|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$10,450.17
|
|
|
Service Code
|
APR-DRG 1154
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$3,207.48
|
|
|
Service Code
|
APR-DRG 1151
|
| Min. Negotiated Rate |
$3,054.74 |
| Max. Negotiated Rate |
$3,207.48 |
| Rate for Payer: BCBS Complete |
$3,207.48
|
| Rate for Payer: Mclaren Medicaid |
$3,054.74
|
| Rate for Payer: Meridian Medicaid |
$3,207.48
|
| Rate for Payer: PHP Medicaid |
$3,054.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,054.74
|
| Rate for Payer: UHCCP Medicaid |
$3,054.74
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 1153
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$5,742.42
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$5,468.97 |
| Max. Negotiated Rate |
$5,742.42 |
| Rate for Payer: BCBS Complete |
$5,742.42
|
| Rate for Payer: Mclaren Medicaid |
$5,468.97
|
| Rate for Payer: Meridian Medicaid |
$5,742.42
|
| Rate for Payer: PHP Medicaid |
$5,468.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,468.97
|
| Rate for Payer: UHCCP Medicaid |
$5,468.97
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$9,674.16
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$9,213.49 |
| Max. Negotiated Rate |
$9,674.16 |
| Rate for Payer: BCBS Complete |
$9,674.16
|
| Rate for Payer: Mclaren Medicaid |
$9,213.49
|
| Rate for Payer: Meridian Medicaid |
$9,674.16
|
| Rate for Payer: PHP Medicaid |
$9,213.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,213.49
|
| Rate for Payer: UHCCP Medicaid |
$9,213.49
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$18,520.59
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$17,638.66 |
| Max. Negotiated Rate |
$18,520.59 |
| Rate for Payer: BCBS Complete |
$18,520.59
|
| Rate for Payer: Mclaren Medicaid |
$17,638.66
|
| Rate for Payer: Meridian Medicaid |
$18,520.59
|
| Rate for Payer: PHP Medicaid |
$17,638.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,638.66
|
| Rate for Payer: UHCCP Medicaid |
$17,638.66
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$14,226.71
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$13,549.25 |
| Max. Negotiated Rate |
$14,226.71 |
| Rate for Payer: BCBS Complete |
$14,226.71
|
| Rate for Payer: Mclaren Medicaid |
$13,549.25
|
| Rate for Payer: Meridian Medicaid |
$14,226.71
|
| Rate for Payer: PHP Medicaid |
$13,549.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,549.25
|
| Rate for Payer: UHCCP Medicaid |
$13,549.25
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$7,294.42
|
|
|
Service Code
|
APR-DRG 4243
|
| 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: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$12,519.51
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$11,923.34 |
| Max. Negotiated Rate |
$12,519.51 |
| Rate for Payer: BCBS Complete |
$12,519.51
|
| Rate for Payer: Mclaren Medicaid |
$11,923.34
|
| Rate for Payer: Meridian Medicaid |
$12,519.51
|
| Rate for Payer: PHP Medicaid |
$11,923.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,923.34
|
| Rate for Payer: UHCCP Medicaid |
$11,923.34
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,397.35
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$4,187.95 |
| Max. Negotiated Rate |
$4,397.35 |
| Rate for Payer: BCBS Complete |
$4,397.35
|
| Rate for Payer: Mclaren Medicaid |
$4,187.95
|
| Rate for Payer: Meridian Medicaid |
$4,397.35
|
| Rate for Payer: PHP Medicaid |
$4,187.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,187.95
|
| Rate for Payer: UHCCP Medicaid |
$4,187.95
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,621.34
|
|
|
Service Code
|
APR-DRG 4241
|
| Min. Negotiated Rate |
$3,448.90 |
| Max. Negotiated Rate |
$3,621.34 |
| Rate for Payer: BCBS Complete |
$3,621.34
|
| Rate for Payer: Mclaren Medicaid |
$3,448.90
|
| Rate for Payer: Meridian Medicaid |
$3,621.34
|
| Rate for Payer: PHP Medicaid |
$3,448.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,448.90
|
| Rate for Payer: UHCCP Medicaid |
$3,448.90
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 2432
|
| 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 ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,104.55
|
|
|
Service Code
|
APR-DRG 2433
|
| Min. Negotiated Rate |
$5,813.86 |
| Max. Negotiated Rate |
$6,104.55 |
| Rate for Payer: BCBS Complete |
$6,104.55
|
| Rate for Payer: Mclaren Medicaid |
$5,813.86
|
| Rate for Payer: Meridian Medicaid |
$6,104.55
|
| Rate for Payer: PHP Medicaid |
$5,813.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,813.86
|
| Rate for Payer: UHCCP Medicaid |
$5,813.86
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$9,570.70
|
|
|
Service Code
|
APR-DRG 2434
|
| 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: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$17,537.66
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$16,702.53 |
| Max. Negotiated Rate |
$17,537.66 |
| Rate for Payer: BCBS Complete |
$17,537.66
|
| Rate for Payer: Mclaren Medicaid |
$16,702.53
|
| Rate for Payer: Meridian Medicaid |
$17,537.66
|
| Rate for Payer: PHP Medicaid |
$16,702.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,702.53
|
| Rate for Payer: UHCCP Medicaid |
$16,702.53
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,657.10
|
|
|
Service Code
|
APR-DRG 5183
|
| 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: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,501.36
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$7,144.15 |
| Max. Negotiated Rate |
$7,501.36 |
| Rate for Payer: BCBS Complete |
$7,501.36
|
| Rate for Payer: Mclaren Medicaid |
$7,144.15
|
| Rate for Payer: Meridian Medicaid |
$7,501.36
|
| Rate for Payer: PHP Medicaid |
$7,144.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,144.15
|
| Rate for Payer: UHCCP Medicaid |
$7,144.15
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$5,432.02
|
|
|
Service Code
|
APR-DRG 5181
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 2494
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 2493
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$3,941.60 |
| Max. Negotiated Rate |
$4,138.68 |
| Rate for Payer: BCBS Complete |
$4,138.68
|
| Rate for Payer: Mclaren Medicaid |
$3,941.60
|
| Rate for Payer: Meridian Medicaid |
$4,138.68
|
| Rate for Payer: PHP Medicaid |
$3,941.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,941.60
|
| Rate for Payer: UHCCP Medicaid |
$3,941.60
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$3,153.28 |
| Max. Negotiated Rate |
$3,310.94 |
| Rate for Payer: BCBS Complete |
$3,310.94
|
| Rate for Payer: Mclaren Medicaid |
$3,153.28
|
| Rate for Payer: Meridian Medicaid |
$3,310.94
|
| Rate for Payer: PHP Medicaid |
$3,153.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,153.28
|
| Rate for Payer: UHCCP Medicaid |
$3,153.28
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$12,053.91
|
|
|
Service Code
|
APR-DRG 5203
|
| Min. Negotiated Rate |
$11,479.91 |
| Max. Negotiated Rate |
$12,053.91 |
| Rate for Payer: BCBS Complete |
$12,053.91
|
| Rate for Payer: Mclaren Medicaid |
$11,479.91
|
| Rate for Payer: Meridian Medicaid |
$12,053.91
|
| Rate for Payer: PHP Medicaid |
$11,479.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,479.91
|
| Rate for Payer: UHCCP Medicaid |
$11,479.91
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$7,811.76
|
|
|
Service Code
|
APR-DRG 5202
|
| Min. Negotiated Rate |
$7,439.77 |
| Max. Negotiated Rate |
$7,811.76 |
| Rate for Payer: BCBS Complete |
$7,811.76
|
| Rate for Payer: Mclaren Medicaid |
$7,439.77
|
| Rate for Payer: Meridian Medicaid |
$7,811.76
|
| Rate for Payer: PHP Medicaid |
$7,439.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,439.77
|
| Rate for Payer: UHCCP Medicaid |
$7,439.77
|
|