|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$8,898.16
|
|
|
Service Code
|
APR-DRG 5614
|
| Min. Negotiated Rate |
$8,474.44 |
| Max. Negotiated Rate |
$8,898.16 |
| Rate for Payer: BCBS Complete |
$8,898.16
|
| Rate for Payer: Mclaren Medicaid |
$8,474.44
|
| Rate for Payer: Meridian Medicaid |
$8,898.16
|
| Rate for Payer: PHP Medicaid |
$8,474.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,474.44
|
| Rate for Payer: UHCCP Medicaid |
$8,474.44
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$1,655.47
|
|
|
Service Code
|
APR-DRG 5611
|
| Min. Negotiated Rate |
$1,576.64 |
| Max. Negotiated Rate |
$1,655.47 |
| Rate for Payer: BCBS Complete |
$1,655.47
|
| Rate for Payer: Mclaren Medicaid |
$1,576.64
|
| Rate for Payer: Meridian Medicaid |
$1,655.47
|
| Rate for Payer: PHP Medicaid |
$1,576.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,576.64
|
| Rate for Payer: UHCCP Medicaid |
$1,576.64
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$2,586.68
|
|
|
Service Code
|
APR-DRG 5612
|
| Min. Negotiated Rate |
$2,463.50 |
| Max. Negotiated Rate |
$2,586.68 |
| Rate for Payer: BCBS Complete |
$2,586.68
|
| Rate for Payer: Mclaren Medicaid |
$2,463.50
|
| Rate for Payer: Meridian Medicaid |
$2,586.68
|
| Rate for Payer: PHP Medicaid |
$2,463.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,463.50
|
| Rate for Payer: UHCCP Medicaid |
$2,463.50
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,069.88
|
|
|
Service Code
|
APR-DRG 5482
|
| 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 DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2,069.34
|
|
|
Service Code
|
APR-DRG 5481
|
| Min. Negotiated Rate |
$1,970.80 |
| Max. Negotiated Rate |
$2,069.34 |
| Rate for Payer: BCBS Complete |
$2,069.34
|
| Rate for Payer: Mclaren Medicaid |
$1,970.80
|
| Rate for Payer: Meridian Medicaid |
$2,069.34
|
| Rate for Payer: PHP Medicaid |
$1,970.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,970.80
|
| Rate for Payer: UHCCP Medicaid |
$1,970.80
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$15,106.18
|
|
|
Service Code
|
APR-DRG 5484
|
| Min. Negotiated Rate |
$14,386.84 |
| Max. Negotiated Rate |
$15,106.18 |
| Rate for Payer: BCBS Complete |
$15,106.18
|
| Rate for Payer: Mclaren Medicaid |
$14,386.84
|
| Rate for Payer: Meridian Medicaid |
$15,106.18
|
| Rate for Payer: PHP Medicaid |
$14,386.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,386.84
|
| Rate for Payer: UHCCP Medicaid |
$14,386.84
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,966.96
|
|
|
Service Code
|
APR-DRG 5483
|
| Min. Negotiated Rate |
$7,587.58 |
| Max. Negotiated Rate |
$7,966.96 |
| Rate for Payer: BCBS Complete |
$7,966.96
|
| Rate for Payer: Mclaren Medicaid |
$7,587.58
|
| Rate for Payer: Meridian Medicaid |
$7,966.96
|
| Rate for Payer: PHP Medicaid |
$7,587.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,587.58
|
| Rate for Payer: UHCCP Medicaid |
$7,587.58
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$12,416.04
|
|
|
Service Code
|
APR-DRG 4033
|
| Min. Negotiated Rate |
$11,824.80 |
| Max. Negotiated Rate |
$12,416.04 |
| Rate for Payer: BCBS Complete |
$12,416.04
|
| Rate for Payer: Mclaren Medicaid |
$11,824.80
|
| Rate for Payer: Meridian Medicaid |
$12,416.04
|
| Rate for Payer: PHP Medicaid |
$11,824.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,824.80
|
| Rate for Payer: UHCCP Medicaid |
$11,824.80
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$24,366.48
|
|
|
Service Code
|
APR-DRG 4034
|
| Min. Negotiated Rate |
$23,206.17 |
| Max. Negotiated Rate |
$24,366.48 |
| Rate for Payer: BCBS Complete |
$24,366.48
|
| Rate for Payer: Mclaren Medicaid |
$23,206.17
|
| Rate for Payer: Meridian Medicaid |
$24,366.48
|
| Rate for Payer: PHP Medicaid |
$23,206.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,206.17
|
| Rate for Payer: UHCCP Medicaid |
$23,206.17
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 4031
|
| Min. Negotiated Rate |
$5,124.08 |
| Max. Negotiated Rate |
$5,380.28 |
| Rate for Payer: BCBS Complete |
$5,380.28
|
| Rate for Payer: Mclaren Medicaid |
$5,124.08
|
| Rate for Payer: Meridian Medicaid |
$5,380.28
|
| Rate for Payer: PHP Medicaid |
$5,124.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,124.08
|
| Rate for Payer: UHCCP Medicaid |
$5,124.08
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 4032
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$43,611.34
|
|
|
Service Code
|
APR-DRG 8504
|
| Min. Negotiated Rate |
$41,534.61 |
| Max. Negotiated Rate |
$43,611.34 |
| Rate for Payer: BCBS Complete |
$43,611.34
|
| Rate for Payer: Mclaren Medicaid |
$41,534.61
|
| Rate for Payer: Meridian Medicaid |
$43,611.34
|
| Rate for Payer: PHP Medicaid |
$41,534.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$41,534.61
|
| Rate for Payer: UHCCP Medicaid |
$41,534.61
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$7,501.36
|
|
|
Service Code
|
APR-DRG 8501
|
| 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: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$24,159.54
|
|
|
Service Code
|
APR-DRG 8503
|
| Min. Negotiated Rate |
$23,009.09 |
| Max. Negotiated Rate |
$24,159.54 |
| Rate for Payer: BCBS Complete |
$24,159.54
|
| Rate for Payer: Mclaren Medicaid |
$23,009.09
|
| Rate for Payer: Meridian Medicaid |
$24,159.54
|
| Rate for Payer: PHP Medicaid |
$23,009.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,009.09
|
| Rate for Payer: UHCCP Medicaid |
$23,009.09
|
|
|
APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES
|
Facility
|
IP
|
$14,278.45
|
|
|
Service Code
|
APR-DRG 8502
|
| Min. Negotiated Rate |
$13,598.52 |
| Max. Negotiated Rate |
$14,278.45 |
| Rate for Payer: BCBS Complete |
$14,278.45
|
| Rate for Payer: Mclaren Medicaid |
$13,598.52
|
| Rate for Payer: Meridian Medicaid |
$14,278.45
|
| Rate for Payer: PHP Medicaid |
$13,598.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,598.52
|
| Rate for Payer: UHCCP Medicaid |
$13,598.52
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$11,898.70
|
|
|
Service Code
|
APR-DRG 4853
|
| 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: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$6,466.69
|
|
|
Service Code
|
APR-DRG 4851
|
| 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: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$19,607.00
|
|
|
Service Code
|
APR-DRG 4854
|
| Min. Negotiated Rate |
$18,673.33 |
| Max. Negotiated Rate |
$19,607.00 |
| Rate for Payer: BCBS Complete |
$19,607.00
|
| Rate for Payer: Mclaren Medicaid |
$18,673.33
|
| Rate for Payer: Meridian Medicaid |
$19,607.00
|
| Rate for Payer: PHP Medicaid |
$18,673.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,673.33
|
| Rate for Payer: UHCCP Medicaid |
$18,673.33
|
|
|
APR-DRG 42.00: PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$7,449.62
|
|
|
Service Code
|
APR-DRG 4852
|
| 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: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,086.95
|
|
|
Service Code
|
APR-DRG 1342
|
| Min. Negotiated Rate |
$3,892.33 |
| Max. Negotiated Rate |
$4,086.95 |
| Rate for Payer: BCBS Complete |
$4,086.95
|
| Rate for Payer: Mclaren Medicaid |
$3,892.33
|
| Rate for Payer: Meridian Medicaid |
$4,086.95
|
| Rate for Payer: PHP Medicaid |
$3,892.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,892.33
|
| Rate for Payer: UHCCP Medicaid |
$3,892.33
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$9,777.63
|
|
|
Service Code
|
APR-DRG 1344
|
| 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: PULMONARY EMBOLISM
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 1343
|
| Min. Negotiated Rate |
$6,109.48 |
| Max. Negotiated Rate |
$6,414.95 |
| Rate for Payer: BCBS Complete |
$6,414.95
|
| Rate for Payer: Mclaren Medicaid |
$6,109.48
|
| Rate for Payer: Meridian Medicaid |
$6,414.95
|
| Rate for Payer: PHP Medicaid |
$6,109.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,109.48
|
| Rate for Payer: UHCCP Medicaid |
$6,109.48
|
|
|
APR-DRG 42.00: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,207.48
|
|
|
Service Code
|
APR-DRG 1341
|
| Min. Negotiated Rate |
$3,054.74 |
| Max. Negotiated Rate |
$3,207.48 |
| Rate for Payer: BCBS Complete |
$3,207.48
|
| Rate for Payer: Mclaren Medicaid |
$3,054.74
|
| Rate for Payer: Meridian Medicaid |
$3,207.48
|
| Rate for Payer: PHP Medicaid |
$3,054.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,054.74
|
| Rate for Payer: UHCCP Medicaid |
$3,054.74
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$12,985.11
|
|
|
Service Code
|
APR-DRG 6923
|
| Min. Negotiated Rate |
$12,366.77 |
| Max. Negotiated Rate |
$12,985.11 |
| Rate for Payer: BCBS Complete |
$12,985.11
|
| Rate for Payer: Mclaren Medicaid |
$12,366.77
|
| Rate for Payer: Meridian Medicaid |
$12,985.11
|
| Rate for Payer: PHP Medicaid |
$12,366.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,366.77
|
| Rate for Payer: UHCCP Medicaid |
$12,366.77
|
|
|
APR-DRG 42.00: RADIOTHERAPY
|
Facility
|
IP
|
$4,500.81
|
|
|
Service Code
|
APR-DRG 6921
|
| Min. Negotiated Rate |
$4,286.49 |
| Max. Negotiated Rate |
$4,500.81 |
| Rate for Payer: BCBS Complete |
$4,500.81
|
| Rate for Payer: Mclaren Medicaid |
$4,286.49
|
| Rate for Payer: Meridian Medicaid |
$4,500.81
|
| Rate for Payer: PHP Medicaid |
$4,286.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,286.49
|
| Rate for Payer: UHCCP Medicaid |
$4,286.49
|
|