|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 5201
|
| 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 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$12,519.51
|
|
|
Service Code
|
APR-DRG 2643
|
| 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 2641
|
| 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$23,745.68
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$22,614.93 |
| Max. Negotiated Rate |
$23,745.68 |
| Rate for Payer: BCBS Complete |
$23,745.68
|
| Rate for Payer: Mclaren Medicaid |
$22,614.93
|
| Rate for Payer: Meridian Medicaid |
$23,745.68
|
| Rate for Payer: PHP Medicaid |
$22,614.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,614.93
|
| Rate for Payer: UHCCP Medicaid |
$22,614.93
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$6,466.69
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$6,158.75 |
| Max. Negotiated Rate |
$6,466.69 |
| Rate for Payer: BCBS Complete |
$6,466.69
|
| Rate for Payer: Mclaren Medicaid |
$6,158.75
|
| Rate for Payer: Meridian Medicaid |
$6,466.69
|
| Rate for Payer: PHP Medicaid |
$6,158.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,158.75
|
| Rate for Payer: UHCCP Medicaid |
$6,158.75
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$9,156.83
|
|
|
Service Code
|
APR-DRG 7243
|
| Min. Negotiated Rate |
$8,720.79 |
| Max. Negotiated Rate |
$9,156.83 |
| Rate for Payer: BCBS Complete |
$9,156.83
|
| Rate for Payer: Mclaren Medicaid |
$8,720.79
|
| Rate for Payer: Meridian Medicaid |
$9,156.83
|
| Rate for Payer: PHP Medicaid |
$8,720.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,720.79
|
| Rate for Payer: UHCCP Medicaid |
$8,720.79
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 7242
|
| Min. Negotiated Rate |
$4,927.00 |
| Max. Negotiated Rate |
$5,173.35 |
| Rate for Payer: BCBS Complete |
$5,173.35
|
| Rate for Payer: Mclaren Medicaid |
$4,927.00
|
| Rate for Payer: Meridian Medicaid |
$5,173.35
|
| Rate for Payer: PHP Medicaid |
$4,927.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,927.00
|
| Rate for Payer: UHCCP Medicaid |
$4,927.00
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$13,243.78
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$12,613.12 |
| Max. Negotiated Rate |
$13,243.78 |
| Rate for Payer: BCBS Complete |
$13,243.78
|
| Rate for Payer: Mclaren Medicaid |
$12,613.12
|
| Rate for Payer: Meridian Medicaid |
$13,243.78
|
| Rate for Payer: PHP Medicaid |
$12,613.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,613.12
|
| Rate for Payer: UHCCP Medicaid |
$12,613.12
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$7,760.02
|
|
|
Service Code
|
APR-DRG 8153
|
| 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: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,069.34
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$1,970.80 |
| Max. Negotiated Rate |
$2,069.34 |
| Rate for Payer: BCBS Complete |
$2,069.34
|
| Rate for Payer: Mclaren Medicaid |
$1,970.80
|
| Rate for Payer: Meridian Medicaid |
$2,069.34
|
| Rate for Payer: PHP Medicaid |
$1,970.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,970.80
|
| Rate for Payer: UHCCP Medicaid |
$1,970.80
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$12,209.11
|
|
|
Service Code
|
APR-DRG 8154
|
| 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: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$4,500.81
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$4,286.49 |
| Max. Negotiated Rate |
$4,500.81 |
| Rate for Payer: BCBS Complete |
$4,500.81
|
| Rate for Payer: Mclaren Medicaid |
$4,286.49
|
| Rate for Payer: Meridian Medicaid |
$4,500.81
|
| Rate for Payer: PHP Medicaid |
$4,286.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,286.49
|
| Rate for Payer: UHCCP Medicaid |
$4,286.49
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$8,949.90
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$8,523.71 |
| Max. Negotiated Rate |
$8,949.90 |
| Rate for Payer: BCBS Complete |
$8,949.90
|
| Rate for Payer: Mclaren Medicaid |
$8,523.71
|
| Rate for Payer: Meridian Medicaid |
$8,949.90
|
| Rate for Payer: PHP Medicaid |
$8,523.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,523.71
|
| Rate for Payer: UHCCP Medicaid |
$8,523.71
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$5,949.35
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$5,666.05 |
| Max. Negotiated Rate |
$5,949.35 |
| Rate for Payer: BCBS Complete |
$5,949.35
|
| Rate for Payer: Mclaren Medicaid |
$5,666.05
|
| Rate for Payer: Meridian Medicaid |
$5,949.35
|
| Rate for Payer: PHP Medicaid |
$5,666.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,666.05
|
| Rate for Payer: UHCCP Medicaid |
$5,666.05
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 4681
|
| Min. Negotiated Rate |
$3,399.63 |
| Max. Negotiated Rate |
$3,569.61 |
| Rate for Payer: BCBS Complete |
$3,569.61
|
| Rate for Payer: Mclaren Medicaid |
$3,399.63
|
| Rate for Payer: Meridian Medicaid |
$3,569.61
|
| Rate for Payer: PHP Medicaid |
$3,399.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,399.63
|
| Rate for Payer: UHCCP Medicaid |
$3,399.63
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 4682
|
| 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 KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,449.62
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$7,094.88 |
| Max. Negotiated Rate |
$7,449.62 |
| Rate for Payer: BCBS Complete |
$7,449.62
|
| Rate for Payer: Mclaren Medicaid |
$7,094.88
|
| Rate for Payer: Meridian Medicaid |
$7,449.62
|
| Rate for Payer: PHP Medicaid |
$7,094.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,094.88
|
| Rate for Payer: UHCCP Medicaid |
$7,094.88
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$11,775.53 |
| Max. Negotiated Rate |
$12,364.31 |
| Rate for Payer: BCBS Complete |
$12,364.31
|
| Rate for Payer: Mclaren Medicaid |
$11,775.53
|
| Rate for Payer: Meridian Medicaid |
$12,364.31
|
| Rate for Payer: PHP Medicaid |
$11,775.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,775.53
|
| Rate for Payer: UHCCP Medicaid |
$11,775.53
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,260.30
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$8,819.33 |
| Max. Negotiated Rate |
$9,260.30 |
| Rate for Payer: BCBS Complete |
$9,260.30
|
| Rate for Payer: Mclaren Medicaid |
$8,819.33
|
| Rate for Payer: Meridian Medicaid |
$9,260.30
|
| Rate for Payer: PHP Medicaid |
$8,819.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,819.33
|
| Rate for Payer: UHCCP Medicaid |
$8,819.33
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$19,917.40
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$18,968.95 |
| Max. Negotiated Rate |
$19,917.40 |
| Rate for Payer: BCBS Complete |
$19,917.40
|
| Rate for Payer: Mclaren Medicaid |
$18,968.95
|
| Rate for Payer: Meridian Medicaid |
$19,917.40
|
| Rate for Payer: PHP Medicaid |
$18,968.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,968.95
|
| Rate for Payer: UHCCP Medicaid |
$18,968.95
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 4481
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$18,986.19
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$18,082.09 |
| Max. Negotiated Rate |
$18,986.19 |
| Rate for Payer: BCBS Complete |
$18,986.19
|
| Rate for Payer: Mclaren Medicaid |
$18,082.09
|
| Rate for Payer: Meridian Medicaid |
$18,986.19
|
| Rate for Payer: PHP Medicaid |
$18,082.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,082.09
|
| Rate for Payer: UHCCP Medicaid |
$18,082.09
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$11,277.90
|
|
|
Service Code
|
APR-DRG 4483
|
| Min. Negotiated Rate |
$10,740.86 |
| Max. Negotiated Rate |
$11,277.90 |
| Rate for Payer: BCBS Complete |
$11,277.90
|
| Rate for Payer: Mclaren Medicaid |
$10,740.86
|
| Rate for Payer: Meridian Medicaid |
$11,277.90
|
| Rate for Payer: PHP Medicaid |
$10,740.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,740.86
|
| Rate for Payer: UHCCP Medicaid |
$10,740.86
|
|