|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$9,570.70
|
|
|
Service Code
|
APR-DRG 0414
|
| Min. Negotiated Rate |
$9,114.95 |
| Max. Negotiated Rate |
$9,570.70 |
| Rate for Payer: BCBS Complete |
$9,570.70
|
| Rate for Payer: Mclaren Medicaid |
$9,114.95
|
| Rate for Payer: Meridian Medicaid |
$9,570.70
|
| Rate for Payer: PHP Medicaid |
$9,114.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,114.95
|
| Rate for Payer: UHCCP Medicaid |
$9,114.95
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 0411
|
| 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: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,760.02
|
|
|
Service Code
|
APR-DRG 0413
|
| Min. Negotiated Rate |
$7,390.50 |
| Max. Negotiated Rate |
$7,760.02 |
| Rate for Payer: BCBS Complete |
$7,760.02
|
| Rate for Payer: Mclaren Medicaid |
$7,390.50
|
| Rate for Payer: Meridian Medicaid |
$7,760.02
|
| Rate for Payer: PHP Medicaid |
$7,390.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,390.50
|
| Rate for Payer: UHCCP Medicaid |
$7,390.50
|
|
|
APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 0412
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$28,298.22
|
|
|
Service Code
|
APR-DRG 0504
|
| Min. Negotiated Rate |
$26,950.69 |
| Max. Negotiated Rate |
$28,298.22 |
| Rate for Payer: BCBS Complete |
$28,298.22
|
| Rate for Payer: Mclaren Medicaid |
$26,950.69
|
| Rate for Payer: Meridian Medicaid |
$28,298.22
|
| Rate for Payer: PHP Medicaid |
$26,950.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,950.69
|
| Rate for Payer: UHCCP Medicaid |
$26,950.69
|
|
|
APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 0501
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 0502
|
| 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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS
|
Facility
|
IP
|
$10,657.10
|
|
|
Service Code
|
APR-DRG 0503
|
| Min. Negotiated Rate |
$10,149.62 |
| Max. Negotiated Rate |
$10,657.10 |
| Rate for Payer: BCBS Complete |
$10,657.10
|
| Rate for Payer: Mclaren Medicaid |
$10,149.62
|
| Rate for Payer: Meridian Medicaid |
$10,657.10
|
| Rate for Payer: PHP Medicaid |
$10,149.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,149.62
|
| Rate for Payer: UHCCP Medicaid |
$10,149.62
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$19,969.13
|
|
|
Service Code
|
APR-DRG 3234
|
| Min. Negotiated Rate |
$19,018.22 |
| Max. Negotiated Rate |
$19,969.13 |
| Rate for Payer: BCBS Complete |
$19,969.13
|
| Rate for Payer: Mclaren Medicaid |
$19,018.22
|
| Rate for Payer: Meridian Medicaid |
$19,969.13
|
| Rate for Payer: PHP Medicaid |
$19,018.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,018.22
|
| Rate for Payer: UHCCP Medicaid |
$19,018.22
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,794.70
|
|
|
Service Code
|
APR-DRG 3231
|
| Min. Negotiated Rate |
$8,375.90 |
| Max. Negotiated Rate |
$8,794.70 |
| Rate for Payer: BCBS Complete |
$8,794.70
|
| Rate for Payer: Mclaren Medicaid |
$8,375.90
|
| Rate for Payer: Meridian Medicaid |
$8,794.70
|
| Rate for Payer: PHP Medicaid |
$8,375.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,375.90
|
| Rate for Payer: UHCCP Medicaid |
$8,375.90
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$14,278.45
|
|
|
Service Code
|
APR-DRG 3233
|
| Min. Negotiated Rate |
$13,598.52 |
| Max. Negotiated Rate |
$14,278.45 |
| Rate for Payer: BCBS Complete |
$14,278.45
|
| Rate for Payer: Mclaren Medicaid |
$13,598.52
|
| Rate for Payer: Meridian Medicaid |
$14,278.45
|
| Rate for Payer: PHP Medicaid |
$13,598.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,598.52
|
| Rate for Payer: UHCCP Medicaid |
$13,598.52
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$10,605.37
|
|
|
Service Code
|
APR-DRG 3232
|
| Min. Negotiated Rate |
$10,100.35 |
| Max. Negotiated Rate |
$10,605.37 |
| Rate for Payer: BCBS Complete |
$10,605.37
|
| Rate for Payer: Mclaren Medicaid |
$10,100.35
|
| Rate for Payer: Meridian Medicaid |
$10,605.37
|
| Rate for Payer: PHP Medicaid |
$10,100.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,100.35
|
| Rate for Payer: UHCCP Medicaid |
$10,100.35
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$14,381.91
|
|
|
Service Code
|
APR-DRG 3252
|
| Min. Negotiated Rate |
$13,697.06 |
| Max. Negotiated Rate |
$14,381.91 |
| Rate for Payer: BCBS Complete |
$14,381.91
|
| Rate for Payer: Mclaren Medicaid |
$13,697.06
|
| Rate for Payer: Meridian Medicaid |
$14,381.91
|
| Rate for Payer: PHP Medicaid |
$13,697.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,697.06
|
| Rate for Payer: UHCCP Medicaid |
$13,697.06
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,640.04
|
|
|
Service Code
|
APR-DRG 3251
|
| Min. Negotiated Rate |
$11,085.75 |
| Max. Negotiated Rate |
$11,640.04 |
| Rate for Payer: BCBS Complete |
$11,640.04
|
| Rate for Payer: Mclaren Medicaid |
$11,085.75
|
| Rate for Payer: Meridian Medicaid |
$11,640.04
|
| Rate for Payer: PHP Medicaid |
$11,085.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,085.75
|
| Rate for Payer: UHCCP Medicaid |
$11,085.75
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$21,779.80
|
|
|
Service Code
|
APR-DRG 3254
|
| Min. Negotiated Rate |
$20,742.67 |
| Max. Negotiated Rate |
$21,779.80 |
| Rate for Payer: BCBS Complete |
$21,779.80
|
| Rate for Payer: Mclaren Medicaid |
$20,742.67
|
| Rate for Payer: Meridian Medicaid |
$21,779.80
|
| Rate for Payer: PHP Medicaid |
$20,742.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,742.67
|
| Rate for Payer: UHCCP Medicaid |
$20,742.67
|
|
|
APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$17,434.19
|
|
|
Service Code
|
APR-DRG 3253
|
| Min. Negotiated Rate |
$16,603.99 |
| Max. Negotiated Rate |
$17,434.19 |
| Rate for Payer: BCBS Complete |
$17,434.19
|
| Rate for Payer: Mclaren Medicaid |
$16,603.99
|
| Rate for Payer: Meridian Medicaid |
$17,434.19
|
| Rate for Payer: PHP Medicaid |
$16,603.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,603.99
|
| Rate for Payer: UHCCP Medicaid |
$16,603.99
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$20,641.67
|
|
|
Service Code
|
APR-DRG 7944
|
| Min. Negotiated Rate |
$19,658.73 |
| Max. Negotiated Rate |
$20,641.67 |
| Rate for Payer: BCBS Complete |
$20,641.67
|
| Rate for Payer: Mclaren Medicaid |
$19,658.73
|
| Rate for Payer: Meridian Medicaid |
$20,641.67
|
| Rate for Payer: PHP Medicaid |
$19,658.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,658.73
|
| Rate for Payer: UHCCP Medicaid |
$19,658.73
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 7941
|
| 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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,932.83
|
|
|
Service Code
|
APR-DRG 7943
|
| Min. Negotiated Rate |
$9,459.84 |
| Max. Negotiated Rate |
$9,932.83 |
| Rate for Payer: BCBS Complete |
$9,932.83
|
| Rate for Payer: Mclaren Medicaid |
$9,459.84
|
| Rate for Payer: Meridian Medicaid |
$9,932.83
|
| Rate for Payer: PHP Medicaid |
$9,459.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,459.84
|
| Rate for Payer: UHCCP Medicaid |
$9,459.84
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 7942
|
| 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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,052.82
|
|
|
Service Code
|
APR-DRG 9521
|
| 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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,037.93
|
|
|
Service Code
|
APR-DRG 9524
|
| Min. Negotiated Rate |
$18,131.36 |
| Max. Negotiated Rate |
$19,037.93 |
| Rate for Payer: BCBS Complete |
$19,037.93
|
| Rate for Payer: Mclaren Medicaid |
$18,131.36
|
| Rate for Payer: Meridian Medicaid |
$19,037.93
|
| Rate for Payer: PHP Medicaid |
$18,131.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,131.36
|
| Rate for Payer: UHCCP Medicaid |
$18,131.36
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,225.63
|
|
|
Service Code
|
APR-DRG 9522
|
| Min. Negotiated Rate |
$7,833.93 |
| Max. Negotiated Rate |
$8,225.63 |
| Rate for Payer: BCBS Complete |
$8,225.63
|
| Rate for Payer: Mclaren Medicaid |
$7,833.93
|
| Rate for Payer: Meridian Medicaid |
$8,225.63
|
| Rate for Payer: PHP Medicaid |
$7,833.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,833.93
|
| Rate for Payer: UHCCP Medicaid |
$7,833.93
|
|
|
APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,450.17
|
|
|
Service Code
|
APR-DRG 9523
|
| 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: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 4264
|
| 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
|
|