|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$9,932.83
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$9,459.84 |
| Max. Negotiated Rate |
$9,932.83 |
| Rate for Payer: BCBS Complete |
$9,932.83
|
| Rate for Payer: Mclaren Medicaid |
$9,459.84
|
| Rate for Payer: Meridian Medicaid |
$9,932.83
|
| Rate for Payer: PHP Medicaid |
$9,459.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,459.84
|
| Rate for Payer: UHCCP Medicaid |
$9,459.84
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,638.95
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$5,370.43 |
| Max. Negotiated Rate |
$5,638.95 |
| Rate for Payer: BCBS Complete |
$5,638.95
|
| Rate for Payer: Mclaren Medicaid |
$5,370.43
|
| Rate for Payer: Meridian Medicaid |
$5,638.95
|
| Rate for Payer: PHP Medicaid |
$5,370.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,370.43
|
| Rate for Payer: UHCCP Medicaid |
$5,370.43
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$12,519.51
|
|
|
Service Code
|
APR-DRG 3203
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$19,089.66
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$18,180.63 |
| Max. Negotiated Rate |
$19,089.66 |
| Rate for Payer: BCBS Complete |
$19,089.66
|
| Rate for Payer: Mclaren Medicaid |
$18,180.63
|
| Rate for Payer: Meridian Medicaid |
$19,089.66
|
| Rate for Payer: PHP Medicaid |
$18,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,180.63
|
| Rate for Payer: UHCCP Medicaid |
$18,180.63
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$5,912.40 |
| Max. Negotiated Rate |
$6,208.02 |
| Rate for Payer: BCBS Complete |
$6,208.02
|
| Rate for Payer: Mclaren Medicaid |
$5,912.40
|
| Rate for Payer: Meridian Medicaid |
$6,208.02
|
| Rate for Payer: PHP Medicaid |
$5,912.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,912.40
|
| Rate for Payer: UHCCP Medicaid |
$5,912.40
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$8,691.23
|
|
|
Service Code
|
APR-DRG 3202
|
| 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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$22,607.54
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$21,530.99 |
| Max. Negotiated Rate |
$22,607.54 |
| Rate for Payer: BCBS Complete |
$22,607.54
|
| Rate for Payer: Mclaren Medicaid |
$21,530.99
|
| Rate for Payer: Meridian Medicaid |
$22,607.54
|
| Rate for Payer: PHP Medicaid |
$21,530.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,530.99
|
| Rate for Payer: UHCCP Medicaid |
$21,530.99
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$14,433.65
|
|
|
Service Code
|
APR-DRG 0263
|
| Min. Negotiated Rate |
$13,746.33 |
| Max. Negotiated Rate |
$14,433.65 |
| Rate for Payer: BCBS Complete |
$14,433.65
|
| Rate for Payer: Mclaren Medicaid |
$13,746.33
|
| Rate for Payer: Meridian Medicaid |
$14,433.65
|
| Rate for Payer: PHP Medicaid |
$13,746.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,746.33
|
| Rate for Payer: UHCCP Medicaid |
$13,746.33
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,294.42
|
|
|
Service Code
|
APR-DRG 0261
|
| 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
|
$10,864.03
|
|
|
Service Code
|
APR-DRG 0262
|
| 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
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,483.21
|
|
|
Service Code
|
APR-DRG 4251
|
| Min. Negotiated Rate |
$2,364.96 |
| Max. Negotiated Rate |
$2,483.21 |
| Rate for Payer: BCBS Complete |
$2,483.21
|
| Rate for Payer: Mclaren Medicaid |
$2,364.96
|
| Rate for Payer: Meridian Medicaid |
$2,483.21
|
| Rate for Payer: PHP Medicaid |
$2,364.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.96
|
| Rate for Payer: UHCCP Medicaid |
$2,364.96
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$9,570.70
|
|
|
Service Code
|
APR-DRG 4254
|
| Min. Negotiated Rate |
$9,114.95 |
| Max. Negotiated Rate |
$9,570.70 |
| Rate for Payer: BCBS Complete |
$9,570.70
|
| Rate for Payer: Mclaren Medicaid |
$9,114.95
|
| Rate for Payer: Meridian Medicaid |
$9,570.70
|
| Rate for Payer: PHP Medicaid |
$9,114.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,114.95
|
| Rate for Payer: UHCCP Medicaid |
$9,114.95
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 4252
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$4,631.38 |
| Max. Negotiated Rate |
$4,862.95 |
| Rate for Payer: BCBS Complete |
$4,862.95
|
| Rate for Payer: Mclaren Medicaid |
$4,631.38
|
| Rate for Payer: Meridian Medicaid |
$4,862.95
|
| Rate for Payer: PHP Medicaid |
$4,631.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,631.38
|
| Rate for Payer: UHCCP Medicaid |
$4,631.38
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$26,797.95
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$25,521.86 |
| Max. Negotiated Rate |
$26,797.95 |
| Rate for Payer: BCBS Complete |
$26,797.95
|
| Rate for Payer: Mclaren Medicaid |
$25,521.86
|
| Rate for Payer: Meridian Medicaid |
$26,797.95
|
| Rate for Payer: PHP Medicaid |
$25,521.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,521.86
|
| Rate for Payer: UHCCP Medicaid |
$25,521.86
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$9,415.50
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$8,967.14 |
| Max. Negotiated Rate |
$9,415.50 |
| Rate for Payer: BCBS Complete |
$9,415.50
|
| Rate for Payer: Mclaren Medicaid |
$8,967.14
|
| Rate for Payer: Meridian Medicaid |
$9,415.50
|
| Rate for Payer: PHP Medicaid |
$8,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,967.14
|
| Rate for Payer: UHCCP Medicaid |
$8,967.14
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$12,933.38
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$12,317.50 |
| Max. Negotiated Rate |
$12,933.38 |
| Rate for Payer: BCBS Complete |
$12,933.38
|
| Rate for Payer: Mclaren Medicaid |
$12,317.50
|
| Rate for Payer: Meridian Medicaid |
$12,933.38
|
| Rate for Payer: PHP Medicaid |
$12,317.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,317.50
|
| Rate for Payer: UHCCP Medicaid |
$12,317.50
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$18,830.99
|
|
|
Service Code
|
APR-DRG 0273
|
| Min. Negotiated Rate |
$17,934.28 |
| Max. Negotiated Rate |
$18,830.99 |
| Rate for Payer: BCBS Complete |
$18,830.99
|
| Rate for Payer: Mclaren Medicaid |
$17,934.28
|
| Rate for Payer: Meridian Medicaid |
$18,830.99
|
| Rate for Payer: PHP Medicaid |
$17,934.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,934.28
|
| Rate for Payer: UHCCP Medicaid |
$17,934.28
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$8,671.52 |
| Max. Negotiated Rate |
$9,105.10 |
| Rate for Payer: BCBS Complete |
$9,105.10
|
| Rate for Payer: Mclaren Medicaid |
$8,671.52
|
| Rate for Payer: Meridian Medicaid |
$9,105.10
|
| Rate for Payer: PHP Medicaid |
$8,671.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,671.52
|
| Rate for Payer: UHCCP Medicaid |
$8,671.52
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$28,608.63
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$27,246.31 |
| Max. Negotiated Rate |
$28,608.63 |
| Rate for Payer: BCBS Complete |
$28,608.63
|
| Rate for Payer: Mclaren Medicaid |
$27,246.31
|
| Rate for Payer: Meridian Medicaid |
$28,608.63
|
| Rate for Payer: PHP Medicaid |
$27,246.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,246.31
|
| Rate for Payer: UHCCP Medicaid |
$27,246.31
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$14,330.18
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$13,647.79 |
| Max. Negotiated Rate |
$14,330.18 |
| Rate for Payer: BCBS Complete |
$14,330.18
|
| Rate for Payer: Mclaren Medicaid |
$13,647.79
|
| Rate for Payer: Meridian Medicaid |
$14,330.18
|
| Rate for Payer: PHP Medicaid |
$13,647.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,647.79
|
| Rate for Payer: UHCCP Medicaid |
$13,647.79
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$9,467.23
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$9,016.41 |
| Max. Negotiated Rate |
$9,467.23 |
| Rate for Payer: BCBS Complete |
$9,467.23
|
| Rate for Payer: Mclaren Medicaid |
$9,016.41
|
| Rate for Payer: Meridian Medicaid |
$9,467.23
|
| Rate for Payer: PHP Medicaid |
$9,016.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,016.41
|
| Rate for Payer: UHCCP Medicaid |
$9,016.41
|
|