|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$29,022.49
|
|
|
Service Code
|
APR-DRG 0234
|
| Min. Negotiated Rate |
$27,640.47 |
| Max. Negotiated Rate |
$29,022.49 |
| Rate for Payer: BCBS Complete |
$29,022.49
|
| Rate for Payer: Mclaren Medicaid |
$27,640.47
|
| Rate for Payer: Meridian Medicaid |
$29,022.49
|
| Rate for Payer: PHP Medicaid |
$27,640.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,640.47
|
| Rate for Payer: UHCCP Medicaid |
$27,640.47
|
|
|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$12,674.71
|
|
|
Service Code
|
APR-DRG 0232
|
| Min. Negotiated Rate |
$12,071.15 |
| Max. Negotiated Rate |
$12,674.71 |
| Rate for Payer: BCBS Complete |
$12,674.71
|
| Rate for Payer: Mclaren Medicaid |
$12,071.15
|
| Rate for Payer: Meridian Medicaid |
$12,674.71
|
| Rate for Payer: PHP Medicaid |
$12,071.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,071.15
|
| Rate for Payer: UHCCP Medicaid |
$12,071.15
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$21,831.54
|
|
|
Service Code
|
APR-DRG 6504
|
| Min. Negotiated Rate |
$20,791.94 |
| Max. Negotiated Rate |
$21,831.54 |
| Rate for Payer: BCBS Complete |
$21,831.54
|
| Rate for Payer: Mclaren Medicaid |
$20,791.94
|
| Rate for Payer: Meridian Medicaid |
$21,831.54
|
| Rate for Payer: PHP Medicaid |
$20,791.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,791.94
|
| Rate for Payer: UHCCP Medicaid |
$20,791.94
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$7,604.82
|
|
|
Service Code
|
APR-DRG 6501
|
| Min. Negotiated Rate |
$7,242.69 |
| Max. Negotiated Rate |
$7,604.82 |
| Rate for Payer: BCBS Complete |
$7,604.82
|
| Rate for Payer: Mclaren Medicaid |
$7,242.69
|
| Rate for Payer: Meridian Medicaid |
$7,604.82
|
| Rate for Payer: PHP Medicaid |
$7,242.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,242.69
|
| Rate for Payer: UHCCP Medicaid |
$7,242.69
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 6502
|
| Min. Negotiated Rate |
$10,543.78 |
| Max. Negotiated Rate |
$11,070.97 |
| Rate for Payer: BCBS Complete |
$11,070.97
|
| Rate for Payer: Mclaren Medicaid |
$10,543.78
|
| Rate for Payer: Meridian Medicaid |
$11,070.97
|
| Rate for Payer: PHP Medicaid |
$10,543.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,543.78
|
| Rate for Payer: UHCCP Medicaid |
$10,543.78
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$13,761.11
|
|
|
Service Code
|
APR-DRG 6503
|
| Min. Negotiated Rate |
$13,105.82 |
| Max. Negotiated Rate |
$13,761.11 |
| Rate for Payer: BCBS Complete |
$13,761.11
|
| Rate for Payer: Mclaren Medicaid |
$13,105.82
|
| Rate for Payer: Meridian Medicaid |
$13,761.11
|
| Rate for Payer: PHP Medicaid |
$13,105.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,105.82
|
| Rate for Payer: UHCCP Medicaid |
$13,105.82
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 2042
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$8,070.43
|
|
|
Service Code
|
APR-DRG 2044
|
| Min. Negotiated Rate |
$7,686.12 |
| Max. Negotiated Rate |
$8,070.43 |
| Rate for Payer: BCBS Complete |
$8,070.43
|
| Rate for Payer: Mclaren Medicaid |
$7,686.12
|
| Rate for Payer: Meridian Medicaid |
$8,070.43
|
| Rate for Payer: PHP Medicaid |
$7,686.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,686.12
|
| Rate for Payer: UHCCP Medicaid |
$7,686.12
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 2041
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$5,018.15
|
|
|
Service Code
|
APR-DRG 2043
|
| Min. Negotiated Rate |
$4,779.19 |
| Max. Negotiated Rate |
$5,018.15 |
| Rate for Payer: BCBS Complete |
$5,018.15
|
| Rate for Payer: Mclaren Medicaid |
$4,779.19
|
| Rate for Payer: Meridian Medicaid |
$5,018.15
|
| Rate for Payer: PHP Medicaid |
$4,779.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,779.19
|
| Rate for Payer: UHCCP Medicaid |
$4,779.19
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$18,261.93
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$17,392.31 |
| Max. Negotiated Rate |
$18,261.93 |
| Rate for Payer: BCBS Complete |
$18,261.93
|
| Rate for Payer: Mclaren Medicaid |
$17,392.31
|
| Rate for Payer: Meridian Medicaid |
$18,261.93
|
| Rate for Payer: PHP Medicaid |
$17,392.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,392.31
|
| Rate for Payer: UHCCP Medicaid |
$17,392.31
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$10,708.83
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$10,198.89 |
| Max. Negotiated Rate |
$10,708.83 |
| Rate for Payer: BCBS Complete |
$10,708.83
|
| Rate for Payer: Mclaren Medicaid |
$10,198.89
|
| Rate for Payer: Meridian Medicaid |
$10,708.83
|
| Rate for Payer: PHP Medicaid |
$10,198.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,198.89
|
| Rate for Payer: UHCCP Medicaid |
$10,198.89
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$7,501.36
|
|
|
Service Code
|
APR-DRG 3172
|
| 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: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$5,638.95
|
|
|
Service Code
|
APR-DRG 3171
|
| Min. Negotiated Rate |
$5,370.43 |
| Max. Negotiated Rate |
$5,638.95 |
| Rate for Payer: BCBS Complete |
$5,638.95
|
| Rate for Payer: Mclaren Medicaid |
$5,370.43
|
| Rate for Payer: Meridian Medicaid |
$5,638.95
|
| Rate for Payer: PHP Medicaid |
$5,370.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,370.43
|
| Rate for Payer: UHCCP Medicaid |
$5,370.43
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 4272
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 4273
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$11,277.90
|
|
|
Service Code
|
APR-DRG 4274
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 4271
|
| Min. Negotiated Rate |
$2,709.85 |
| Max. Negotiated Rate |
$2,845.34 |
| Rate for Payer: BCBS Complete |
$2,845.34
|
| Rate for Payer: Mclaren Medicaid |
$2,709.85
|
| Rate for Payer: Meridian Medicaid |
$2,845.34
|
| Rate for Payer: PHP Medicaid |
$2,709.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,709.85
|
| Rate for Payer: UHCCP Medicaid |
$2,709.85
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$7,784.66 |
| Max. Negotiated Rate |
$8,173.89 |
| Rate for Payer: BCBS Complete |
$8,173.89
|
| Rate for Payer: Mclaren Medicaid |
$7,784.66
|
| Rate for Payer: Meridian Medicaid |
$8,173.89
|
| Rate for Payer: PHP Medicaid |
$7,784.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,784.66
|
| Rate for Payer: UHCCP Medicaid |
$7,784.66
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$13,502.44
|
|
|
Service Code
|
APR-DRG 4043
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$23,331.81
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$22,220.77 |
| Max. Negotiated Rate |
$23,331.81 |
| Rate for Payer: BCBS Complete |
$23,331.81
|
| Rate for Payer: Mclaren Medicaid |
$22,220.77
|
| Rate for Payer: Meridian Medicaid |
$23,331.81
|
| Rate for Payer: PHP Medicaid |
$22,220.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,220.77
|
| Rate for Payer: UHCCP Medicaid |
$22,220.77
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$5,518.24 |
| Max. Negotiated Rate |
$5,794.15 |
| Rate for Payer: BCBS Complete |
$5,794.15
|
| Rate for Payer: Mclaren Medicaid |
$5,518.24
|
| Rate for Payer: Meridian Medicaid |
$5,794.15
|
| Rate for Payer: PHP Medicaid |
$5,518.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,518.24
|
| Rate for Payer: UHCCP Medicaid |
$5,518.24
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 0971
|
| Min. Negotiated Rate |
$3,251.82 |
| Max. Negotiated Rate |
$3,414.41 |
| Rate for Payer: BCBS Complete |
$3,414.41
|
| Rate for Payer: Mclaren Medicaid |
$3,251.82
|
| Rate for Payer: Meridian Medicaid |
$3,414.41
|
| Rate for Payer: PHP Medicaid |
$3,251.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,251.82
|
| Rate for Payer: UHCCP Medicaid |
$3,251.82
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$5,328.55
|
|
|
Service Code
|
APR-DRG 0972
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$13,657.64
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$13,007.28 |
| Max. Negotiated Rate |
$13,657.64 |
| Rate for Payer: BCBS Complete |
$13,657.64
|
| Rate for Payer: Mclaren Medicaid |
$13,007.28
|
| Rate for Payer: Meridian Medicaid |
$13,657.64
|
| Rate for Payer: PHP Medicaid |
$13,007.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,007.28
|
| Rate for Payer: UHCCP Medicaid |
$13,007.28
|
|