|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$12,209.11
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$11,627.72 |
| Max. Negotiated Rate |
$12,209.11 |
| Rate for Payer: BCBS Complete |
$12,209.11
|
| Rate for Payer: Mclaren Medicaid |
$11,627.72
|
| Rate for Payer: Meridian Medicaid |
$12,209.11
|
| Rate for Payer: PHP Medicaid |
$11,627.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,627.72
|
| Rate for Payer: UHCCP Medicaid |
$11,627.72
|
|
|
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
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$9,829.36
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$9,361.30 |
| Max. Negotiated Rate |
$9,829.36 |
| Rate for Payer: BCBS Complete |
$9,829.36
|
| Rate for Payer: Mclaren Medicaid |
$9,361.30
|
| Rate for Payer: Meridian Medicaid |
$9,829.36
|
| Rate for Payer: PHP Medicaid |
$9,361.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,361.30
|
| Rate for Payer: UHCCP Medicaid |
$9,361.30
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$6,673.62
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$6,355.83 |
| Max. Negotiated Rate |
$6,673.62 |
| Rate for Payer: BCBS Complete |
$6,673.62
|
| Rate for Payer: Mclaren Medicaid |
$6,355.83
|
| Rate for Payer: Meridian Medicaid |
$6,673.62
|
| Rate for Payer: PHP Medicaid |
$6,355.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,355.83
|
| Rate for Payer: UHCCP Medicaid |
$6,355.83
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$11,381.37
|
|
|
Service Code
|
APR-DRG 4043
|
| Min. Negotiated Rate |
$10,839.40 |
| Max. Negotiated Rate |
$11,381.37 |
| Rate for Payer: BCBS Complete |
$11,381.37
|
| Rate for Payer: Mclaren Medicaid |
$10,839.40
|
| Rate for Payer: Meridian Medicaid |
$11,381.37
|
| Rate for Payer: PHP Medicaid |
$10,839.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,839.40
|
| Rate for Payer: UHCCP Medicaid |
$10,839.40
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$19,555.26
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$18,624.06 |
| Max. Negotiated Rate |
$19,555.26 |
| Rate for Payer: BCBS Complete |
$19,555.26
|
| Rate for Payer: Mclaren Medicaid |
$18,624.06
|
| Rate for Payer: Meridian Medicaid |
$19,555.26
|
| Rate for Payer: PHP Medicaid |
$18,624.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,624.06
|
| Rate for Payer: UHCCP Medicaid |
$18,624.06
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$15,313.12
|
|
|
Service Code
|
APR-DRG 0974
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$4,532.84 |
| Max. Negotiated Rate |
$4,759.48 |
| Rate for Payer: BCBS Complete |
$4,759.48
|
| Rate for Payer: Mclaren Medicaid |
$4,532.84
|
| Rate for Payer: Meridian Medicaid |
$4,759.48
|
| Rate for Payer: PHP Medicaid |
$4,532.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,532.84
|
| Rate for Payer: UHCCP Medicaid |
$4,532.84
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$6,725.36
|
|
|
Service Code
|
APR-DRG 0972
|
| Min. Negotiated Rate |
$6,405.10 |
| Max. Negotiated Rate |
$6,725.36 |
| Rate for Payer: BCBS Complete |
$6,725.36
|
| Rate for Payer: Mclaren Medicaid |
$6,405.10
|
| Rate for Payer: Meridian Medicaid |
$6,725.36
|
| Rate for Payer: PHP Medicaid |
$6,405.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,405.10
|
| Rate for Payer: UHCCP Medicaid |
$6,405.10
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$9,674.16
|
|
|
Service Code
|
APR-DRG 0973
|
| Min. Negotiated Rate |
$9,213.49 |
| Max. Negotiated Rate |
$9,674.16 |
| Rate for Payer: BCBS Complete |
$9,674.16
|
| Rate for Payer: Mclaren Medicaid |
$9,213.49
|
| Rate for Payer: Meridian Medicaid |
$9,674.16
|
| Rate for Payer: PHP Medicaid |
$9,213.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,213.49
|
| Rate for Payer: UHCCP Medicaid |
$9,213.49
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$10,915.77
|
|
|
Service Code
|
APR-DRG 8164
|
| Min. Negotiated Rate |
$10,395.97 |
| Max. Negotiated Rate |
$10,915.77 |
| Rate for Payer: BCBS Complete |
$10,915.77
|
| Rate for Payer: Mclaren Medicaid |
$10,395.97
|
| Rate for Payer: Meridian Medicaid |
$10,915.77
|
| Rate for Payer: PHP Medicaid |
$10,395.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,395.97
|
| Rate for Payer: UHCCP Medicaid |
$10,395.97
|
|
|
APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$6,570.15
|
|
|
Service Code
|
APR-DRG 8163
|
| 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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,897.08
|
|
|
Service Code
|
APR-DRG 8162
|
| 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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$1,914.14
|
|
|
Service Code
|
APR-DRG 8161
|
| Min. Negotiated Rate |
$1,822.99 |
| Max. Negotiated Rate |
$1,914.14 |
| Rate for Payer: BCBS Complete |
$1,914.14
|
| Rate for Payer: Mclaren Medicaid |
$1,822.99
|
| Rate for Payer: Meridian Medicaid |
$1,914.14
|
| Rate for Payer: PHP Medicaid |
$1,822.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,822.99
|
| Rate for Payer: UHCCP Medicaid |
$1,822.99
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$40,300.40
|
|
|
Service Code
|
APR-DRG 0042
|
| Min. Negotiated Rate |
$38,381.33 |
| Max. Negotiated Rate |
$40,300.40 |
| Rate for Payer: BCBS Complete |
$40,300.40
|
| Rate for Payer: Mclaren Medicaid |
$38,381.33
|
| Rate for Payer: Meridian Medicaid |
$40,300.40
|
| Rate for Payer: PHP Medicaid |
$38,381.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$38,381.33
|
| Rate for Payer: UHCCP Medicaid |
$38,381.33
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$92,965.10
|
|
|
Service Code
|
APR-DRG 0044
|
| Min. Negotiated Rate |
$88,538.19 |
| Max. Negotiated Rate |
$92,965.10 |
| Rate for Payer: BCBS Complete |
$92,965.10
|
| Rate for Payer: Mclaren Medicaid |
$88,538.19
|
| Rate for Payer: Meridian Medicaid |
$92,965.10
|
| Rate for Payer: PHP Medicaid |
$88,538.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$88,538.19
|
| Rate for Payer: UHCCP Medicaid |
$88,538.19
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$28,091.29
|
|
|
Service Code
|
APR-DRG 0041
|
| Min. Negotiated Rate |
$26,753.61 |
| Max. Negotiated Rate |
$28,091.29 |
| Rate for Payer: BCBS Complete |
$28,091.29
|
| Rate for Payer: Mclaren Medicaid |
$26,753.61
|
| Rate for Payer: Meridian Medicaid |
$28,091.29
|
| Rate for Payer: PHP Medicaid |
$26,753.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,753.61
|
| Rate for Payer: UHCCP Medicaid |
$26,753.61
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$63,270.07
|
|
|
Service Code
|
APR-DRG 0043
|
| Min. Negotiated Rate |
$60,257.21 |
| Max. Negotiated Rate |
$63,270.07 |
| Rate for Payer: BCBS Complete |
$63,270.07
|
| Rate for Payer: Mclaren Medicaid |
$60,257.21
|
| Rate for Payer: Meridian Medicaid |
$63,270.07
|
| Rate for Payer: PHP Medicaid |
$60,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$60,257.21
|
| Rate for Payer: UHCCP Medicaid |
$60,257.21
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$53,699.37
|
|
|
Service Code
|
APR-DRG 0053
|
| Min. Negotiated Rate |
$51,142.26 |
| Max. Negotiated Rate |
$53,699.37 |
| Rate for Payer: BCBS Complete |
$53,699.37
|
| Rate for Payer: Mclaren Medicaid |
$51,142.26
|
| Rate for Payer: Meridian Medicaid |
$53,699.37
|
| Rate for Payer: PHP Medicaid |
$51,142.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$51,142.26
|
| Rate for Payer: UHCCP Medicaid |
$51,142.26
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$12,416.04
|
|
|
Service Code
|
APR-DRG 0051
|
| 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: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$60,786.86
|
|
|
Service Code
|
APR-DRG 0054
|
| Min. Negotiated Rate |
$57,892.25 |
| Max. Negotiated Rate |
$60,786.86 |
| Rate for Payer: BCBS Complete |
$60,786.86
|
| Rate for Payer: Mclaren Medicaid |
$57,892.25
|
| Rate for Payer: Meridian Medicaid |
$60,786.86
|
| Rate for Payer: PHP Medicaid |
$57,892.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$57,892.25
|
| Rate for Payer: UHCCP Medicaid |
$57,892.25
|
|
|
APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$23,693.94
|
|
|
Service Code
|
APR-DRG 0052
|
| Min. Negotiated Rate |
$22,565.66 |
| Max. Negotiated Rate |
$23,693.94 |
| Rate for Payer: BCBS Complete |
$23,693.94
|
| Rate for Payer: Mclaren Medicaid |
$22,565.66
|
| Rate for Payer: Meridian Medicaid |
$23,693.94
|
| Rate for Payer: PHP Medicaid |
$22,565.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,565.66
|
| Rate for Payer: UHCCP Medicaid |
$22,565.66
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$5,587.22
|
|
|
Service Code
|
APR-DRG 0473
|
| Min. Negotiated Rate |
$5,321.16 |
| Max. Negotiated Rate |
$5,587.22 |
| Rate for Payer: BCBS Complete |
$5,587.22
|
| Rate for Payer: Mclaren Medicaid |
$5,321.16
|
| Rate for Payer: Meridian Medicaid |
$5,587.22
|
| Rate for Payer: PHP Medicaid |
$5,321.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,321.16
|
| Rate for Payer: UHCCP Medicaid |
$5,321.16
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 0471
|
| Min. Negotiated Rate |
$3,744.52 |
| Max. Negotiated Rate |
$3,931.75 |
| Rate for Payer: BCBS Complete |
$3,931.75
|
| Rate for Payer: Mclaren Medicaid |
$3,744.52
|
| Rate for Payer: Meridian Medicaid |
$3,931.75
|
| Rate for Payer: PHP Medicaid |
$3,744.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,744.52
|
| Rate for Payer: UHCCP Medicaid |
$3,744.52
|
|
|
APR-DRG 42.00: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 0472
|
| 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
|
|