|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,586.68
|
|
|
Service Code
|
APR-DRG 4251
|
| Min. Negotiated Rate |
$2,463.50 |
| Max. Negotiated Rate |
$2,586.68 |
| Rate for Payer: BCBS Complete |
$2,586.68
|
| Rate for Payer: Mclaren Medicaid |
$2,463.50
|
| Rate for Payer: Meridian Medicaid |
$2,586.68
|
| Rate for Payer: PHP Medicaid |
$2,463.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,463.50
|
| Rate for Payer: UHCCP Medicaid |
$2,463.50
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 4252
|
| Min. Negotiated Rate |
$3,498.17 |
| Max. Negotiated Rate |
$3,673.08 |
| Rate for Payer: BCBS Complete |
$3,673.08
|
| Rate for Payer: Mclaren Medicaid |
$3,498.17
|
| Rate for Payer: Meridian Medicaid |
$3,673.08
|
| Rate for Payer: PHP Medicaid |
$3,498.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,498.17
|
| Rate for Payer: UHCCP Medicaid |
$3,498.17
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,294.97
|
|
|
Service Code
|
APR-DRG 4254
|
| Min. Negotiated Rate |
$9,804.73 |
| Max. Negotiated Rate |
$10,294.97 |
| Rate for Payer: BCBS Complete |
$10,294.97
|
| Rate for Payer: Mclaren Medicaid |
$9,804.73
|
| Rate for Payer: Meridian Medicaid |
$10,294.97
|
| Rate for Payer: PHP Medicaid |
$9,804.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,804.73
|
| Rate for Payer: UHCCP Medicaid |
$9,804.73
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,276.82
|
|
|
Service Code
|
APR-DRG 4253
|
| 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 OPEN CRANIOTOMY
|
Facility
|
IP
|
$23,797.41
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$22,664.20 |
| Max. Negotiated Rate |
$23,797.41 |
| Rate for Payer: BCBS Complete |
$23,797.41
|
| Rate for Payer: Mclaren Medicaid |
$22,664.20
|
| Rate for Payer: Meridian Medicaid |
$23,797.41
|
| Rate for Payer: PHP Medicaid |
$22,664.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,664.20
|
| Rate for Payer: UHCCP Medicaid |
$22,664.20
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$11,484.84
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$10,937.94 |
| Max. Negotiated Rate |
$11,484.84 |
| Rate for Payer: BCBS Complete |
$11,484.84
|
| Rate for Payer: Mclaren Medicaid |
$10,937.94
|
| Rate for Payer: Meridian Medicaid |
$11,484.84
|
| Rate for Payer: PHP Medicaid |
$10,937.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,937.94
|
| Rate for Payer: UHCCP Medicaid |
$10,937.94
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$16,709.92
|
|
|
Service Code
|
APR-DRG 0273
|
| Min. Negotiated Rate |
$15,914.21 |
| Max. Negotiated Rate |
$16,709.92 |
| Rate for Payer: BCBS Complete |
$16,709.92
|
| Rate for Payer: Mclaren Medicaid |
$15,914.21
|
| Rate for Payer: Meridian Medicaid |
$16,709.92
|
| Rate for Payer: PHP Medicaid |
$15,914.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,914.21
|
| Rate for Payer: UHCCP Medicaid |
$15,914.21
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$8,380.83
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$7,981.74 |
| Max. Negotiated Rate |
$8,380.83 |
| Rate for Payer: BCBS Complete |
$8,380.83
|
| Rate for Payer: Mclaren Medicaid |
$7,981.74
|
| Rate for Payer: Meridian Medicaid |
$8,380.83
|
| Rate for Payer: PHP Medicaid |
$7,981.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,981.74
|
| Rate for Payer: UHCCP Medicaid |
$7,981.74
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$8,846.43
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$8,425.17 |
| Max. Negotiated Rate |
$8,846.43 |
| Rate for Payer: BCBS Complete |
$8,846.43
|
| Rate for Payer: Mclaren Medicaid |
$8,425.17
|
| Rate for Payer: Meridian Medicaid |
$8,846.43
|
| Rate for Payer: PHP Medicaid |
$8,425.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,425.17
|
| Rate for Payer: UHCCP Medicaid |
$8,425.17
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,554.18
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$12,908.74 |
| Max. Negotiated Rate |
$13,554.18 |
| Rate for Payer: BCBS Complete |
$13,554.18
|
| Rate for Payer: Mclaren Medicaid |
$12,908.74
|
| Rate for Payer: Meridian Medicaid |
$13,554.18
|
| Rate for Payer: PHP Medicaid |
$12,908.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,908.74
|
| Rate for Payer: UHCCP Medicaid |
$12,908.74
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$11,226.17
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$10,691.59 |
| Max. Negotiated Rate |
$11,226.17 |
| Rate for Payer: BCBS Complete |
$11,226.17
|
| Rate for Payer: Mclaren Medicaid |
$10,691.59
|
| Rate for Payer: Meridian Medicaid |
$11,226.17
|
| Rate for Payer: PHP Medicaid |
$10,691.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,691.59
|
| Rate for Payer: UHCCP Medicaid |
$10,691.59
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$27,625.69
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$26,310.18 |
| Max. Negotiated Rate |
$27,625.69 |
| Rate for Payer: BCBS Complete |
$27,625.69
|
| Rate for Payer: Mclaren Medicaid |
$26,310.18
|
| Rate for Payer: Meridian Medicaid |
$27,625.69
|
| Rate for Payer: PHP Medicaid |
$26,310.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,310.18
|
| Rate for Payer: UHCCP Medicaid |
$26,310.18
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$20,176.06
|
|
|
Service Code
|
APR-DRG 0294
|
| Min. Negotiated Rate |
$19,215.30 |
| Max. Negotiated Rate |
$20,176.06 |
| Rate for Payer: BCBS Complete |
$20,176.06
|
| Rate for Payer: Mclaren Medicaid |
$19,215.30
|
| Rate for Payer: Meridian Medicaid |
$20,176.06
|
| Rate for Payer: PHP Medicaid |
$19,215.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,215.30
|
| Rate for Payer: UHCCP Medicaid |
$19,215.30
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$16,606.45
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$15,815.67 |
| Max. Negotiated Rate |
$16,606.45 |
| Rate for Payer: BCBS Complete |
$16,606.45
|
| Rate for Payer: Mclaren Medicaid |
$15,815.67
|
| Rate for Payer: Meridian Medicaid |
$16,606.45
|
| Rate for Payer: PHP Medicaid |
$15,815.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,815.67
|
| Rate for Payer: UHCCP Medicaid |
$15,815.67
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$20,072.60
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$19,116.76 |
| Max. Negotiated Rate |
$20,072.60 |
| Rate for Payer: BCBS Complete |
$20,072.60
|
| Rate for Payer: Mclaren Medicaid |
$19,116.76
|
| Rate for Payer: Meridian Medicaid |
$20,072.60
|
| Rate for Payer: PHP Medicaid |
$19,116.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,116.76
|
| Rate for Payer: UHCCP Medicaid |
$19,116.76
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$14,795.78
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$14,091.22 |
| Max. Negotiated Rate |
$14,795.78 |
| Rate for Payer: BCBS Complete |
$14,795.78
|
| Rate for Payer: Mclaren Medicaid |
$14,091.22
|
| Rate for Payer: Meridian Medicaid |
$14,795.78
|
| Rate for Payer: PHP Medicaid |
$14,091.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,091.22
|
| Rate for Payer: UHCCP Medicaid |
$14,091.22
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$22,711.01
|
|
|
Service Code
|
APR-DRG 1824
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,260.30
|
|
|
Service Code
|
APR-DRG 1821
|
| 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,381.37
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$10,839.40 |
| Max. Negotiated Rate |
$11,381.37 |
| Rate for Payer: BCBS Complete |
$11,381.37
|
| Rate for Payer: Mclaren Medicaid |
$10,839.40
|
| Rate for Payer: Meridian Medicaid |
$11,381.37
|
| Rate for Payer: PHP Medicaid |
$10,839.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,839.40
|
| Rate for Payer: UHCCP Medicaid |
$10,839.40
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,588.85
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$13,894.14 |
| Max. Negotiated Rate |
$14,588.85 |
| Rate for Payer: BCBS Complete |
$14,588.85
|
| Rate for Payer: Mclaren Medicaid |
$13,894.14
|
| Rate for Payer: Meridian Medicaid |
$14,588.85
|
| Rate for Payer: PHP Medicaid |
$13,894.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,894.14
|
| Rate for Payer: UHCCP Medicaid |
$13,894.14
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 1391
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$8,018.69
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$7,636.85 |
| Max. Negotiated Rate |
$8,018.69 |
| Rate for Payer: BCBS Complete |
$8,018.69
|
| Rate for Payer: Mclaren Medicaid |
$7,636.85
|
| Rate for Payer: Meridian Medicaid |
$8,018.69
|
| Rate for Payer: PHP Medicaid |
$7,636.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,636.85
|
| Rate for Payer: UHCCP Medicaid |
$7,636.85
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 1392
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$5,742.42
|
|
|
Service Code
|
APR-DRG 1393
|
| 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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 4051
|
| 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
|
|