|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,313.12
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$14,583.92 |
| Max. Negotiated Rate |
$15,313.12 |
| Rate for Payer: BCBS Complete |
$15,313.12
|
| Rate for Payer: Mclaren Medicaid |
$14,583.92
|
| Rate for Payer: Meridian Medicaid |
$15,313.12
|
| Rate for Payer: PHP Medicaid |
$14,583.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,583.92
|
| Rate for Payer: UHCCP Medicaid |
$14,583.92
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,053.91
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$11,479.91 |
| Max. Negotiated Rate |
$12,053.91 |
| Rate for Payer: BCBS Complete |
$12,053.91
|
| Rate for Payer: Mclaren Medicaid |
$11,479.91
|
| Rate for Payer: Meridian Medicaid |
$12,053.91
|
| Rate for Payer: PHP Medicaid |
$11,479.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,479.91
|
| Rate for Payer: UHCCP Medicaid |
$11,479.91
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$30,574.50
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$29,118.57 |
| Max. Negotiated Rate |
$30,574.50 |
| Rate for Payer: BCBS Complete |
$30,574.50
|
| Rate for Payer: Mclaren Medicaid |
$29,118.57
|
| Rate for Payer: Meridian Medicaid |
$30,574.50
|
| Rate for Payer: PHP Medicaid |
$29,118.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,118.57
|
| Rate for Payer: UHCCP Medicaid |
$29,118.57
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$20,848.60
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$19,855.81 |
| Max. Negotiated Rate |
$20,848.60 |
| Rate for Payer: BCBS Complete |
$20,848.60
|
| Rate for Payer: Mclaren Medicaid |
$19,855.81
|
| Rate for Payer: Meridian Medicaid |
$20,848.60
|
| Rate for Payer: PHP Medicaid |
$19,855.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,855.81
|
| Rate for Payer: UHCCP Medicaid |
$19,855.81
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,588.30
|
|
|
Service Code
|
APR-DRG 1712
|
| 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: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$22,090.20
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$21,038.29 |
| Max. Negotiated Rate |
$22,090.20 |
| Rate for Payer: BCBS Complete |
$22,090.20
|
| Rate for Payer: Mclaren Medicaid |
$21,038.29
|
| Rate for Payer: Meridian Medicaid |
$22,090.20
|
| Rate for Payer: PHP Medicaid |
$21,038.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,038.29
|
| Rate for Payer: UHCCP Medicaid |
$21,038.29
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,830.45
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$15,076.62 |
| Max. Negotiated Rate |
$15,830.45 |
| Rate for Payer: BCBS Complete |
$15,830.45
|
| Rate for Payer: Mclaren Medicaid |
$15,076.62
|
| Rate for Payer: Meridian Medicaid |
$15,830.45
|
| Rate for Payer: PHP Medicaid |
$15,076.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,076.62
|
| Rate for Payer: UHCCP Medicaid |
$15,076.62
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,260.30
|
|
|
Service Code
|
APR-DRG 1711
|
| Min. Negotiated Rate |
$8,819.33 |
| Max. Negotiated Rate |
$9,260.30 |
| Rate for Payer: BCBS Complete |
$9,260.30
|
| Rate for Payer: Mclaren Medicaid |
$8,819.33
|
| Rate for Payer: Meridian Medicaid |
$9,260.30
|
| Rate for Payer: PHP Medicaid |
$8,819.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,819.33
|
| Rate for Payer: UHCCP Medicaid |
$8,819.33
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$14,847.51
|
|
|
Service Code
|
APR-DRG 7524
|
| Min. Negotiated Rate |
$14,140.49 |
| Max. Negotiated Rate |
$14,847.51 |
| Rate for Payer: BCBS Complete |
$14,847.51
|
| Rate for Payer: Mclaren Medicaid |
$14,140.49
|
| Rate for Payer: Meridian Medicaid |
$14,847.51
|
| Rate for Payer: PHP Medicaid |
$14,140.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,140.49
|
| Rate for Payer: UHCCP Medicaid |
$14,140.49
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,224.54
|
|
|
Service Code
|
APR-DRG 7521
|
| Min. Negotiated Rate |
$2,118.61 |
| Max. Negotiated Rate |
$2,224.54 |
| Rate for Payer: BCBS Complete |
$2,224.54
|
| Rate for Payer: Mclaren Medicaid |
$2,118.61
|
| Rate for Payer: Meridian Medicaid |
$2,224.54
|
| Rate for Payer: PHP Medicaid |
$2,118.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,118.61
|
| Rate for Payer: UHCCP Medicaid |
$2,118.61
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,897.08
|
|
|
Service Code
|
APR-DRG 7522
|
| Min. Negotiated Rate |
$2,759.12 |
| Max. Negotiated Rate |
$2,897.08 |
| Rate for Payer: BCBS Complete |
$2,897.08
|
| Rate for Payer: Mclaren Medicaid |
$2,759.12
|
| Rate for Payer: Meridian Medicaid |
$2,897.08
|
| Rate for Payer: PHP Medicaid |
$2,759.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,759.12
|
| Rate for Payer: UHCCP Medicaid |
$2,759.12
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 7523
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$5,069.88
|
|
|
Service Code
|
APR-DRG 8123
|
| Min. Negotiated Rate |
$4,828.46 |
| Max. Negotiated Rate |
$5,069.88 |
| Rate for Payer: BCBS Complete |
$5,069.88
|
| Rate for Payer: Mclaren Medicaid |
$4,828.46
|
| Rate for Payer: Meridian Medicaid |
$5,069.88
|
| Rate for Payer: PHP Medicaid |
$4,828.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,828.46
|
| Rate for Payer: UHCCP Medicaid |
$4,828.46
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$9,777.63
|
|
|
Service Code
|
APR-DRG 8124
|
| Min. Negotiated Rate |
$9,312.03 |
| Max. Negotiated Rate |
$9,777.63 |
| Rate for Payer: BCBS Complete |
$9,777.63
|
| Rate for Payer: Mclaren Medicaid |
$9,312.03
|
| Rate for Payer: Meridian Medicaid |
$9,777.63
|
| Rate for Payer: PHP Medicaid |
$9,312.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,312.03
|
| Rate for Payer: UHCCP Medicaid |
$9,312.03
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$2,379.74
|
|
|
Service Code
|
APR-DRG 8121
|
| Min. Negotiated Rate |
$2,266.42 |
| Max. Negotiated Rate |
$2,379.74 |
| Rate for Payer: BCBS Complete |
$2,379.74
|
| Rate for Payer: Mclaren Medicaid |
$2,266.42
|
| Rate for Payer: Meridian Medicaid |
$2,379.74
|
| Rate for Payer: PHP Medicaid |
$2,266.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,266.42
|
| Rate for Payer: UHCCP Medicaid |
$2,266.42
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 8122
|
| Min. Negotiated Rate |
$3,301.09 |
| Max. Negotiated Rate |
$3,466.14 |
| Rate for Payer: BCBS Complete |
$3,466.14
|
| Rate for Payer: Mclaren Medicaid |
$3,301.09
|
| Rate for Payer: Meridian Medicaid |
$3,466.14
|
| Rate for Payer: PHP Medicaid |
$3,301.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,301.09
|
| Rate for Payer: UHCCP Medicaid |
$3,301.09
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$22,297.14
|
|
|
Service Code
|
APR-DRG 7114
|
| Min. Negotiated Rate |
$21,235.37 |
| Max. Negotiated Rate |
$22,297.14 |
| Rate for Payer: BCBS Complete |
$22,297.14
|
| Rate for Payer: Mclaren Medicaid |
$21,235.37
|
| Rate for Payer: Meridian Medicaid |
$22,297.14
|
| Rate for Payer: PHP Medicaid |
$21,235.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,235.37
|
| Rate for Payer: UHCCP Medicaid |
$21,235.37
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$12,519.51
|
|
|
Service Code
|
APR-DRG 7113
|
| 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: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$9,467.23
|
|
|
Service Code
|
APR-DRG 7112
|
| 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: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,449.62
|
|
|
Service Code
|
APR-DRG 7111
|
| Min. Negotiated Rate |
$7,094.88 |
| Max. Negotiated Rate |
$7,449.62 |
| Rate for Payer: BCBS Complete |
$7,449.62
|
| Rate for Payer: Mclaren Medicaid |
$7,094.88
|
| Rate for Payer: Meridian Medicaid |
$7,449.62
|
| Rate for Payer: PHP Medicaid |
$7,094.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,094.88
|
| Rate for Payer: UHCCP Medicaid |
$7,094.88
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$8,587.76
|
|
|
Service Code
|
APR-DRG 7213
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$12,519.51
|
|
|
Service Code
|
APR-DRG 7214
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 7211
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$5,069.88
|
|
|
Service Code
|
APR-DRG 7212
|
| Min. Negotiated Rate |
$4,828.46 |
| Max. Negotiated Rate |
$5,069.88 |
| Rate for Payer: BCBS Complete |
$5,069.88
|
| Rate for Payer: Mclaren Medicaid |
$4,828.46
|
| Rate for Payer: Meridian Medicaid |
$5,069.88
|
| Rate for Payer: PHP Medicaid |
$4,828.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,828.46
|
| Rate for Payer: UHCCP Medicaid |
$4,828.46
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 5613
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|