|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$11,846.97
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$11,282.83 |
| Max. Negotiated Rate |
$11,846.97 |
| Rate for Payer: BCBS Complete |
$11,846.97
|
| Rate for Payer: Mclaren Medicaid |
$11,282.83
|
| Rate for Payer: Meridian Medicaid |
$11,846.97
|
| Rate for Payer: PHP Medicaid |
$11,282.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,282.83
|
| Rate for Payer: UHCCP Medicaid |
$11,282.83
|
|
|
APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$22,711.01
|
|
|
Service Code
|
APR-DRG 0294
|
| 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 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
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 1821
|
| Min. Negotiated Rate |
$8,129.55 |
| Max. Negotiated Rate |
$8,536.03 |
| Rate for Payer: BCBS Complete |
$8,536.03
|
| Rate for Payer: Mclaren Medicaid |
$8,129.55
|
| Rate for Payer: Meridian Medicaid |
$8,536.03
|
| Rate for Payer: PHP Medicaid |
$8,129.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,129.55
|
| Rate for Payer: UHCCP Medicaid |
$8,129.55
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$10,501.90
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$10,001.81 |
| Max. Negotiated Rate |
$10,501.90 |
| Rate for Payer: BCBS Complete |
$10,501.90
|
| Rate for Payer: Mclaren Medicaid |
$10,001.81
|
| Rate for Payer: Meridian Medicaid |
$10,501.90
|
| Rate for Payer: PHP Medicaid |
$10,001.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,001.81
|
| Rate for Payer: UHCCP Medicaid |
$10,001.81
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$13,398.98
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$12,760.93 |
| Max. Negotiated Rate |
$13,398.98 |
| Rate for Payer: BCBS Complete |
$13,398.98
|
| Rate for Payer: Mclaren Medicaid |
$12,760.93
|
| Rate for Payer: Meridian Medicaid |
$13,398.98
|
| Rate for Payer: PHP Medicaid |
$12,760.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,760.93
|
| Rate for Payer: UHCCP Medicaid |
$12,760.93
|
|
|
APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$20,952.07
|
|
|
Service Code
|
APR-DRG 1824
|
| Min. Negotiated Rate |
$19,954.35 |
| Max. Negotiated Rate |
$20,952.07 |
| Rate for Payer: BCBS Complete |
$20,952.07
|
| Rate for Payer: Mclaren Medicaid |
$19,954.35
|
| Rate for Payer: Meridian Medicaid |
$20,952.07
|
| Rate for Payer: PHP Medicaid |
$19,954.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,954.35
|
| Rate for Payer: UHCCP Medicaid |
$19,954.35
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 1393
|
| Min. Negotiated Rate |
$4,927.00 |
| Max. Negotiated Rate |
$5,173.35 |
| Rate for Payer: BCBS Complete |
$5,173.35
|
| Rate for Payer: Mclaren Medicaid |
$4,927.00
|
| Rate for Payer: Meridian Medicaid |
$5,173.35
|
| Rate for Payer: PHP Medicaid |
$4,927.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,927.00
|
| Rate for Payer: UHCCP Medicaid |
$4,927.00
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$2,483.21
|
|
|
Service Code
|
APR-DRG 1391
|
| 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 PNEUMONIA
|
Facility
|
IP
|
$8,432.56
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$8,031.01 |
| Max. Negotiated Rate |
$8,432.56 |
| Rate for Payer: BCBS Complete |
$8,432.56
|
| Rate for Payer: Mclaren Medicaid |
$8,031.01
|
| Rate for Payer: Meridian Medicaid |
$8,432.56
|
| Rate for Payer: PHP Medicaid |
$8,031.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,031.01
|
| Rate for Payer: UHCCP Medicaid |
$8,031.01
|
|
|
APR-DRG 42.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 1392
|
| 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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 4051
|
| Min. Negotiated Rate |
$6,503.64 |
| Max. Negotiated Rate |
$6,828.82 |
| Rate for Payer: BCBS Complete |
$6,828.82
|
| Rate for Payer: Mclaren Medicaid |
$6,503.64
|
| Rate for Payer: Meridian Medicaid |
$6,828.82
|
| Rate for Payer: PHP Medicaid |
$6,503.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,503.64
|
| Rate for Payer: UHCCP Medicaid |
$6,503.64
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$23,590.48
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$22,467.12 |
| Max. Negotiated Rate |
$23,590.48 |
| Rate for Payer: BCBS Complete |
$23,590.48
|
| Rate for Payer: Mclaren Medicaid |
$22,467.12
|
| Rate for Payer: Meridian Medicaid |
$23,590.48
|
| Rate for Payer: PHP Medicaid |
$22,467.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,467.12
|
| Rate for Payer: UHCCP Medicaid |
$22,467.12
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$11,775.53 |
| Max. Negotiated Rate |
$12,364.31 |
| Rate for Payer: BCBS Complete |
$12,364.31
|
| Rate for Payer: Mclaren Medicaid |
$11,775.53
|
| Rate for Payer: Meridian Medicaid |
$12,364.31
|
| Rate for Payer: PHP Medicaid |
$11,775.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,775.53
|
| Rate for Payer: UHCCP Medicaid |
$11,775.53
|
|
|
APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$8,277.36
|
|
|
Service Code
|
APR-DRG 4052
|
| Min. Negotiated Rate |
$7,883.20 |
| Max. Negotiated Rate |
$8,277.36 |
| Rate for Payer: BCBS Complete |
$8,277.36
|
| Rate for Payer: Mclaren Medicaid |
$7,883.20
|
| Rate for Payer: Meridian Medicaid |
$8,277.36
|
| Rate for Payer: PHP Medicaid |
$7,883.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,883.20
|
| Rate for Payer: UHCCP Medicaid |
$7,883.20
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,363.76
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$8,917.87 |
| Max. Negotiated Rate |
$9,363.76 |
| Rate for Payer: BCBS Complete |
$9,363.76
|
| Rate for Payer: Mclaren Medicaid |
$8,917.87
|
| Rate for Payer: Meridian Medicaid |
$9,363.76
|
| Rate for Payer: PHP Medicaid |
$8,917.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,917.87
|
| Rate for Payer: UHCCP Medicaid |
$8,917.87
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$24,573.41
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$23,403.25 |
| Max. Negotiated Rate |
$24,573.41 |
| Rate for Payer: BCBS Complete |
$24,573.41
|
| Rate for Payer: Mclaren Medicaid |
$23,403.25
|
| Rate for Payer: Meridian Medicaid |
$24,573.41
|
| Rate for Payer: PHP Medicaid |
$23,403.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,403.25
|
| Rate for Payer: UHCCP Medicaid |
$23,403.25
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$12,726.44
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$12,120.42 |
| Max. Negotiated Rate |
$12,726.44 |
| Rate for Payer: BCBS Complete |
$12,726.44
|
| Rate for Payer: Mclaren Medicaid |
$12,120.42
|
| Rate for Payer: Meridian Medicaid |
$12,726.44
|
| Rate for Payer: PHP Medicaid |
$12,120.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,120.42
|
| Rate for Payer: UHCCP Medicaid |
$12,120.42
|
|
|
APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$6,306.56 |
| Max. Negotiated Rate |
$6,621.89 |
| Rate for Payer: BCBS Complete |
$6,621.89
|
| Rate for Payer: Mclaren Medicaid |
$6,306.56
|
| Rate for Payer: Meridian Medicaid |
$6,621.89
|
| Rate for Payer: PHP Medicaid |
$6,306.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,306.56
|
| Rate for Payer: UHCCP Medicaid |
$6,306.56
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,209.65
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$14,485.38 |
| Max. Negotiated Rate |
$15,209.65 |
| Rate for Payer: BCBS Complete |
$15,209.65
|
| Rate for Payer: Mclaren Medicaid |
$14,485.38
|
| Rate for Payer: Meridian Medicaid |
$15,209.65
|
| Rate for Payer: PHP Medicaid |
$14,485.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,485.38
|
| Rate for Payer: UHCCP Medicaid |
$14,485.38
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$24,004.34
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$22,861.28 |
| Max. Negotiated Rate |
$24,004.34 |
| Rate for Payer: BCBS Complete |
$24,004.34
|
| Rate for Payer: Mclaren Medicaid |
$22,861.28
|
| Rate for Payer: Meridian Medicaid |
$24,004.34
|
| Rate for Payer: PHP Medicaid |
$22,861.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,861.28
|
| Rate for Payer: UHCCP Medicaid |
$22,861.28
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$9,829.36
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$9,361.30 |
| Max. Negotiated Rate |
$9,829.36 |
| Rate for Payer: BCBS Complete |
$9,829.36
|
| Rate for Payer: Mclaren Medicaid |
$9,361.30
|
| Rate for Payer: Meridian Medicaid |
$9,829.36
|
| Rate for Payer: PHP Medicaid |
$9,361.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,361.30
|
| Rate for Payer: UHCCP Medicaid |
$9,361.30
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$7,501.36
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$7,144.15 |
| Max. Negotiated Rate |
$7,501.36 |
| Rate for Payer: BCBS Complete |
$7,501.36
|
| Rate for Payer: Mclaren Medicaid |
$7,144.15
|
| Rate for Payer: Meridian Medicaid |
$7,501.36
|
| Rate for Payer: PHP Medicaid |
$7,144.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,144.15
|
| Rate for Payer: UHCCP Medicaid |
$7,144.15
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,466.69
|
|
|
Service Code
|
APR-DRG 1433
|
| Min. Negotiated Rate |
$6,158.75 |
| Max. Negotiated Rate |
$6,466.69 |
| Rate for Payer: BCBS Complete |
$6,466.69
|
| Rate for Payer: Mclaren Medicaid |
$6,158.75
|
| Rate for Payer: Meridian Medicaid |
$6,466.69
|
| Rate for Payer: PHP Medicaid |
$6,158.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,158.75
|
| Rate for Payer: UHCCP Medicaid |
$6,158.75
|
|
|
APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 1431
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|