|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 3441
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 8623
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$2,017.61
|
|
|
Service Code
|
APR-DRG 8621
|
| Min. Negotiated Rate |
$1,921.53 |
| Max. Negotiated Rate |
$2,017.61 |
| Rate for Payer: BCBS Complete |
$2,017.61
|
| Rate for Payer: Mclaren Medicaid |
$1,921.53
|
| Rate for Payer: Meridian Medicaid |
$2,017.61
|
| Rate for Payer: PHP Medicaid |
$1,921.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,921.53
|
| Rate for Payer: UHCCP Medicaid |
$1,921.53
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 8624
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 8622
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$10,605.37
|
|
|
Service Code
|
APR-DRG 2534
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 2533
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$3,155.74
|
|
|
Service Code
|
APR-DRG 2531
|
| Min. Negotiated Rate |
$3,005.47 |
| Max. Negotiated Rate |
$3,155.74 |
| Rate for Payer: BCBS Complete |
$3,155.74
|
| Rate for Payer: Mclaren Medicaid |
$3,005.47
|
| Rate for Payer: Meridian Medicaid |
$3,155.74
|
| Rate for Payer: PHP Medicaid |
$3,005.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,005.47
|
| Rate for Payer: UHCCP Medicaid |
$3,005.47
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 2532
|
| 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: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$5,690.69
|
|
|
Service Code
|
APR-DRG 6633
|
| Min. Negotiated Rate |
$5,419.70 |
| Max. Negotiated Rate |
$5,690.69 |
| Rate for Payer: BCBS Complete |
$5,690.69
|
| Rate for Payer: Mclaren Medicaid |
$5,419.70
|
| Rate for Payer: Meridian Medicaid |
$5,690.69
|
| Rate for Payer: PHP Medicaid |
$5,419.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,419.70
|
| Rate for Payer: UHCCP Medicaid |
$5,419.70
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 6634
|
| Min. Negotiated Rate |
$9,509.11 |
| Max. Negotiated Rate |
$9,984.57 |
| Rate for Payer: BCBS Complete |
$9,984.57
|
| Rate for Payer: Mclaren Medicaid |
$9,509.11
|
| Rate for Payer: Meridian Medicaid |
$9,984.57
|
| Rate for Payer: PHP Medicaid |
$9,509.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,509.11
|
| Rate for Payer: UHCCP Medicaid |
$9,509.11
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$2,897.08
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$2,759.12 |
| Max. Negotiated Rate |
$2,897.08 |
| Rate for Payer: BCBS Complete |
$2,897.08
|
| Rate for Payer: Mclaren Medicaid |
$2,759.12
|
| Rate for Payer: Meridian Medicaid |
$2,897.08
|
| Rate for Payer: PHP Medicaid |
$2,759.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,759.12
|
| Rate for Payer: UHCCP Medicaid |
$2,759.12
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 6632
|
| 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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 3474
|
| 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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$6,725.35
|
|
|
Service Code
|
APR-DRG 3473
|
| 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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 3471
|
| 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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 3472
|
| 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: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$16,037.39
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$15,273.70 |
| Max. Negotiated Rate |
$16,037.39 |
| Rate for Payer: BCBS Complete |
$16,037.39
|
| Rate for Payer: Mclaren Medicaid |
$15,273.70
|
| Rate for Payer: Meridian Medicaid |
$16,037.39
|
| 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: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$10,708.83
|
|
|
Service Code
|
APR-DRG 4453
|
| 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: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$5,690.69
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$5,419.70 |
| Max. Negotiated Rate |
$5,690.69 |
| Rate for Payer: BCBS Complete |
$5,690.69
|
| Rate for Payer: Mclaren Medicaid |
$5,419.70
|
| Rate for Payer: Meridian Medicaid |
$5,690.69
|
| Rate for Payer: PHP Medicaid |
$5,419.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,419.70
|
| Rate for Payer: UHCCP Medicaid |
$5,419.70
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$7,863.49
|
|
|
Service Code
|
APR-DRG 4452
|
| 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: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$23,021.41
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$21,925.15 |
| Max. Negotiated Rate |
$23,021.41 |
| Rate for Payer: BCBS Complete |
$23,021.41
|
| Rate for Payer: Mclaren Medicaid |
$21,925.15
|
| Rate for Payer: Meridian Medicaid |
$23,021.41
|
| Rate for Payer: PHP Medicaid |
$21,925.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,925.15
|
| Rate for Payer: UHCCP Medicaid |
$21,925.15
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$36,265.18
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$34,538.27 |
| Max. Negotiated Rate |
$36,265.18 |
| Rate for Payer: BCBS Complete |
$36,265.18
|
| Rate for Payer: Mclaren Medicaid |
$34,538.27
|
| Rate for Payer: Meridian Medicaid |
$36,265.18
|
| Rate for Payer: PHP Medicaid |
$34,538.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,538.27
|
| Rate for Payer: UHCCP Medicaid |
$34,538.27
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$16,865.12
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$16,062.02 |
| Max. Negotiated Rate |
$16,865.12 |
| Rate for Payer: BCBS Complete |
$16,865.12
|
| Rate for Payer: Mclaren Medicaid |
$16,062.02
|
| Rate for Payer: Meridian Medicaid |
$16,865.12
|
| Rate for Payer: PHP Medicaid |
$16,062.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,062.02
|
| Rate for Payer: UHCCP Medicaid |
$16,062.02
|
|
|
APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES
|
Facility
|
IP
|
$13,347.24
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$12,711.66 |
| Max. Negotiated Rate |
$13,347.24 |
| Rate for Payer: BCBS Complete |
$13,347.24
|
| Rate for Payer: Mclaren Medicaid |
$12,711.66
|
| Rate for Payer: Meridian Medicaid |
$13,347.24
|
| Rate for Payer: PHP Medicaid |
$12,711.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,711.66
|
| Rate for Payer: UHCCP Medicaid |
$12,711.66
|
|