|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$20,538.20
|
|
|
Service Code
|
APR-DRG 1832
|
| Min. Negotiated Rate |
$19,560.19 |
| Max. Negotiated Rate |
$20,538.20 |
| Rate for Payer: BCBS Complete |
$20,538.20
|
| Rate for Payer: Mclaren Medicaid |
$19,560.19
|
| Rate for Payer: Meridian Medicaid |
$20,538.20
|
| Rate for Payer: PHP Medicaid |
$19,560.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,560.19
|
| Rate for Payer: UHCCP Medicaid |
$19,560.19
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$25,608.08
|
|
|
Service Code
|
APR-DRG 1833
|
| Min. Negotiated Rate |
$24,388.65 |
| Max. Negotiated Rate |
$25,608.08 |
| Rate for Payer: BCBS Complete |
$25,608.08
|
| Rate for Payer: Mclaren Medicaid |
$24,388.65
|
| Rate for Payer: Meridian Medicaid |
$25,608.08
|
| Rate for Payer: PHP Medicaid |
$24,388.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,388.65
|
| Rate for Payer: UHCCP Medicaid |
$24,388.65
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$18,934.46
|
|
|
Service Code
|
APR-DRG 1831
|
| Min. Negotiated Rate |
$18,032.82 |
| Max. Negotiated Rate |
$18,934.46 |
| Rate for Payer: BCBS Complete |
$18,934.46
|
| Rate for Payer: Mclaren Medicaid |
$18,032.82
|
| Rate for Payer: Meridian Medicaid |
$18,934.46
|
| Rate for Payer: PHP Medicaid |
$18,032.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,032.82
|
| Rate for Payer: UHCCP Medicaid |
$18,032.82
|
|
|
APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$35,282.25
|
|
|
Service Code
|
APR-DRG 1834
|
| Min. Negotiated Rate |
$33,602.14 |
| Max. Negotiated Rate |
$35,282.25 |
| Rate for Payer: BCBS Complete |
$35,282.25
|
| Rate for Payer: Mclaren Medicaid |
$33,602.14
|
| Rate for Payer: Meridian Medicaid |
$35,282.25
|
| Rate for Payer: PHP Medicaid |
$33,602.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,602.14
|
| Rate for Payer: UHCCP Medicaid |
$33,602.14
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$6,363.22
|
|
|
Service Code
|
APR-DRG 1973
|
| Min. Negotiated Rate |
$6,060.21 |
| Max. Negotiated Rate |
$6,363.22 |
| Rate for Payer: BCBS Complete |
$6,363.22
|
| Rate for Payer: Mclaren Medicaid |
$6,060.21
|
| Rate for Payer: Meridian Medicaid |
$6,363.22
|
| Rate for Payer: PHP Medicaid |
$6,060.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,060.21
|
| Rate for Payer: UHCCP Medicaid |
$6,060.21
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 1972
|
| 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: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 1971
|
| Min. Negotiated Rate |
$2,956.20 |
| Max. Negotiated Rate |
$3,104.01 |
| Rate for Payer: BCBS Complete |
$3,104.01
|
| Rate for Payer: Mclaren Medicaid |
$2,956.20
|
| Rate for Payer: Meridian Medicaid |
$3,104.01
|
| Rate for Payer: PHP Medicaid |
$2,956.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,956.20
|
| Rate for Payer: UHCCP Medicaid |
$2,956.20
|
|
|
APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$11,329.64
|
|
|
Service Code
|
APR-DRG 1974
|
| Min. Negotiated Rate |
$10,790.13 |
| Max. Negotiated Rate |
$11,329.64 |
| Rate for Payer: BCBS Complete |
$11,329.64
|
| Rate for Payer: Mclaren Medicaid |
$10,790.13
|
| Rate for Payer: Meridian Medicaid |
$11,329.64
|
| Rate for Payer: PHP Medicaid |
$10,790.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,790.13
|
| Rate for Payer: UHCCP Medicaid |
$10,790.13
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$6,518.42
|
|
|
Service Code
|
APR-DRG 0483
|
| 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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 0481
|
| 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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$11,277.90
|
|
|
Service Code
|
APR-DRG 0484
|
| Min. Negotiated Rate |
$10,740.86 |
| Max. Negotiated Rate |
$11,277.90 |
| Rate for Payer: BCBS Complete |
$11,277.90
|
| Rate for Payer: Mclaren Medicaid |
$10,740.86
|
| Rate for Payer: Meridian Medicaid |
$11,277.90
|
| Rate for Payer: PHP Medicaid |
$10,740.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,740.86
|
| Rate for Payer: UHCCP Medicaid |
$10,740.86
|
|
|
APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 0482
|
| Min. Negotiated Rate |
$4,335.76 |
| Max. Negotiated Rate |
$4,552.55 |
| Rate for Payer: BCBS Complete |
$4,552.55
|
| Rate for Payer: Mclaren Medicaid |
$4,335.76
|
| Rate for Payer: Meridian Medicaid |
$4,552.55
|
| Rate for Payer: PHP Medicaid |
$4,335.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,335.76
|
| Rate for Payer: UHCCP Medicaid |
$4,335.76
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 2242
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$19,658.73
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$18,722.60 |
| Max. Negotiated Rate |
$19,658.73 |
| Rate for Payer: BCBS Complete |
$19,658.73
|
| Rate for Payer: Mclaren Medicaid |
$18,722.60
|
| Rate for Payer: Meridian Medicaid |
$19,658.73
|
| Rate for Payer: PHP Medicaid |
$18,722.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,722.60
|
| Rate for Payer: UHCCP Medicaid |
$18,722.60
|
|
|
APR-DRG 42.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 2241
|
| 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: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$12,829.91
|
|
|
Service Code
|
APR-DRG 2243
|
| Min. Negotiated Rate |
$12,218.96 |
| Max. Negotiated Rate |
$12,829.91 |
| Rate for Payer: BCBS Complete |
$12,829.91
|
| Rate for Payer: Mclaren Medicaid |
$12,218.96
|
| Rate for Payer: Meridian Medicaid |
$12,829.91
|
| Rate for Payer: PHP Medicaid |
$12,218.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,218.96
|
| Rate for Payer: UHCCP Medicaid |
$12,218.96
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,329.64
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$10,790.13 |
| Max. Negotiated Rate |
$11,329.64 |
| Rate for Payer: BCBS Complete |
$11,329.64
|
| Rate for Payer: Mclaren Medicaid |
$10,790.13
|
| Rate for Payer: Meridian Medicaid |
$11,329.64
|
| Rate for Payer: PHP Medicaid |
$10,790.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,790.13
|
| Rate for Payer: UHCCP Medicaid |
$10,790.13
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$24,263.01
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$23,107.63 |
| Max. Negotiated Rate |
$24,263.01 |
| Rate for Payer: BCBS Complete |
$24,263.01
|
| Rate for Payer: Mclaren Medicaid |
$23,107.63
|
| Rate for Payer: Meridian Medicaid |
$24,263.01
|
| Rate for Payer: PHP Medicaid |
$23,107.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,107.63
|
| Rate for Payer: UHCCP Medicaid |
$23,107.63
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,105.64
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$11,529.18 |
| Max. Negotiated Rate |
$12,105.64 |
| Rate for Payer: BCBS Complete |
$12,105.64
|
| Rate for Payer: Mclaren Medicaid |
$11,529.18
|
| Rate for Payer: Meridian Medicaid |
$12,105.64
|
| Rate for Payer: PHP Medicaid |
$11,529.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,529.18
|
| Rate for Payer: UHCCP Medicaid |
$11,529.18
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$16,451.25
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$15,667.86 |
| Max. Negotiated Rate |
$16,451.25 |
| Rate for Payer: BCBS Complete |
$16,451.25
|
| Rate for Payer: Mclaren Medicaid |
$15,667.86
|
| Rate for Payer: Meridian Medicaid |
$16,451.25
|
| Rate for Payer: PHP Medicaid |
$15,667.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,667.86
|
| Rate for Payer: UHCCP Medicaid |
$15,667.86
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,881.64
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$12,268.23 |
| Max. Negotiated Rate |
$12,881.64 |
| Rate for Payer: BCBS Complete |
$12,881.64
|
| Rate for Payer: Mclaren Medicaid |
$12,268.23
|
| Rate for Payer: Meridian Medicaid |
$12,881.64
|
| Rate for Payer: PHP Medicaid |
$12,268.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,268.23
|
| Rate for Payer: UHCCP Medicaid |
$12,268.23
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$7,863.49
|
|
|
Service Code
|
APR-DRG 1711
|
| Min. Negotiated Rate |
$7,489.04 |
| Max. Negotiated Rate |
$7,863.49 |
| Rate for Payer: BCBS Complete |
$7,863.49
|
| Rate for Payer: Mclaren Medicaid |
$7,489.04
|
| Rate for Payer: Meridian Medicaid |
$7,863.49
|
| Rate for Payer: PHP Medicaid |
$7,489.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,489.04
|
| Rate for Payer: UHCCP Medicaid |
$7,489.04
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$19,762.20
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$18,821.14 |
| Max. Negotiated Rate |
$19,762.20 |
| Rate for Payer: BCBS Complete |
$19,762.20
|
| Rate for Payer: Mclaren Medicaid |
$18,821.14
|
| Rate for Payer: Meridian Medicaid |
$19,762.20
|
| Rate for Payer: PHP Medicaid |
$18,821.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,821.14
|
| Rate for Payer: UHCCP Medicaid |
$18,821.14
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,518.96
|
|
|
Service Code
|
APR-DRG 1712
|
| Min. Negotiated Rate |
$9,065.68 |
| Max. Negotiated Rate |
$9,518.96 |
| Rate for Payer: BCBS Complete |
$9,518.96
|
| Rate for Payer: Mclaren Medicaid |
$9,065.68
|
| Rate for Payer: Meridian Medicaid |
$9,518.96
|
| Rate for Payer: PHP Medicaid |
$9,065.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,065.68
|
| Rate for Payer: UHCCP Medicaid |
$9,065.68
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$14,019.78
|
|
|
Service Code
|
APR-DRG 7524
|
| 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
|
|