|
APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
|
Facility
|
IP
|
$19,296.60
|
|
|
Service Code
|
APR-DRG 2991
|
| Min. Negotiated Rate |
$18,377.71 |
| Max. Negotiated Rate |
$19,296.60 |
| Rate for Payer: BCBS Complete |
$19,296.60
|
| Rate for Payer: Mclaren Medicaid |
$18,377.71
|
| Rate for Payer: Meridian Medicaid |
$19,296.60
|
| Rate for Payer: PHP Medicaid |
$18,377.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,377.71
|
| Rate for Payer: UHCCP Medicaid |
$18,377.71
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$21,314.20
|
|
|
Service Code
|
APR-DRG 0434
|
| Min. Negotiated Rate |
$20,299.24 |
| Max. Negotiated Rate |
$21,314.20 |
| Rate for Payer: BCBS Complete |
$21,314.20
|
| Rate for Payer: Mclaren Medicaid |
$20,299.24
|
| Rate for Payer: Meridian Medicaid |
$21,314.20
|
| Rate for Payer: PHP Medicaid |
$20,299.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,299.24
|
| Rate for Payer: UHCCP Medicaid |
$20,299.24
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$12,002.17
|
|
|
Service Code
|
APR-DRG 0433
|
| Min. Negotiated Rate |
$11,430.64 |
| Max. Negotiated Rate |
$12,002.17 |
| Rate for Payer: BCBS Complete |
$12,002.17
|
| Rate for Payer: Mclaren Medicaid |
$11,430.64
|
| Rate for Payer: Meridian Medicaid |
$12,002.17
|
| Rate for Payer: PHP Medicaid |
$11,430.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,430.64
|
| Rate for Payer: UHCCP Medicaid |
$11,430.64
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 0431
|
| Min. Negotiated Rate |
$5,271.89 |
| Max. Negotiated Rate |
$5,535.48 |
| Rate for Payer: BCBS Complete |
$5,535.48
|
| Rate for Payer: Mclaren Medicaid |
$5,271.89
|
| Rate for Payer: Meridian Medicaid |
$5,535.48
|
| Rate for Payer: PHP Medicaid |
$5,271.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,271.89
|
| Rate for Payer: UHCCP Medicaid |
$5,271.89
|
|
|
APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 0432
|
| 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
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$5,897.62
|
|
|
Service Code
|
APR-DRG 9302
|
| Min. Negotiated Rate |
$5,616.78 |
| Max. Negotiated Rate |
$5,897.62 |
| Rate for Payer: BCBS Complete |
$5,897.62
|
| Rate for Payer: Mclaren Medicaid |
$5,616.78
|
| Rate for Payer: Meridian Medicaid |
$5,897.62
|
| Rate for Payer: PHP Medicaid |
$5,616.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.78
|
| Rate for Payer: UHCCP Medicaid |
$5,616.78
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 9303
|
| Min. Negotiated Rate |
$8,671.52 |
| Max. Negotiated Rate |
$9,105.10 |
| Rate for Payer: BCBS Complete |
$9,105.10
|
| Rate for Payer: Mclaren Medicaid |
$8,671.52
|
| Rate for Payer: Meridian Medicaid |
$9,105.10
|
| Rate for Payer: PHP Medicaid |
$8,671.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,671.52
|
| Rate for Payer: UHCCP Medicaid |
$8,671.52
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$16,140.85
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$15,372.24 |
| Max. Negotiated Rate |
$16,140.85 |
| Rate for Payer: BCBS Complete |
$16,140.85
|
| Rate for Payer: Mclaren Medicaid |
$15,372.24
|
| Rate for Payer: Meridian Medicaid |
$16,140.85
|
| Rate for Payer: PHP Medicaid |
$15,372.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,372.24
|
| Rate for Payer: UHCCP Medicaid |
$15,372.24
|
|
|
APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,656.02
|
|
|
Service Code
|
APR-DRG 9301
|
| Min. Negotiated Rate |
$4,434.30 |
| Max. Negotiated Rate |
$4,656.02 |
| Rate for Payer: BCBS Complete |
$4,656.02
|
| Rate for Payer: Mclaren Medicaid |
$4,434.30
|
| Rate for Payer: Meridian Medicaid |
$4,656.02
|
| Rate for Payer: PHP Medicaid |
$4,434.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,434.30
|
| Rate for Payer: UHCCP Medicaid |
$4,434.30
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$19,710.46
|
|
|
Service Code
|
APR-DRG 9123
|
| Min. Negotiated Rate |
$18,771.87 |
| Max. Negotiated Rate |
$19,710.46 |
| Rate for Payer: BCBS Complete |
$19,710.46
|
| Rate for Payer: Mclaren Medicaid |
$18,771.87
|
| Rate for Payer: Meridian Medicaid |
$19,710.46
|
| Rate for Payer: PHP Medicaid |
$18,771.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,771.87
|
| Rate for Payer: UHCCP Medicaid |
$18,771.87
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$31,091.83
|
|
|
Service Code
|
APR-DRG 9124
|
| Min. Negotiated Rate |
$29,611.27 |
| Max. Negotiated Rate |
$31,091.83 |
| Rate for Payer: BCBS Complete |
$31,091.83
|
| Rate for Payer: Mclaren Medicaid |
$29,611.27
|
| Rate for Payer: Meridian Medicaid |
$31,091.83
|
| Rate for Payer: PHP Medicaid |
$29,611.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,611.27
|
| Rate for Payer: UHCCP Medicaid |
$29,611.27
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,071.51
|
|
|
Service Code
|
APR-DRG 9122
|
| Min. Negotiated Rate |
$13,401.44 |
| Max. Negotiated Rate |
$14,071.51 |
| Rate for Payer: BCBS Complete |
$14,071.51
|
| Rate for Payer: Mclaren Medicaid |
$13,401.44
|
| Rate for Payer: Meridian Medicaid |
$14,071.51
|
| Rate for Payer: PHP Medicaid |
$13,401.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,401.44
|
| Rate for Payer: UHCCP Medicaid |
$13,401.44
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,450.17
|
|
|
Service Code
|
APR-DRG 9121
|
| Min. Negotiated Rate |
$9,952.54 |
| Max. Negotiated Rate |
$10,450.17 |
| Rate for Payer: BCBS Complete |
$10,450.17
|
| Rate for Payer: Mclaren Medicaid |
$9,952.54
|
| Rate for Payer: Meridian Medicaid |
$10,450.17
|
| Rate for Payer: PHP Medicaid |
$9,952.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,952.54
|
| Rate for Payer: UHCCP Medicaid |
$9,952.54
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 3431
|
| Min. Negotiated Rate |
$4,532.84 |
| Max. Negotiated Rate |
$4,759.48 |
| Rate for Payer: BCBS Complete |
$4,759.48
|
| Rate for Payer: Mclaren Medicaid |
$4,532.84
|
| Rate for Payer: Meridian Medicaid |
$4,759.48
|
| Rate for Payer: PHP Medicaid |
$4,532.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,532.84
|
| Rate for Payer: UHCCP Medicaid |
$4,532.84
|
|
|
APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$13,295.51
|
|
|
Service Code
|
APR-DRG 3434
|
| 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 MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 3433
|
| 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: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$5,638.95
|
|
|
Service Code
|
APR-DRG 3432
|
| Min. Negotiated Rate |
$5,370.43 |
| Max. Negotiated Rate |
$5,638.95 |
| Rate for Payer: BCBS Complete |
$5,638.95
|
| Rate for Payer: Mclaren Medicaid |
$5,370.43
|
| Rate for Payer: Meridian Medicaid |
$5,638.95
|
| Rate for Payer: PHP Medicaid |
$5,370.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,370.43
|
| Rate for Payer: UHCCP Medicaid |
$5,370.43
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$24,469.95
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$23,304.71 |
| Max. Negotiated Rate |
$24,469.95 |
| Rate for Payer: BCBS Complete |
$24,469.95
|
| Rate for Payer: Mclaren Medicaid |
$23,304.71
|
| Rate for Payer: Meridian Medicaid |
$24,469.95
|
| Rate for Payer: PHP Medicaid |
$23,304.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,304.71
|
| Rate for Payer: UHCCP Medicaid |
$23,304.71
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 8631
|
| 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: NEONATAL AFTERCARE
|
Facility
|
IP
|
$12,622.97
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$12,021.88 |
| Max. Negotiated Rate |
$12,622.97 |
| Rate for Payer: BCBS Complete |
$12,622.97
|
| Rate for Payer: Mclaren Medicaid |
$12,021.88
|
| Rate for Payer: Meridian Medicaid |
$12,622.97
|
| Rate for Payer: PHP Medicaid |
$12,021.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,021.88
|
| Rate for Payer: UHCCP Medicaid |
$12,021.88
|
|
|
APR-DRG 42.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$47,801.75
|
|
|
Service Code
|
APR-DRG 8634
|
| Min. Negotiated Rate |
$45,525.48 |
| Max. Negotiated Rate |
$47,801.75 |
| Rate for Payer: BCBS Complete |
$47,801.75
|
| Rate for Payer: Mclaren Medicaid |
$45,525.48
|
| Rate for Payer: Meridian Medicaid |
$47,801.75
|
| Rate for Payer: PHP Medicaid |
$45,525.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$45,525.48
|
| Rate for Payer: UHCCP Medicaid |
$45,525.48
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 6031
|
| 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: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$55,613.51
|
|
|
Service Code
|
APR-DRG 6034
|
| Min. Negotiated Rate |
$52,965.25 |
| Max. Negotiated Rate |
$55,613.51 |
| Rate for Payer: BCBS Complete |
$55,613.51
|
| Rate for Payer: Mclaren Medicaid |
$52,965.25
|
| Rate for Payer: Meridian Medicaid |
$55,613.51
|
| Rate for Payer: PHP Medicaid |
$52,965.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$52,965.25
|
| Rate for Payer: UHCCP Medicaid |
$52,965.25
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$25,711.55
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$24,487.19 |
| Max. Negotiated Rate |
$25,711.55 |
| Rate for Payer: BCBS Complete |
$25,711.55
|
| Rate for Payer: Mclaren Medicaid |
$24,487.19
|
| Rate for Payer: Meridian Medicaid |
$25,711.55
|
| Rate for Payer: PHP Medicaid |
$24,487.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,487.19
|
| Rate for Payer: UHCCP Medicaid |
$24,487.19
|
|
|
APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$31,505.70
|
|
|
Service Code
|
APR-DRG 6033
|
| Min. Negotiated Rate |
$30,005.43 |
| Max. Negotiated Rate |
$31,505.70 |
| Rate for Payer: BCBS Complete |
$31,505.70
|
| Rate for Payer: Mclaren Medicaid |
$30,005.43
|
| Rate for Payer: Meridian Medicaid |
$31,505.70
|
| Rate for Payer: PHP Medicaid |
$30,005.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,005.43
|
| Rate for Payer: UHCCP Medicaid |
$30,005.43
|
|