|
APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES
|
Facility
|
IP
|
$9,312.03
|
|
|
Service Code
|
APR-DRG 4482
|
| Min. Negotiated Rate |
$8,868.60 |
| Max. Negotiated Rate |
$9,312.03 |
| Rate for Payer: BCBS Complete |
$9,312.03
|
| Rate for Payer: Mclaren Medicaid |
$8,868.60
|
| Rate for Payer: Meridian Medicaid |
$9,312.03
|
| Rate for Payer: PHP Medicaid |
$8,868.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,868.60
|
| Rate for Payer: UHCCP Medicaid |
$8,868.60
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$38,903.59
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$37,051.04 |
| Max. Negotiated Rate |
$38,903.59 |
| Rate for Payer: BCBS Complete |
$38,903.59
|
| Rate for Payer: Mclaren Medicaid |
$37,051.04
|
| Rate for Payer: Meridian Medicaid |
$38,903.59
|
| Rate for Payer: PHP Medicaid |
$37,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,051.04
|
| Rate for Payer: UHCCP Medicaid |
$37,051.04
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$12,778.17
|
|
|
Service Code
|
APR-DRG 0911
|
| Min. Negotiated Rate |
$12,169.69 |
| Max. Negotiated Rate |
$12,778.17 |
| Rate for Payer: BCBS Complete |
$12,778.17
|
| Rate for Payer: Mclaren Medicaid |
$12,169.69
|
| Rate for Payer: Meridian Medicaid |
$12,778.17
|
| Rate for Payer: PHP Medicaid |
$12,169.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,169.69
|
| Rate for Payer: UHCCP Medicaid |
$12,169.69
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$37,351.59
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$35,572.94 |
| Max. Negotiated Rate |
$37,351.59 |
| Rate for Payer: BCBS Complete |
$37,351.59
|
| Rate for Payer: Mclaren Medicaid |
$35,572.94
|
| Rate for Payer: Meridian Medicaid |
$37,351.59
|
| Rate for Payer: PHP Medicaid |
$35,572.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,572.94
|
| Rate for Payer: UHCCP Medicaid |
$35,572.94
|
|
|
APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
|
IP
|
$27,729.16
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$26,408.72 |
| Max. Negotiated Rate |
$27,729.16 |
| Rate for Payer: BCBS Complete |
$27,729.16
|
| Rate for Payer: Mclaren Medicaid |
$26,408.72
|
| Rate for Payer: Meridian Medicaid |
$27,729.16
|
| Rate for Payer: PHP Medicaid |
$26,408.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,408.72
|
| Rate for Payer: UHCCP Medicaid |
$26,408.72
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$25,245.95
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$24,043.76 |
| Max. Negotiated Rate |
$25,245.95 |
| Rate for Payer: BCBS Complete |
$25,245.95
|
| Rate for Payer: Mclaren Medicaid |
$24,043.76
|
| Rate for Payer: Meridian Medicaid |
$25,245.95
|
| Rate for Payer: PHP Medicaid |
$24,043.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,043.76
|
| Rate for Payer: UHCCP Medicaid |
$24,043.76
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$13,812.84
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$13,155.09 |
| Max. Negotiated Rate |
$13,812.84 |
| Rate for Payer: BCBS Complete |
$13,812.84
|
| Rate for Payer: Mclaren Medicaid |
$13,155.09
|
| Rate for Payer: Meridian Medicaid |
$13,812.84
|
| Rate for Payer: PHP Medicaid |
$13,155.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,155.09
|
| Rate for Payer: UHCCP Medicaid |
$13,155.09
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,881.10
|
|
|
Service Code
|
APR-DRG 4842
|
| Min. Negotiated Rate |
$9,410.57 |
| Max. Negotiated Rate |
$9,881.10 |
| Rate for Payer: BCBS Complete |
$9,881.10
|
| Rate for Payer: Mclaren Medicaid |
$9,410.57
|
| Rate for Payer: Meridian Medicaid |
$9,881.10
|
| Rate for Payer: PHP Medicaid |
$9,410.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,410.57
|
| Rate for Payer: UHCCP Medicaid |
$9,410.57
|
|
|
APR-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,070.43
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$7,686.12 |
| Max. Negotiated Rate |
$8,070.43 |
| Rate for Payer: BCBS Complete |
$8,070.43
|
| Rate for Payer: Mclaren Medicaid |
$7,686.12
|
| Rate for Payer: Meridian Medicaid |
$8,070.43
|
| Rate for Payer: PHP Medicaid |
$7,686.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,686.12
|
| Rate for Payer: UHCCP Medicaid |
$7,686.12
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 7602
|
| 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
|
$8,691.23
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$8,277.36 |
| Max. Negotiated Rate |
$8,691.23 |
| Rate for Payer: BCBS Complete |
$8,691.23
|
| Rate for Payer: Mclaren Medicaid |
$8,277.36
|
| Rate for Payer: Meridian Medicaid |
$8,691.23
|
| Rate for Payer: PHP Medicaid |
$8,277.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,277.36
|
| Rate for Payer: UHCCP Medicaid |
$8,277.36
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,379.74
|
|
|
Service Code
|
APR-DRG 7601
|
| 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 MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 7603
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,276.82
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$5,025.54 |
| Max. Negotiated Rate |
$5,276.82 |
| Rate for Payer: BCBS Complete |
$5,276.82
|
| Rate for Payer: Mclaren Medicaid |
$5,025.54
|
| Rate for Payer: Meridian Medicaid |
$5,276.82
|
| Rate for Payer: PHP Medicaid |
$5,025.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,025.54
|
| Rate for Payer: UHCCP Medicaid |
$5,025.54
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 3512
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,638.41
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,512.77 |
| Max. Negotiated Rate |
$2,638.41 |
| Rate for Payer: BCBS Complete |
$2,638.41
|
| Rate for Payer: Mclaren Medicaid |
$2,512.77
|
| Rate for Payer: Meridian Medicaid |
$2,638.41
|
| Rate for Payer: PHP Medicaid |
$2,512.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,512.77
|
| Rate for Payer: UHCCP Medicaid |
$2,512.77
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$7,294.42
|
|
|
Service Code
|
APR-DRG 3514
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$9,777.63
|
|
|
Service Code
|
APR-DRG 3202
|
| Min. Negotiated Rate |
$9,312.03 |
| Max. Negotiated Rate |
$9,777.63 |
| Rate for Payer: BCBS Complete |
$9,777.63
|
| Rate for Payer: Mclaren Medicaid |
$9,312.03
|
| Rate for Payer: Meridian Medicaid |
$9,777.63
|
| Rate for Payer: PHP Medicaid |
$9,312.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,312.03
|
| Rate for Payer: UHCCP Medicaid |
$9,312.03
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$12,312.57
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$11,726.26 |
| Max. Negotiated Rate |
$12,312.57 |
| Rate for Payer: BCBS Complete |
$12,312.57
|
| Rate for Payer: Mclaren Medicaid |
$11,726.26
|
| Rate for Payer: Meridian Medicaid |
$12,312.57
|
| Rate for Payer: PHP Medicaid |
$11,726.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,726.26
|
| Rate for Payer: UHCCP Medicaid |
$11,726.26
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$19,607.00
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$18,673.33 |
| Max. Negotiated Rate |
$19,607.00 |
| Rate for Payer: BCBS Complete |
$19,607.00
|
| Rate for Payer: Mclaren Medicaid |
$18,673.33
|
| Rate for Payer: Meridian Medicaid |
$19,607.00
|
| Rate for Payer: PHP Medicaid |
$18,673.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,673.33
|
| Rate for Payer: UHCCP Medicaid |
$18,673.33
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$7,294.42
|
|
|
Service Code
|
APR-DRG 3201
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,691.77
|
|
|
Service Code
|
APR-DRG 0262
|
| Min. Negotiated Rate |
$11,135.02 |
| Max. Negotiated Rate |
$11,691.77 |
| Rate for Payer: BCBS Complete |
$11,691.77
|
| Rate for Payer: Mclaren Medicaid |
$11,135.02
|
| Rate for Payer: Meridian Medicaid |
$11,691.77
|
| Rate for Payer: PHP Medicaid |
$11,135.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,135.02
|
| Rate for Payer: UHCCP Medicaid |
$11,135.02
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$16,916.85
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$16,111.29 |
| Max. Negotiated Rate |
$16,916.85 |
| Rate for Payer: BCBS Complete |
$16,916.85
|
| Rate for Payer: Mclaren Medicaid |
$16,111.29
|
| Rate for Payer: Meridian Medicaid |
$16,916.85
|
| Rate for Payer: PHP Medicaid |
$16,111.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,111.29
|
| Rate for Payer: UHCCP Medicaid |
$16,111.29
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,760.02
|
|
|
Service Code
|
APR-DRG 0261
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,622.97
|
|
|
Service Code
|
APR-DRG 0263
|
| 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
|
|