|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 0402
|
| Min. Negotiated Rate |
$7,932.47 |
| Max. Negotiated Rate |
$8,329.09 |
| Rate for Payer: BCBS Complete |
$8,329.09
|
| Rate for Payer: Mclaren Medicaid |
$7,932.47
|
| Rate for Payer: Meridian Medicaid |
$8,329.09
|
| Rate for Payer: PHP Medicaid |
$7,932.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.47
|
| Rate for Payer: UHCCP Medicaid |
$7,932.47
|
|
|
APR-DRG 42.00: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$9,518.96
|
|
|
Service Code
|
APR-DRG 0403
|
| 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: SPINAL DISORDERS AND INJURIES
|
Facility
|
IP
|
$6,570.15
|
|
|
Service Code
|
APR-DRG 0401
|
| Min. Negotiated Rate |
$6,257.29 |
| Max. Negotiated Rate |
$6,570.15 |
| Rate for Payer: BCBS Complete |
$6,570.15
|
| Rate for Payer: Mclaren Medicaid |
$6,257.29
|
| Rate for Payer: Meridian Medicaid |
$6,570.15
|
| Rate for Payer: PHP Medicaid |
$6,257.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,257.29
|
| Rate for Payer: UHCCP Medicaid |
$6,257.29
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$19,762.20
|
|
|
Service Code
|
APR-DRG 3213
|
| 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: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$22,866.21
|
|
|
Service Code
|
APR-DRG 3214
|
| Min. Negotiated Rate |
$21,777.34 |
| Max. Negotiated Rate |
$22,866.21 |
| Rate for Payer: BCBS Complete |
$22,866.21
|
| Rate for Payer: Mclaren Medicaid |
$21,777.34
|
| Rate for Payer: Meridian Medicaid |
$22,866.21
|
| Rate for Payer: PHP Medicaid |
$21,777.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,777.34
|
| Rate for Payer: UHCCP Medicaid |
$21,777.34
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 3211
|
| Min. Negotiated Rate |
$8,671.52 |
| Max. Negotiated Rate |
$9,105.10 |
| Rate for Payer: BCBS Complete |
$9,105.10
|
| Rate for Payer: Mclaren Medicaid |
$8,671.52
|
| Rate for Payer: Meridian Medicaid |
$9,105.10
|
| Rate for Payer: PHP Medicaid |
$8,671.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,671.52
|
| Rate for Payer: UHCCP Medicaid |
$8,671.52
|
|
|
APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES
|
Facility
|
IP
|
$12,053.91
|
|
|
Service Code
|
APR-DRG 3212
|
| 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: SPINAL PROCEDURES
|
Facility
|
IP
|
$13,502.44
|
|
|
Service Code
|
APR-DRG 0232
|
| Min. Negotiated Rate |
$12,859.47 |
| Max. Negotiated Rate |
$13,502.44 |
| Rate for Payer: BCBS Complete |
$13,502.44
|
| Rate for Payer: Mclaren Medicaid |
$12,859.47
|
| Rate for Payer: Meridian Medicaid |
$13,502.44
|
| Rate for Payer: PHP Medicaid |
$12,859.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,859.47
|
| Rate for Payer: UHCCP Medicaid |
$12,859.47
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$20,589.93
|
|
|
Service Code
|
APR-DRG 0233
|
| Min. Negotiated Rate |
$19,609.46 |
| Max. Negotiated Rate |
$20,589.93 |
| Rate for Payer: BCBS Complete |
$20,589.93
|
| Rate for Payer: Mclaren Medicaid |
$19,609.46
|
| Rate for Payer: Meridian Medicaid |
$20,589.93
|
| Rate for Payer: PHP Medicaid |
$19,609.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,609.46
|
| Rate for Payer: UHCCP Medicaid |
$19,609.46
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$25,401.15
|
|
|
Service Code
|
APR-DRG 0234
|
| Min. Negotiated Rate |
$24,191.57 |
| Max. Negotiated Rate |
$25,401.15 |
| Rate for Payer: BCBS Complete |
$25,401.15
|
| Rate for Payer: Mclaren Medicaid |
$24,191.57
|
| Rate for Payer: Meridian Medicaid |
$25,401.15
|
| Rate for Payer: PHP Medicaid |
$24,191.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,191.57
|
| Rate for Payer: UHCCP Medicaid |
$24,191.57
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$8,898.16
|
|
|
Service Code
|
APR-DRG 0231
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$20,745.13
|
|
|
Service Code
|
APR-DRG 6504
|
| Min. Negotiated Rate |
$19,757.27 |
| Max. Negotiated Rate |
$20,745.13 |
| Rate for Payer: BCBS Complete |
$20,745.13
|
| Rate for Payer: Mclaren Medicaid |
$19,757.27
|
| Rate for Payer: Meridian Medicaid |
$20,745.13
|
| Rate for Payer: PHP Medicaid |
$19,757.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,757.27
|
| Rate for Payer: UHCCP Medicaid |
$19,757.27
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$8,432.56
|
|
|
Service Code
|
APR-DRG 6501
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$12,002.17
|
|
|
Service Code
|
APR-DRG 6502
|
| Min. Negotiated Rate |
$11,430.64 |
| Max. Negotiated Rate |
$12,002.17 |
| Rate for Payer: BCBS Complete |
$12,002.17
|
| Rate for Payer: Mclaren Medicaid |
$11,430.64
|
| Rate for Payer: Meridian Medicaid |
$12,002.17
|
| Rate for Payer: PHP Medicaid |
$11,430.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,430.64
|
| Rate for Payer: UHCCP Medicaid |
$11,430.64
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$14,174.98
|
|
|
Service Code
|
APR-DRG 6503
|
| Min. Negotiated Rate |
$13,499.98 |
| Max. Negotiated Rate |
$14,174.98 |
| Rate for Payer: BCBS Complete |
$14,174.98
|
| Rate for Payer: Mclaren Medicaid |
$13,499.98
|
| Rate for Payer: Meridian Medicaid |
$14,174.98
|
| Rate for Payer: PHP Medicaid |
$13,499.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,499.98
|
| Rate for Payer: UHCCP Medicaid |
$13,499.98
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$5,328.55
|
|
|
Service Code
|
APR-DRG 2043
|
| Min. Negotiated Rate |
$5,074.81 |
| Max. Negotiated Rate |
$5,328.55 |
| Rate for Payer: BCBS Complete |
$5,328.55
|
| Rate for Payer: Mclaren Medicaid |
$5,074.81
|
| Rate for Payer: Meridian Medicaid |
$5,328.55
|
| Rate for Payer: PHP Medicaid |
$5,074.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,074.81
|
| Rate for Payer: UHCCP Medicaid |
$5,074.81
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 2041
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 2042
|
| 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
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$8,587.76
|
|
|
Service Code
|
APR-DRG 2044
|
| 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: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$6,984.02
|
|
|
Service Code
|
APR-DRG 3171
|
| Min. Negotiated Rate |
$6,651.45 |
| Max. Negotiated Rate |
$6,984.02 |
| Rate for Payer: BCBS Complete |
$6,984.02
|
| Rate for Payer: Mclaren Medicaid |
$6,651.45
|
| Rate for Payer: Meridian Medicaid |
$6,984.02
|
| Rate for Payer: PHP Medicaid |
$6,651.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,651.45
|
| Rate for Payer: UHCCP Medicaid |
$6,651.45
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$9,208.56
|
|
|
Service Code
|
APR-DRG 3172
|
| Min. Negotiated Rate |
$8,770.06 |
| Max. Negotiated Rate |
$9,208.56 |
| Rate for Payer: BCBS Complete |
$9,208.56
|
| Rate for Payer: Mclaren Medicaid |
$8,770.06
|
| Rate for Payer: Meridian Medicaid |
$9,208.56
|
| Rate for Payer: PHP Medicaid |
$8,770.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,770.06
|
| Rate for Payer: UHCCP Medicaid |
$8,770.06
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$17,434.19
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$16,603.99 |
| Max. Negotiated Rate |
$17,434.19 |
| Rate for Payer: BCBS Complete |
$17,434.19
|
| Rate for Payer: Mclaren Medicaid |
$16,603.99
|
| Rate for Payer: Meridian Medicaid |
$17,434.19
|
| Rate for Payer: PHP Medicaid |
$16,603.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,603.99
|
| Rate for Payer: UHCCP Medicaid |
$16,603.99
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$10,967.50
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$10,445.24 |
| Max. Negotiated Rate |
$10,967.50 |
| Rate for Payer: BCBS Complete |
$10,967.50
|
| Rate for Payer: Mclaren Medicaid |
$10,445.24
|
| Rate for Payer: Meridian Medicaid |
$10,967.50
|
| Rate for Payer: PHP Medicaid |
$10,445.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,445.24
|
| Rate for Payer: UHCCP Medicaid |
$10,445.24
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 4273
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 4271
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|