71
|
|
|
Service Code
|
APR-DRG 9513
|
| Min. Negotiated Rate |
$12,071.15 |
| Max. Negotiated Rate |
$12,674.71 |
| Rate for Payer: BCBS Complete |
$12,674.71
|
| Rate for Payer: Mclaren Medicaid |
$12,071.15
|
| Rate for Payer: Meridian Medicaid |
$12,674.71
|
| Rate for Payer: PHP Medicaid |
$12,071.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,071.15
|
| Rate for Payer: UHCCP Medicaid |
$12,071.15
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$27,315.29
|
|
|
Service Code
|
APR-DRG 2993
|
| Min. Negotiated Rate |
$26,014.56 |
| Max. Negotiated Rate |
$27,315.29 |
| Rate for Payer: BCBS Complete |
$27,315.29
|
| Rate for Payer: Mclaren Medicaid |
$26,014.56
|
| Rate for Payer: Meridian Medicaid |
$27,315.29
|
| Rate for Payer: PHP Medicaid |
$26,014.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,014.56
|
| Rate for Payer: UHCCP Medicaid |
$26,014.56
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$34,971.85
|
|
|
Service Code
|
APR-DRG 2994
|
| Min. Negotiated Rate |
$33,306.52 |
| Max. Negotiated Rate |
$34,971.85 |
| Rate for Payer: BCBS Complete |
$34,971.85
|
| Rate for Payer: Mclaren Medicaid |
$33,306.52
|
| Rate for Payer: Meridian Medicaid |
$34,971.85
|
| Rate for Payer: PHP Medicaid |
$33,306.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,306.52
|
| Rate for Payer: UHCCP Medicaid |
$33,306.52
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$16,709.92
|
|
|
Service Code
|
APR-DRG 2991
|
| Min. Negotiated Rate |
$15,914.21 |
| Max. Negotiated Rate |
$16,709.92 |
| Rate for Payer: BCBS Complete |
$16,709.92
|
| Rate for Payer: Mclaren Medicaid |
$15,914.21
|
| Rate for Payer: Meridian Medicaid |
$16,709.92
|
| Rate for Payer: PHP Medicaid |
$15,914.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,914.21
|
| Rate for Payer: UHCCP Medicaid |
$15,914.21
|
|
|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$20,124.33
|
|
|
Service Code
|
APR-DRG 2992
|
| Min. Negotiated Rate |
$19,166.03 |
| Max. Negotiated Rate |
$20,124.33 |
| Rate for Payer: BCBS Complete |
$20,124.33
|
| Rate for Payer: Mclaren Medicaid |
$19,166.03
|
| Rate for Payer: Meridian Medicaid |
$20,124.33
|
| Rate for Payer: PHP Medicaid |
$19,166.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,166.03
|
| Rate for Payer: UHCCP Medicaid |
$19,166.03
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$23,693.94
|
|
|
Service Code
|
APR-DRG 0434
|
| Min. Negotiated Rate |
$22,565.66 |
| Max. Negotiated Rate |
$23,693.94 |
| Rate for Payer: BCBS Complete |
$23,693.94
|
| Rate for Payer: Mclaren Medicaid |
$22,565.66
|
| Rate for Payer: Meridian Medicaid |
$23,693.94
|
| Rate for Payer: PHP Medicaid |
$22,565.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,565.66
|
| Rate for Payer: UHCCP Medicaid |
$22,565.66
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$12,157.37
|
|
|
Service Code
|
APR-DRG 0433
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 0432
|
| 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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 0431
|
| Min. Negotiated Rate |
$4,877.73 |
| Max. Negotiated Rate |
$5,121.62 |
| Rate for Payer: BCBS Complete |
$5,121.62
|
| Rate for Payer: Mclaren Medicaid |
$4,877.73
|
| Rate for Payer: Meridian Medicaid |
$5,121.62
|
| Rate for Payer: PHP Medicaid |
$4,877.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,877.73
|
| Rate for Payer: UHCCP Medicaid |
$4,877.73
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$5,432.02
|
|
|
Service Code
|
APR-DRG 9302
|
| 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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$9,829.36
|
|
|
Service Code
|
APR-DRG 9303
|
| Min. Negotiated Rate |
$9,361.30 |
| Max. Negotiated Rate |
$9,829.36 |
| Rate for Payer: BCBS Complete |
$9,829.36
|
| Rate for Payer: Mclaren Medicaid |
$9,361.30
|
| Rate for Payer: Meridian Medicaid |
$9,829.36
|
| Rate for Payer: PHP Medicaid |
$9,361.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,361.30
|
| Rate for Payer: UHCCP Medicaid |
$9,361.30
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,293.88
|
|
|
Service Code
|
APR-DRG 9301
|
| Min. Negotiated Rate |
$4,089.41 |
| Max. Negotiated Rate |
$4,293.88 |
| Rate for Payer: BCBS Complete |
$4,293.88
|
| Rate for Payer: Mclaren Medicaid |
$4,089.41
|
| Rate for Payer: Meridian Medicaid |
$4,293.88
|
| Rate for Payer: PHP Medicaid |
$4,089.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,089.41
|
| Rate for Payer: UHCCP Medicaid |
$4,089.41
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$13,295.51
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$12,662.39 |
| Max. Negotiated Rate |
$13,295.51 |
| Rate for Payer: BCBS Complete |
$13,295.51
|
| Rate for Payer: Mclaren Medicaid |
$12,662.39
|
| Rate for Payer: Meridian Medicaid |
$13,295.51
|
| Rate for Payer: PHP Medicaid |
$12,662.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,662.39
|
| Rate for Payer: UHCCP Medicaid |
$12,662.39
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$30,367.56
|
|
|
Service Code
|
APR-DRG 9124
|
| Min. Negotiated Rate |
$28,921.49 |
| Max. Negotiated Rate |
$30,367.56 |
| Rate for Payer: BCBS Complete |
$30,367.56
|
| Rate for Payer: Mclaren Medicaid |
$28,921.49
|
| Rate for Payer: Meridian Medicaid |
$30,367.56
|
| Rate for Payer: PHP Medicaid |
$28,921.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,921.49
|
| Rate for Payer: UHCCP Medicaid |
$28,921.49
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,054.45
|
|
|
Service Code
|
APR-DRG 9122
|
| 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: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,174.44
|
|
|
Service Code
|
APR-DRG 9121
|
| Min. Negotiated Rate |
$10,642.32 |
| Max. Negotiated Rate |
$11,174.44 |
| Rate for Payer: BCBS Complete |
$11,174.44
|
| Rate for Payer: Mclaren Medicaid |
$10,642.32
|
| Rate for Payer: Meridian Medicaid |
$11,174.44
|
| Rate for Payer: PHP Medicaid |
$10,642.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,642.32
|
| Rate for Payer: UHCCP Medicaid |
$10,642.32
|
|