|
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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$2,897.08
|
|
|
Service Code
|
APR-DRG 4681
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$5,518.24 |
| Max. Negotiated Rate |
$5,794.15 |
| Rate for Payer: BCBS Complete |
$5,794.15
|
| Rate for Payer: Mclaren Medicaid |
$5,518.24
|
| Rate for Payer: Meridian Medicaid |
$5,794.15
|
| Rate for Payer: PHP Medicaid |
$5,518.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,518.24
|
| Rate for Payer: UHCCP Medicaid |
$5,518.24
|
|
|
APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 4682
|
| 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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 4684
|
| 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
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$22,141.94
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$21,087.56 |
| Max. Negotiated Rate |
$22,141.94 |
| Rate for Payer: BCBS Complete |
$22,141.94
|
| Rate for Payer: Mclaren Medicaid |
$21,087.56
|
| Rate for Payer: Meridian Medicaid |
$22,141.94
|
| Rate for Payer: PHP Medicaid |
$21,087.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,087.56
|
| Rate for Payer: UHCCP Medicaid |
$21,087.56
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$8,484.29
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$8,080.28 |
| Max. Negotiated Rate |
$8,484.29 |
| Rate for Payer: BCBS Complete |
$8,484.29
|
| Rate for Payer: Mclaren Medicaid |
$8,080.28
|
| Rate for Payer: Meridian Medicaid |
$8,484.29
|
| Rate for Payer: PHP Medicaid |
$8,080.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,080.28
|
| Rate for Payer: UHCCP Medicaid |
$8,080.28
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$6,880.56
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$6,552.91 |
| Max. Negotiated Rate |
$6,880.56 |
| Rate for Payer: BCBS Complete |
$6,880.56
|
| Rate for Payer: Mclaren Medicaid |
$6,552.91
|
| Rate for Payer: Meridian Medicaid |
$6,880.56
|
| Rate for Payer: PHP Medicaid |
$6,552.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,552.91
|
| Rate for Payer: UHCCP Medicaid |
$6,552.91
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,674.71
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$12,071.15 |
| Max. Negotiated Rate |
$12,674.71 |
| Rate for Payer: BCBS Complete |
$12,674.71
|
| Rate for Payer: Mclaren Medicaid |
$12,071.15
|
| Rate for Payer: Meridian Medicaid |
$12,674.71
|
| Rate for Payer: PHP Medicaid |
$12,071.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,071.15
|
| Rate for Payer: UHCCP Medicaid |
$12,071.15
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 4481
|
| Min. Negotiated Rate |
$6,848.53 |
| Max. Negotiated Rate |
$7,190.96 |
| Rate for Payer: BCBS Complete |
$7,190.96
|
| Rate for Payer: Mclaren Medicaid |
$6,848.53
|
| Rate for Payer: Meridian Medicaid |
$7,190.96
|
| Rate for Payer: PHP Medicaid |
$6,848.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,848.53
|
| Rate for Payer: UHCCP Medicaid |
$6,848.53
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$21,935.00
|
|
|
Service Code
|
APR-DRG 4484
|
| Min. Negotiated Rate |
$20,890.48 |
| Max. Negotiated Rate |
$21,935.00 |
| Rate for Payer: BCBS Complete |
$21,935.00
|
| Rate for Payer: Mclaren Medicaid |
$20,890.48
|
| Rate for Payer: Meridian Medicaid |
$21,935.00
|
| Rate for Payer: PHP Medicaid |
$20,890.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,890.48
|
| Rate for Payer: UHCCP Medicaid |
$20,890.48
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$12,985.11
|
|
|
Service Code
|
APR-DRG 4483
|
| Min. Negotiated Rate |
$12,366.77 |
| Max. Negotiated Rate |
$12,985.11 |
| Rate for Payer: BCBS Complete |
$12,985.11
|
| Rate for Payer: Mclaren Medicaid |
$12,366.77
|
| Rate for Payer: Meridian Medicaid |
$12,985.11
|
| Rate for Payer: PHP Medicaid |
$12,366.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,366.77
|
| Rate for Payer: UHCCP Medicaid |
$12,366.77
|
|
|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$10,760.57
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$10,248.16 |
| Max. Negotiated Rate |
$10,760.57 |
| Rate for Payer: BCBS Complete |
$10,760.57
|
| Rate for Payer: Mclaren Medicaid |
$10,248.16
|
| Rate for Payer: Meridian Medicaid |
$10,760.57
|
| Rate for Payer: PHP Medicaid |
$10,248.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,248.16
|
| Rate for Payer: UHCCP Medicaid |
$10,248.16
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$32,385.17
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$30,843.02 |
| Max. Negotiated Rate |
$32,385.17 |
| Rate for Payer: BCBS Complete |
$32,385.17
|
| Rate for Payer: Mclaren Medicaid |
$30,843.02
|
| Rate for Payer: Meridian Medicaid |
$32,385.17
|
| Rate for Payer: PHP Medicaid |
$30,843.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,843.02
|
| Rate for Payer: UHCCP Medicaid |
$30,843.02
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$14,485.38
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$13,795.60 |
| Max. Negotiated Rate |
$14,485.38 |
| Rate for Payer: BCBS Complete |
$14,485.38
|
| Rate for Payer: Mclaren Medicaid |
$13,795.60
|
| Rate for Payer: Meridian Medicaid |
$14,485.38
|
| Rate for Payer: PHP Medicaid |
$13,795.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,795.60
|
| Rate for Payer: UHCCP Medicaid |
$13,795.60
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$21,624.60
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$20,594.86 |
| Max. Negotiated Rate |
$21,624.60 |
| Rate for Payer: BCBS Complete |
$21,624.60
|
| Rate for Payer: Mclaren Medicaid |
$20,594.86
|
| Rate for Payer: Meridian Medicaid |
$21,624.60
|
| Rate for Payer: PHP Medicaid |
$20,594.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,594.86
|
| Rate for Payer: UHCCP Medicaid |
$20,594.86
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$9,053.36
|
|
|
Service Code
|
APR-DRG 0911
|
| 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 MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,416.04
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$11,824.80 |
| Max. Negotiated Rate |
$12,416.04 |
| Rate for Payer: BCBS Complete |
$12,416.04
|
| Rate for Payer: Mclaren Medicaid |
$11,824.80
|
| Rate for Payer: Meridian Medicaid |
$12,416.04
|
| Rate for Payer: PHP Medicaid |
$11,824.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,824.80
|
| Rate for Payer: UHCCP Medicaid |
$11,824.80
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,760.02
|
|
|
Service Code
|
APR-DRG 4842
|
| 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 MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$6,010.94 |
| Max. Negotiated Rate |
$6,311.49 |
| Rate for Payer: BCBS Complete |
$6,311.49
|
| Rate for Payer: Mclaren Medicaid |
$6,010.94
|
| Rate for Payer: Meridian Medicaid |
$6,311.49
|
| Rate for Payer: PHP Medicaid |
$6,010.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,010.94
|
| Rate for Payer: UHCCP Medicaid |
$6,010.94
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$22,711.01
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$21,629.53 |
| Max. Negotiated Rate |
$22,711.01 |
| Rate for Payer: BCBS Complete |
$22,711.01
|
| Rate for Payer: Mclaren Medicaid |
$21,629.53
|
| Rate for Payer: Meridian Medicaid |
$22,711.01
|
| Rate for Payer: PHP Medicaid |
$21,629.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,629.53
|
| Rate for Payer: UHCCP Medicaid |
$21,629.53
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$5,328.55
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$5,074.81 |
| Max. Negotiated Rate |
$5,328.55 |
| Rate for Payer: BCBS Complete |
$5,328.55
|
| Rate for Payer: Mclaren Medicaid |
$5,074.81
|
| Rate for Payer: Meridian Medicaid |
$5,328.55
|
| Rate for Payer: PHP Medicaid |
$5,074.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,074.81
|
| Rate for Payer: UHCCP Medicaid |
$5,074.81
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 7602
|
| Min. Negotiated Rate |
$3,251.82 |
| Max. Negotiated Rate |
$3,414.41 |
| Rate for Payer: BCBS Complete |
$3,414.41
|
| Rate for Payer: Mclaren Medicaid |
$3,251.82
|
| Rate for Payer: Meridian Medicaid |
$3,414.41
|
| Rate for Payer: PHP Medicaid |
$3,251.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,251.82
|
| Rate for Payer: UHCCP Medicaid |
$3,251.82
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 7601
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$10,864.03
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$10,346.70 |
| Max. Negotiated Rate |
$10,864.03 |
| Rate for Payer: BCBS Complete |
$10,864.03
|
| Rate for Payer: Mclaren Medicaid |
$10,346.70
|
| Rate for Payer: Meridian Medicaid |
$10,864.03
|
| Rate for Payer: PHP Medicaid |
$10,346.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,346.70
|
| Rate for Payer: UHCCP Medicaid |
$10,346.70
|
|