|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,483.21
|
|
|
Service Code
|
APR-DRG 5422
|
| Min. Negotiated Rate |
$2,364.96 |
| Max. Negotiated Rate |
$2,483.21 |
| Rate for Payer: BCBS Complete |
$2,483.21
|
| Rate for Payer: Mclaren Medicaid |
$2,364.96
|
| Rate for Payer: Meridian Medicaid |
$2,483.21
|
| Rate for Payer: PHP Medicaid |
$2,364.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,364.96
|
| Rate for Payer: UHCCP Medicaid |
$2,364.96
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,656.02
|
|
|
Service Code
|
APR-DRG 5423
|
| Min. Negotiated Rate |
$4,434.30 |
| Max. Negotiated Rate |
$4,656.02 |
| Rate for Payer: BCBS Complete |
$4,656.02
|
| Rate for Payer: Mclaren Medicaid |
$4,434.30
|
| Rate for Payer: Meridian Medicaid |
$4,656.02
|
| Rate for Payer: PHP Medicaid |
$4,434.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,434.30
|
| Rate for Payer: UHCCP Medicaid |
$4,434.30
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$12,778.17
|
|
|
Service Code
|
APR-DRG 5424
|
| Min. Negotiated Rate |
$12,169.69 |
| Max. Negotiated Rate |
$12,778.17 |
| Rate for Payer: BCBS Complete |
$12,778.17
|
| Rate for Payer: Mclaren Medicaid |
$12,169.69
|
| Rate for Payer: Meridian Medicaid |
$12,778.17
|
| Rate for Payer: PHP Medicaid |
$12,169.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,169.69
|
| Rate for Payer: UHCCP Medicaid |
$12,169.69
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 5411
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 5414
|
| Min. Negotiated Rate |
$9,509.11 |
| Max. Negotiated Rate |
$9,984.57 |
| Rate for Payer: BCBS Complete |
$9,984.57
|
| Rate for Payer: Mclaren Medicaid |
$9,509.11
|
| Rate for Payer: Meridian Medicaid |
$9,984.57
|
| Rate for Payer: PHP Medicaid |
$9,509.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,509.11
|
| Rate for Payer: UHCCP Medicaid |
$9,509.11
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 5412
|
| Min. Negotiated Rate |
$3,153.28 |
| Max. Negotiated Rate |
$3,310.94 |
| Rate for Payer: BCBS Complete |
$3,310.94
|
| Rate for Payer: Mclaren Medicaid |
$3,153.28
|
| Rate for Payer: Meridian Medicaid |
$3,310.94
|
| Rate for Payer: PHP Medicaid |
$3,153.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,153.28
|
| Rate for Payer: UHCCP Medicaid |
$3,153.28
|
|
|
APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 5413
|
| Min. Negotiated Rate |
$4,631.38 |
| Max. Negotiated Rate |
$4,862.95 |
| Rate for Payer: BCBS Complete |
$4,862.95
|
| Rate for Payer: Mclaren Medicaid |
$4,631.38
|
| Rate for Payer: Meridian Medicaid |
$4,862.95
|
| Rate for Payer: PHP Medicaid |
$4,631.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,631.38
|
| Rate for Payer: UHCCP Medicaid |
$4,631.38
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$13,761.11
|
|
|
Service Code
|
APR-DRG 0223
|
| 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: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$7,449.62
|
|
|
Service Code
|
APR-DRG 0221
|
| 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: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$9,363.76
|
|
|
Service Code
|
APR-DRG 0222
|
| Min. Negotiated Rate |
$8,917.87 |
| Max. Negotiated Rate |
$9,363.76 |
| Rate for Payer: BCBS Complete |
$9,363.76
|
| Rate for Payer: Mclaren Medicaid |
$8,917.87
|
| Rate for Payer: Meridian Medicaid |
$9,363.76
|
| Rate for Payer: PHP Medicaid |
$8,917.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,917.87
|
| Rate for Payer: UHCCP Medicaid |
$8,917.87
|
|
|
APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$24,883.81
|
|
|
Service Code
|
APR-DRG 0224
|
| Min. Negotiated Rate |
$23,698.87 |
| Max. Negotiated Rate |
$24,883.81 |
| Rate for Payer: BCBS Complete |
$24,883.81
|
| Rate for Payer: Mclaren Medicaid |
$23,698.87
|
| Rate for Payer: Meridian Medicaid |
$24,883.81
|
| Rate for Payer: PHP Medicaid |
$23,698.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,698.87
|
| Rate for Payer: UHCCP Medicaid |
$23,698.87
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$19,089.66
|
|
|
Service Code
|
APR-DRG 3104
|
| Min. Negotiated Rate |
$18,180.63 |
| Max. Negotiated Rate |
$19,089.66 |
| Rate for Payer: BCBS Complete |
$19,089.66
|
| Rate for Payer: Mclaren Medicaid |
$18,180.63
|
| Rate for Payer: Meridian Medicaid |
$19,089.66
|
| Rate for Payer: PHP Medicaid |
$18,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,180.63
|
| Rate for Payer: UHCCP Medicaid |
$18,180.63
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 3102
|
| 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: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 3101
|
| Min. Negotiated Rate |
$6,306.56 |
| Max. Negotiated Rate |
$6,621.89 |
| Rate for Payer: BCBS Complete |
$6,621.89
|
| Rate for Payer: Mclaren Medicaid |
$6,306.56
|
| Rate for Payer: Meridian Medicaid |
$6,621.89
|
| Rate for Payer: PHP Medicaid |
$6,306.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,306.56
|
| Rate for Payer: UHCCP Medicaid |
$6,306.56
|
|
|
APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES
|
Facility
|
IP
|
$13,088.58
|
|
|
Service Code
|
APR-DRG 3103
|
| Min. Negotiated Rate |
$12,465.31 |
| Max. Negotiated Rate |
$13,088.58 |
| Rate for Payer: BCBS Complete |
$13,088.58
|
| Rate for Payer: Mclaren Medicaid |
$12,465.31
|
| Rate for Payer: Meridian Medicaid |
$13,088.58
|
| Rate for Payer: PHP Medicaid |
$12,465.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,465.31
|
| Rate for Payer: UHCCP Medicaid |
$12,465.31
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 1111
|
| 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: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$5,069.88
|
|
|
Service Code
|
APR-DRG 1113
|
| 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: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$8,794.69
|
|
|
Service Code
|
APR-DRG 1114
|
| Min. Negotiated Rate |
$8,375.90 |
| Max. Negotiated Rate |
$8,794.69 |
| Rate for Payer: BCBS Complete |
$8,794.69
|
| Rate for Payer: Mclaren Medicaid |
$8,375.90
|
| Rate for Payer: Meridian Medicaid |
$8,794.69
|
| Rate for Payer: PHP Medicaid |
$8,375.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,375.90
|
| Rate for Payer: UHCCP Medicaid |
$8,375.90
|
|
|
APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 1112
|
| Min. Negotiated Rate |
$3,695.25 |
| Max. Negotiated Rate |
$3,880.01 |
| Rate for Payer: BCBS Complete |
$3,880.01
|
| Rate for Payer: Mclaren Medicaid |
$3,695.25
|
| Rate for Payer: Meridian Medicaid |
$3,880.01
|
| Rate for Payer: PHP Medicaid |
$3,695.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,695.25
|
| Rate for Payer: UHCCP Medicaid |
$3,695.25
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$2,276.27
|
|
|
Service Code
|
APR-DRG 7231
|
| Min. Negotiated Rate |
$2,167.88 |
| Max. Negotiated Rate |
$2,276.27 |
| Rate for Payer: BCBS Complete |
$2,276.27
|
| Rate for Payer: Mclaren Medicaid |
$2,167.88
|
| Rate for Payer: Meridian Medicaid |
$2,276.27
|
| Rate for Payer: PHP Medicaid |
$2,167.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.88
|
| Rate for Payer: UHCCP Medicaid |
$2,167.88
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 7233
|
| 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: VIRAL ILLNESS
|
Facility
|
IP
|
$10,346.70
|
|
|
Service Code
|
APR-DRG 7234
|
| Min. Negotiated Rate |
$9,854.00 |
| Max. Negotiated Rate |
$10,346.70 |
| Rate for Payer: BCBS Complete |
$10,346.70
|
| Rate for Payer: Mclaren Medicaid |
$9,854.00
|
| Rate for Payer: Meridian Medicaid |
$10,346.70
|
| Rate for Payer: PHP Medicaid |
$9,854.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,854.00
|
| Rate for Payer: UHCCP Medicaid |
$9,854.00
|
|
|
APR-DRG 42.00: VIRAL ILLNESS
|
Facility
|
IP
|
$3,259.21
|
|
|
Service Code
|
APR-DRG 7232
|
| Min. Negotiated Rate |
$3,104.01 |
| Max. Negotiated Rate |
$3,259.21 |
| Rate for Payer: BCBS Complete |
$3,259.21
|
| Rate for Payer: Mclaren Medicaid |
$3,104.01
|
| Rate for Payer: Meridian Medicaid |
$3,259.21
|
| Rate for Payer: PHP Medicaid |
$3,104.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,104.01
|
| Rate for Payer: UHCCP Medicaid |
$3,104.01
|
|
|
APR-DRG 42.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$7,139.22
|
|
|
Service Code
|
APR-DRG 0513
|
| Min. Negotiated Rate |
$6,799.26 |
| Max. Negotiated Rate |
$7,139.22 |
| Rate for Payer: BCBS Complete |
$7,139.22
|
| Rate for Payer: Mclaren Medicaid |
$6,799.26
|
| Rate for Payer: Meridian Medicaid |
$7,139.22
|
| Rate for Payer: PHP Medicaid |
$6,799.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,799.26
|
| Rate for Payer: UHCCP Medicaid |
$6,799.26
|
|
|
APR-DRG 42.00: VIRAL MENINGITIS
|
Facility
|
IP
|
$11,381.37
|
|
|
Service Code
|
APR-DRG 0514
|
| 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
|
|