|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$25,090.75
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$23,895.95 |
| Max. Negotiated Rate |
$25,090.75 |
| Rate for Payer: BCBS Complete |
$25,090.75
|
| Rate for Payer: Mclaren Medicaid |
$23,895.95
|
| Rate for Payer: Meridian Medicaid |
$25,090.75
|
| Rate for Payer: PHP Medicaid |
$23,895.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,895.95
|
| Rate for Payer: UHCCP Medicaid |
$23,895.95
|
|
|
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
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,691.23
|
|
|
Service Code
|
APR-DRG 4052
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$27,832.62
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$26,507.26 |
| Max. Negotiated Rate |
$27,832.62 |
| Rate for Payer: BCBS Complete |
$27,832.62
|
| Rate for Payer: Mclaren Medicaid |
$26,507.26
|
| Rate for Payer: Meridian Medicaid |
$27,832.62
|
| Rate for Payer: PHP Medicaid |
$26,507.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,507.26
|
| Rate for Payer: UHCCP Medicaid |
$26,507.26
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 6512
|
| 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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,984.02
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$6,651.45 |
| Max. Negotiated Rate |
$6,984.02 |
| Rate for Payer: BCBS Complete |
$6,984.02
|
| Rate for Payer: Mclaren Medicaid |
$6,651.45
|
| Rate for Payer: Meridian Medicaid |
$6,984.02
|
| Rate for Payer: PHP Medicaid |
$6,651.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,651.45
|
| Rate for Payer: UHCCP Medicaid |
$6,651.45
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$14,485.38
|
|
|
Service Code
|
APR-DRG 6513
|
| 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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$8,691.23
|
|
|
Service Code
|
APR-DRG 1211
|
| 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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$22,814.47
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$21,728.07 |
| Max. Negotiated Rate |
$22,814.47 |
| Rate for Payer: BCBS Complete |
$22,814.47
|
| Rate for Payer: Mclaren Medicaid |
$21,728.07
|
| Rate for Payer: Meridian Medicaid |
$22,814.47
|
| Rate for Payer: PHP Medicaid |
$21,728.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,728.07
|
| Rate for Payer: UHCCP Medicaid |
$21,728.07
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$14,226.71
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$13,549.25 |
| Max. Negotiated Rate |
$14,226.71 |
| Rate for Payer: BCBS Complete |
$14,226.71
|
| Rate for Payer: Mclaren Medicaid |
$13,549.25
|
| Rate for Payer: Meridian Medicaid |
$14,226.71
|
| Rate for Payer: PHP Medicaid |
$13,549.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,549.25
|
| Rate for Payer: UHCCP Medicaid |
$13,549.25
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$11,588.30
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$11,036.48 |
| Max. Negotiated Rate |
$11,588.30 |
| Rate for Payer: BCBS Complete |
$11,588.30
|
| Rate for Payer: Mclaren Medicaid |
$11,036.48
|
| Rate for Payer: Meridian Medicaid |
$11,588.30
|
| Rate for Payer: PHP Medicaid |
$11,036.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,036.48
|
| Rate for Payer: UHCCP Medicaid |
$11,036.48
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 1431
|
| 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 RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$9,725.90
|
|
|
Service Code
|
APR-DRG 1434
|
| Min. Negotiated Rate |
$9,262.76 |
| Max. Negotiated Rate |
$9,725.90 |
| Rate for Payer: BCBS Complete |
$9,725.90
|
| Rate for Payer: Mclaren Medicaid |
$9,262.76
|
| Rate for Payer: Meridian Medicaid |
$9,725.90
|
| Rate for Payer: PHP Medicaid |
$9,262.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,262.76
|
| Rate for Payer: UHCCP Medicaid |
$9,262.76
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 1432
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,880.56
|
|
|
Service Code
|
APR-DRG 1433
|
| 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 SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$13,657.64
|
|
|
Service Code
|
APR-DRG 3093
|
| Min. Negotiated Rate |
$13,007.28 |
| Max. Negotiated Rate |
$13,657.64 |
| Rate for Payer: BCBS Complete |
$13,657.64
|
| Rate for Payer: Mclaren Medicaid |
$13,007.28
|
| Rate for Payer: Meridian Medicaid |
$13,657.64
|
| Rate for Payer: PHP Medicaid |
$13,007.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,007.28
|
| Rate for Payer: UHCCP Medicaid |
$13,007.28
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$11,536.57
|
|
|
Service Code
|
APR-DRG 3092
|
| Min. Negotiated Rate |
$10,987.21 |
| Max. Negotiated Rate |
$11,536.57 |
| Rate for Payer: BCBS Complete |
$11,536.57
|
| Rate for Payer: Mclaren Medicaid |
$10,987.21
|
| Rate for Payer: Meridian Medicaid |
$11,536.57
|
| Rate for Payer: PHP Medicaid |
$10,987.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,987.21
|
| Rate for Payer: UHCCP Medicaid |
$10,987.21
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$18,158.46
|
|
|
Service Code
|
APR-DRG 3094
|
| Min. Negotiated Rate |
$17,293.77 |
| Max. Negotiated Rate |
$18,158.46 |
| Rate for Payer: BCBS Complete |
$18,158.46
|
| Rate for Payer: Mclaren Medicaid |
$17,293.77
|
| Rate for Payer: Meridian Medicaid |
$18,158.46
|
| Rate for Payer: PHP Medicaid |
$17,293.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,293.77
|
| Rate for Payer: UHCCP Medicaid |
$17,293.77
|
|
|
APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY
|
Facility
|
IP
|
$8,587.76
|
|
|
Service Code
|
APR-DRG 3091
|
| Min. Negotiated Rate |
$8,178.82 |
| Max. Negotiated Rate |
$8,587.76 |
| Rate for Payer: BCBS Complete |
$8,587.76
|
| Rate for Payer: Mclaren Medicaid |
$8,178.82
|
| Rate for Payer: Meridian Medicaid |
$8,587.76
|
| Rate for Payer: PHP Medicaid |
$8,178.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,178.82
|
| Rate for Payer: UHCCP Medicaid |
$8,178.82
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 3851
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$6,104.55
|
|
|
Service Code
|
APR-DRG 3853
|
| Min. Negotiated Rate |
$5,813.86 |
| Max. Negotiated Rate |
$6,104.55 |
| Rate for Payer: BCBS Complete |
$6,104.55
|
| Rate for Payer: Mclaren Medicaid |
$5,813.86
|
| Rate for Payer: Meridian Medicaid |
$6,104.55
|
| Rate for Payer: PHP Medicaid |
$5,813.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,813.86
|
| Rate for Payer: UHCCP Medicaid |
$5,813.86
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$8,484.29
|
|
|
Service Code
|
APR-DRG 3854
|
| 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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 3852
|
| Min. Negotiated Rate |
$3,843.06 |
| Max. Negotiated Rate |
$4,035.21 |
| Rate for Payer: BCBS Complete |
$4,035.21
|
| Rate for Payer: Mclaren Medicaid |
$3,843.06
|
| Rate for Payer: Meridian Medicaid |
$4,035.21
|
| Rate for Payer: PHP Medicaid |
$3,843.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,843.06
|
| Rate for Payer: UHCCP Medicaid |
$3,843.06
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$9,208.56
|
|
|
Service Code
|
APR-DRG 3643
|
| Min. Negotiated Rate |
$8,770.06 |
| Max. Negotiated Rate |
$9,208.56 |
| Rate for Payer: BCBS Complete |
$9,208.56
|
| Rate for Payer: Mclaren Medicaid |
$8,770.06
|
| Rate for Payer: Meridian Medicaid |
$9,208.56
|
| Rate for Payer: PHP Medicaid |
$8,770.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,770.06
|
| Rate for Payer: UHCCP Medicaid |
$8,770.06
|
|
|
APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 3641
|
| 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
|
|