|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$11,174.44
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$10,642.32 |
| Max. Negotiated Rate |
$11,174.44 |
| Rate for Payer: BCBS Complete |
$11,174.44
|
| Rate for Payer: Mclaren Medicaid |
$10,642.32
|
| Rate for Payer: Meridian Medicaid |
$11,174.44
|
| Rate for Payer: PHP Medicaid |
$10,642.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,642.32
|
| Rate for Payer: UHCCP Medicaid |
$10,642.32
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 2431
|
| 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 FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$20,745.13
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$19,757.27 |
| Max. Negotiated Rate |
$20,745.13 |
| Rate for Payer: BCBS Complete |
$20,745.13
|
| Rate for Payer: Mclaren Medicaid |
$19,757.27
|
| Rate for Payer: Meridian Medicaid |
$20,745.13
|
| Rate for Payer: PHP Medicaid |
$19,757.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,757.27
|
| Rate for Payer: UHCCP Medicaid |
$19,757.27
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,915.23
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$7,538.31 |
| Max. Negotiated Rate |
$7,915.23 |
| Rate for Payer: BCBS Complete |
$7,915.23
|
| Rate for Payer: Mclaren Medicaid |
$7,538.31
|
| Rate for Payer: Meridian Medicaid |
$7,915.23
|
| Rate for Payer: PHP Medicaid |
$7,538.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,538.31
|
| Rate for Payer: UHCCP Medicaid |
$7,538.31
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,519.51
|
|
|
Service Code
|
APR-DRG 5183
|
| 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 FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 5181
|
| 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 GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$2,690.14
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$2,562.04 |
| Max. Negotiated Rate |
$2,690.14 |
| Rate for Payer: BCBS Complete |
$2,690.14
|
| Rate for Payer: Mclaren Medicaid |
$2,562.04
|
| Rate for Payer: Meridian Medicaid |
$2,690.14
|
| Rate for Payer: PHP Medicaid |
$2,562.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,562.04
|
| Rate for Payer: UHCCP Medicaid |
$2,562.04
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$4,729.92 |
| Max. Negotiated Rate |
$4,966.42 |
| Rate for Payer: BCBS Complete |
$4,966.42
|
| Rate for Payer: Mclaren Medicaid |
$4,729.92
|
| Rate for Payer: Meridian Medicaid |
$4,966.42
|
| Rate for Payer: PHP Medicaid |
$4,729.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,729.92
|
| Rate for Payer: UHCCP Medicaid |
$4,729.92
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$3,202.55 |
| Max. Negotiated Rate |
$3,362.68 |
| Rate for Payer: BCBS Complete |
$3,362.68
|
| Rate for Payer: Mclaren Medicaid |
$3,202.55
|
| Rate for Payer: Meridian Medicaid |
$3,362.68
|
| Rate for Payer: PHP Medicaid |
$3,202.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,202.55
|
| Rate for Payer: UHCCP Medicaid |
$3,202.55
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$9,156.83
|
|
|
Service Code
|
APR-DRG 2494
|
| 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 GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$26,177.15
|
|
|
Service Code
|
APR-DRG 5204
|
| Min. Negotiated Rate |
$24,930.62 |
| Max. Negotiated Rate |
$26,177.15 |
| Rate for Payer: BCBS Complete |
$26,177.15
|
| Rate for Payer: Mclaren Medicaid |
$24,930.62
|
| Rate for Payer: Meridian Medicaid |
$26,177.15
|
| Rate for Payer: PHP Medicaid |
$24,930.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,930.62
|
| Rate for Payer: UHCCP Medicaid |
$24,930.62
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$13,916.31
|
|
|
Service Code
|
APR-DRG 5203
|
| Min. Negotiated Rate |
$13,253.63 |
| Max. Negotiated Rate |
$13,916.31 |
| Rate for Payer: BCBS Complete |
$13,916.31
|
| Rate for Payer: Mclaren Medicaid |
$13,253.63
|
| Rate for Payer: Meridian Medicaid |
$13,916.31
|
| Rate for Payer: PHP Medicaid |
$13,253.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,253.63
|
| Rate for Payer: UHCCP Medicaid |
$13,253.63
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$7,087.49
|
|
|
Service Code
|
APR-DRG 5201
|
| Min. Negotiated Rate |
$6,749.99 |
| Max. Negotiated Rate |
$7,087.49 |
| Rate for Payer: BCBS Complete |
$7,087.49
|
| Rate for Payer: Mclaren Medicaid |
$6,749.99
|
| Rate for Payer: Meridian Medicaid |
$7,087.49
|
| Rate for Payer: PHP Medicaid |
$6,749.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,749.99
|
| Rate for Payer: UHCCP Medicaid |
$6,749.99
|
|
|
APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,053.36
|
|
|
Service Code
|
APR-DRG 5202
|
| Min. Negotiated Rate |
$8,622.25 |
| Max. Negotiated Rate |
$9,053.36 |
| Rate for Payer: BCBS Complete |
$9,053.36
|
| Rate for Payer: Mclaren Medicaid |
$8,622.25
|
| Rate for Payer: Meridian Medicaid |
$9,053.36
|
| Rate for Payer: PHP Medicaid |
$8,622.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,622.25
|
| Rate for Payer: UHCCP Medicaid |
$8,622.25
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,088.58
|
|
|
Service Code
|
APR-DRG 2643
|
| Min. Negotiated Rate |
$12,465.31 |
| Max. Negotiated Rate |
$13,088.58 |
| Rate for Payer: BCBS Complete |
$13,088.58
|
| Rate for Payer: Mclaren Medicaid |
$12,465.31
|
| Rate for Payer: Meridian Medicaid |
$13,088.58
|
| Rate for Payer: PHP Medicaid |
$12,465.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,465.31
|
| Rate for Payer: UHCCP Medicaid |
$12,465.31
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$23,538.74
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$22,417.85 |
| Max. Negotiated Rate |
$23,538.74 |
| Rate for Payer: BCBS Complete |
$23,538.74
|
| Rate for Payer: Mclaren Medicaid |
$22,417.85
|
| Rate for Payer: Meridian Medicaid |
$23,538.74
|
| Rate for Payer: PHP Medicaid |
$22,417.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,417.85
|
| Rate for Payer: UHCCP Medicaid |
$22,417.85
|
|
|
APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 2641
|
| 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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,742.96
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$8,326.63 |
| Max. Negotiated Rate |
$8,742.96 |
| Rate for Payer: BCBS Complete |
$8,742.96
|
| Rate for Payer: Mclaren Medicaid |
$8,326.63
|
| Rate for Payer: Meridian Medicaid |
$8,742.96
|
| Rate for Payer: PHP Medicaid |
$8,326.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,326.63
|
| Rate for Payer: UHCCP Medicaid |
$8,326.63
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$12,622.97
|
|
|
Service Code
|
APR-DRG 7244
|
| 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: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 7242
|
| 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 INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 7243
|
| Min. Negotiated Rate |
$6,109.48 |
| Max. Negotiated Rate |
$6,414.95 |
| Rate for Payer: BCBS Complete |
$6,414.95
|
| Rate for Payer: Mclaren Medicaid |
$6,109.48
|
| Rate for Payer: Meridian Medicaid |
$6,414.95
|
| Rate for Payer: PHP Medicaid |
$6,109.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,109.48
|
| Rate for Payer: UHCCP Medicaid |
$6,109.48
|
|
|
APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$2,709.85 |
| Max. Negotiated Rate |
$2,845.34 |
| Rate for Payer: BCBS Complete |
$2,845.34
|
| Rate for Payer: Mclaren Medicaid |
$2,709.85
|
| Rate for Payer: Meridian Medicaid |
$2,845.34
|
| Rate for Payer: PHP Medicaid |
$2,709.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,709.85
|
| Rate for Payer: UHCCP Medicaid |
$2,709.85
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$12,829.91
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$12,218.96 |
| Max. Negotiated Rate |
$12,829.91 |
| Rate for Payer: BCBS Complete |
$12,829.91
|
| Rate for Payer: Mclaren Medicaid |
$12,218.96
|
| Rate for Payer: Meridian Medicaid |
$12,829.91
|
| Rate for Payer: PHP Medicaid |
$12,218.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,218.96
|
| Rate for Payer: UHCCP Medicaid |
$12,218.96
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,379.74
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$2,266.42 |
| Max. Negotiated Rate |
$2,379.74 |
| Rate for Payer: BCBS Complete |
$2,379.74
|
| Rate for Payer: Mclaren Medicaid |
$2,266.42
|
| Rate for Payer: Meridian Medicaid |
$2,379.74
|
| Rate for Payer: PHP Medicaid |
$2,266.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,266.42
|
| Rate for Payer: UHCCP Medicaid |
$2,266.42
|
|
|
APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$6,052.82
|
|
|
Service Code
|
APR-DRG 8153
|
| 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
|
|