|
APR-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$45,835.88
|
|
|
Service Code
|
APR-DRG 0063
|
| Min. Negotiated Rate |
$43,653.22 |
| Max. Negotiated Rate |
$45,835.88 |
| Rate for Payer: BCBS Complete |
$45,835.88
|
| Rate for Payer: Mclaren Medicaid |
$43,653.22
|
| Rate for Payer: Meridian Medicaid |
$45,835.88
|
| Rate for Payer: PHP Medicaid |
$43,653.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$43,653.22
|
| Rate for Payer: UHCCP Medicaid |
$43,653.22
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$13,140.31
|
|
|
Service Code
|
APR-DRG 8444
|
| Min. Negotiated Rate |
$12,514.58 |
| Max. Negotiated Rate |
$13,140.31 |
| Rate for Payer: BCBS Complete |
$13,140.31
|
| Rate for Payer: Mclaren Medicaid |
$12,514.58
|
| Rate for Payer: Meridian Medicaid |
$13,140.31
|
| Rate for Payer: PHP Medicaid |
$12,514.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,514.58
|
| Rate for Payer: UHCCP Medicaid |
$12,514.58
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 8442
|
| Min. Negotiated Rate |
$4,483.57 |
| Max. Negotiated Rate |
$4,707.75 |
| Rate for Payer: BCBS Complete |
$4,707.75
|
| Rate for Payer: Mclaren Medicaid |
$4,483.57
|
| Rate for Payer: Meridian Medicaid |
$4,707.75
|
| Rate for Payer: PHP Medicaid |
$4,483.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.57
|
| Rate for Payer: UHCCP Medicaid |
$4,483.57
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 8441
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$7,346.16
|
|
|
Service Code
|
APR-DRG 8443
|
| Min. Negotiated Rate |
$6,996.34 |
| Max. Negotiated Rate |
$7,346.16 |
| Rate for Payer: BCBS Complete |
$7,346.16
|
| Rate for Payer: Mclaren Medicaid |
$6,996.34
|
| Rate for Payer: Meridian Medicaid |
$7,346.16
|
| Rate for Payer: PHP Medicaid |
$6,996.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,996.34
|
| Rate for Payer: UHCCP Medicaid |
$6,996.34
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 4831
|
| Min. Negotiated Rate |
$4,877.73 |
| Max. Negotiated Rate |
$5,121.62 |
| Rate for Payer: BCBS Complete |
$5,121.62
|
| Rate for Payer: Mclaren Medicaid |
$4,877.73
|
| Rate for Payer: Meridian Medicaid |
$5,121.62
|
| Rate for Payer: PHP Medicaid |
$4,877.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,877.73
|
| Rate for Payer: UHCCP Medicaid |
$4,877.73
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$7,811.76
|
|
|
Service Code
|
APR-DRG 4832
|
| Min. Negotiated Rate |
$7,439.77 |
| Max. Negotiated Rate |
$7,811.76 |
| Rate for Payer: BCBS Complete |
$7,811.76
|
| Rate for Payer: Mclaren Medicaid |
$7,439.77
|
| Rate for Payer: Meridian Medicaid |
$7,811.76
|
| Rate for Payer: PHP Medicaid |
$7,439.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,439.77
|
| Rate for Payer: UHCCP Medicaid |
$7,439.77
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$11,795.24
|
|
|
Service Code
|
APR-DRG 4833
|
| Min. Negotiated Rate |
$11,233.56 |
| Max. Negotiated Rate |
$11,795.24 |
| Rate for Payer: BCBS Complete |
$11,795.24
|
| Rate for Payer: Mclaren Medicaid |
$11,233.56
|
| Rate for Payer: Meridian Medicaid |
$11,795.24
|
| Rate for Payer: PHP Medicaid |
$11,233.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,233.56
|
| Rate for Payer: UHCCP Medicaid |
$11,233.56
|
|
|
APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES
|
Facility
|
IP
|
$20,641.67
|
|
|
Service Code
|
APR-DRG 4834
|
| Min. Negotiated Rate |
$19,658.73 |
| Max. Negotiated Rate |
$20,641.67 |
| Rate for Payer: BCBS Complete |
$20,641.67
|
| Rate for Payer: Mclaren Medicaid |
$19,658.73
|
| Rate for Payer: Meridian Medicaid |
$20,641.67
|
| Rate for Payer: PHP Medicaid |
$19,658.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,658.73
|
| Rate for Payer: UHCCP Medicaid |
$19,658.73
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$4,397.35
|
|
|
Service Code
|
APR-DRG 2412
|
| Min. Negotiated Rate |
$4,187.95 |
| Max. Negotiated Rate |
$4,397.35 |
| Rate for Payer: BCBS Complete |
$4,397.35
|
| Rate for Payer: Mclaren Medicaid |
$4,187.95
|
| Rate for Payer: Meridian Medicaid |
$4,397.35
|
| Rate for Payer: PHP Medicaid |
$4,187.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,187.95
|
| Rate for Payer: UHCCP Medicaid |
$4,187.95
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 2414
|
| 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: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$3,621.34
|
|
|
Service Code
|
APR-DRG 2411
|
| Min. Negotiated Rate |
$3,448.90 |
| Max. Negotiated Rate |
$3,621.34 |
| Rate for Payer: BCBS Complete |
$3,621.34
|
| Rate for Payer: Mclaren Medicaid |
$3,448.90
|
| Rate for Payer: Meridian Medicaid |
$3,621.34
|
| Rate for Payer: PHP Medicaid |
$3,448.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,448.90
|
| Rate for Payer: UHCCP Medicaid |
$3,448.90
|
|
|
APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS
|
Facility
|
IP
|
$6,518.42
|
|
|
Service Code
|
APR-DRG 2413
|
| Min. Negotiated Rate |
$6,208.02 |
| Max. Negotiated Rate |
$6,518.42 |
| Rate for Payer: BCBS Complete |
$6,518.42
|
| Rate for Payer: Mclaren Medicaid |
$6,208.02
|
| Rate for Payer: Meridian Medicaid |
$6,518.42
|
| Rate for Payer: PHP Medicaid |
$6,208.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,208.02
|
| Rate for Payer: UHCCP Medicaid |
$6,208.02
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$14,019.78
|
|
|
Service Code
|
APR-DRG 1743
|
| Min. Negotiated Rate |
$13,352.17 |
| Max. Negotiated Rate |
$14,019.78 |
| Rate for Payer: BCBS Complete |
$14,019.78
|
| Rate for Payer: Mclaren Medicaid |
$13,352.17
|
| Rate for Payer: Meridian Medicaid |
$14,019.78
|
| Rate for Payer: PHP Medicaid |
$13,352.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,352.17
|
| Rate for Payer: UHCCP Medicaid |
$13,352.17
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$19,865.66
|
|
|
Service Code
|
APR-DRG 1744
|
| Min. Negotiated Rate |
$18,919.68 |
| Max. Negotiated Rate |
$19,865.66 |
| Rate for Payer: BCBS Complete |
$19,865.66
|
| Rate for Payer: Mclaren Medicaid |
$18,919.68
|
| Rate for Payer: Meridian Medicaid |
$19,865.66
|
| Rate for Payer: PHP Medicaid |
$18,919.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,919.68
|
| Rate for Payer: UHCCP Medicaid |
$18,919.68
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$9,415.50
|
|
|
Service Code
|
APR-DRG 1741
|
| 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: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI
|
Facility
|
IP
|
$11,898.70
|
|
|
Service Code
|
APR-DRG 1742
|
| Min. Negotiated Rate |
$11,332.10 |
| Max. Negotiated Rate |
$11,898.70 |
| Rate for Payer: BCBS Complete |
$11,898.70
|
| Rate for Payer: Mclaren Medicaid |
$11,332.10
|
| Rate for Payer: Meridian Medicaid |
$11,898.70
|
| Rate for Payer: PHP Medicaid |
$11,332.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,332.10
|
| Rate for Payer: UHCCP Medicaid |
$11,332.10
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$10,760.57
|
|
|
Service Code
|
APR-DRG 1751
|
| Min. Negotiated Rate |
$10,248.16 |
| Max. Negotiated Rate |
$10,760.57 |
| Rate for Payer: BCBS Complete |
$10,760.57
|
| Rate for Payer: Mclaren Medicaid |
$10,248.16
|
| Rate for Payer: Meridian Medicaid |
$10,760.57
|
| Rate for Payer: PHP Medicaid |
$10,248.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,248.16
|
| Rate for Payer: UHCCP Medicaid |
$10,248.16
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$22,348.87
|
|
|
Service Code
|
APR-DRG 1754
|
| Min. Negotiated Rate |
$21,284.64 |
| Max. Negotiated Rate |
$22,348.87 |
| Rate for Payer: BCBS Complete |
$22,348.87
|
| Rate for Payer: Mclaren Medicaid |
$21,284.64
|
| Rate for Payer: Meridian Medicaid |
$22,348.87
|
| Rate for Payer: PHP Medicaid |
$21,284.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,284.64
|
| Rate for Payer: UHCCP Medicaid |
$21,284.64
|
|
|
APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$14,226.71
|
|
|
Service Code
|
APR-DRG 1752
|
| 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: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI
|
Facility
|
IP
|
$16,296.05
|
|
|
Service Code
|
APR-DRG 1753
|
| Min. Negotiated Rate |
$15,520.05 |
| Max. Negotiated Rate |
$16,296.05 |
| Rate for Payer: BCBS Complete |
$16,296.05
|
| Rate for Payer: Mclaren Medicaid |
$15,520.05
|
| Rate for Payer: Meridian Medicaid |
$16,296.05
|
| Rate for Payer: PHP Medicaid |
$15,520.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,520.05
|
| Rate for Payer: UHCCP Medicaid |
$15,520.05
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,314.74
|
|
|
Service Code
|
APR-DRG 0304
|
| Min. Negotiated Rate |
$23,156.90 |
| Max. Negotiated Rate |
$24,314.74 |
| Rate for Payer: BCBS Complete |
$24,314.74
|
| Rate for Payer: Mclaren Medicaid |
$23,156.90
|
| Rate for Payer: Meridian Medicaid |
$24,314.74
|
| Rate for Payer: PHP Medicaid |
$23,156.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,156.90
|
| Rate for Payer: UHCCP Medicaid |
$23,156.90
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,071.51
|
|
|
Service Code
|
APR-DRG 0302
|
| Min. Negotiated Rate |
$13,401.44 |
| Max. Negotiated Rate |
$14,071.51 |
| Rate for Payer: BCBS Complete |
$14,071.51
|
| Rate for Payer: Mclaren Medicaid |
$13,401.44
|
| Rate for Payer: Meridian Medicaid |
$14,071.51
|
| Rate for Payer: PHP Medicaid |
$13,401.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,401.44
|
| Rate for Payer: UHCCP Medicaid |
$13,401.44
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 0301
|
| Min. Negotiated Rate |
$7,784.66 |
| Max. Negotiated Rate |
$8,173.89 |
| Rate for Payer: BCBS Complete |
$8,173.89
|
| Rate for Payer: Mclaren Medicaid |
$7,784.66
|
| Rate for Payer: Meridian Medicaid |
$8,173.89
|
| Rate for Payer: PHP Medicaid |
$7,784.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,784.66
|
| Rate for Payer: UHCCP Medicaid |
$7,784.66
|
|
|
APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,003.26
|
|
|
Service Code
|
APR-DRG 0303
|
| Min. Negotiated Rate |
$17,145.96 |
| Max. Negotiated Rate |
$18,003.26 |
| Rate for Payer: BCBS Complete |
$18,003.26
|
| Rate for Payer: Mclaren Medicaid |
$17,145.96
|
| Rate for Payer: Meridian Medicaid |
$18,003.26
|
| Rate for Payer: PHP Medicaid |
$17,145.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,145.96
|
| Rate for Payer: UHCCP Medicaid |
$17,145.96
|
|