|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$2,782.62 |
| Max. Negotiated Rate |
$2,921.75 |
| Rate for Payer: BCBS Complete |
$2,921.75
|
| Rate for Payer: Mclaren Medicaid |
$2,782.62
|
| Rate for Payer: Meridian Medicaid |
$2,921.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,782.62
|
| Rate for Payer: UHCCP Medicaid |
$2,921.75
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$27,161.46
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$25,868.06 |
| Max. Negotiated Rate |
$27,161.46 |
| Rate for Payer: BCBS Complete |
$27,161.46
|
| Rate for Payer: Mclaren Medicaid |
$25,868.06
|
| Rate for Payer: Meridian Medicaid |
$27,161.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,868.06
|
| Rate for Payer: UHCCP Medicaid |
$27,161.46
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$17,692.83
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$16,850.31 |
| Max. Negotiated Rate |
$17,692.83 |
| Rate for Payer: BCBS Complete |
$17,692.83
|
| Rate for Payer: Mclaren Medicaid |
$16,850.31
|
| Rate for Payer: Meridian Medicaid |
$17,692.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,850.31
|
| Rate for Payer: UHCCP Medicaid |
$17,692.83
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,632.90
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$11,078.95 |
| Max. Negotiated Rate |
$11,632.90 |
| Rate for Payer: BCBS Complete |
$11,632.90
|
| Rate for Payer: Mclaren Medicaid |
$11,078.95
|
| Rate for Payer: Meridian Medicaid |
$11,632.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,078.95
|
| Rate for Payer: UHCCP Medicaid |
$11,632.90
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$35,493.86
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$33,803.68 |
| Max. Negotiated Rate |
$35,493.86 |
| Rate for Payer: BCBS Complete |
$35,493.86
|
| Rate for Payer: Mclaren Medicaid |
$33,803.68
|
| Rate for Payer: Meridian Medicaid |
$35,493.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,803.68
|
| Rate for Payer: UHCCP Medicaid |
$35,493.86
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 1904
|
| Min. Negotiated Rate |
$12,315.67 |
| Max. Negotiated Rate |
$12,931.45 |
| Rate for Payer: BCBS Complete |
$12,931.45
|
| Rate for Payer: Mclaren Medicaid |
$12,315.67
|
| Rate for Payer: Meridian Medicaid |
$12,931.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,315.67
|
| Rate for Payer: UHCCP Medicaid |
$12,931.45
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,057.99
|
|
|
Service Code
|
APR-DRG 1901
|
| Min. Negotiated Rate |
$3,864.75 |
| Max. Negotiated Rate |
$4,057.99 |
| Rate for Payer: BCBS Complete |
$4,057.99
|
| Rate for Payer: Mclaren Medicaid |
$3,864.75
|
| Rate for Payer: Meridian Medicaid |
$4,057.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,864.75
|
| Rate for Payer: UHCCP Medicaid |
$4,057.99
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$5,925.95 |
| Max. Negotiated Rate |
$6,222.25 |
| Rate for Payer: BCBS Complete |
$6,222.25
|
| Rate for Payer: Mclaren Medicaid |
$5,925.95
|
| Rate for Payer: Meridian Medicaid |
$6,222.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,925.95
|
| Rate for Payer: UHCCP Medicaid |
$6,222.25
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,653.16
|
|
|
Service Code
|
APR-DRG 1902
|
| Min. Negotiated Rate |
$4,431.58 |
| Max. Negotiated Rate |
$4,653.16 |
| Rate for Payer: BCBS Complete |
$4,653.16
|
| Rate for Payer: Mclaren Medicaid |
$4,431.58
|
| Rate for Payer: Meridian Medicaid |
$4,653.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,431.58
|
| Rate for Payer: UHCCP Medicaid |
$4,653.16
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 7553
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 7554
|
| Min. Negotiated Rate |
$5,771.36 |
| Max. Negotiated Rate |
$6,059.93 |
| Rate for Payer: BCBS Complete |
$6,059.93
|
| Rate for Payer: Mclaren Medicaid |
$5,771.36
|
| Rate for Payer: Meridian Medicaid |
$6,059.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 7551
|
| Min. Negotiated Rate |
$2,679.56 |
| Max. Negotiated Rate |
$2,813.54 |
| Rate for Payer: BCBS Complete |
$2,813.54
|
| Rate for Payer: Mclaren Medicaid |
$2,679.56
|
| Rate for Payer: Meridian Medicaid |
$2,813.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,679.56
|
| Rate for Payer: UHCCP Medicaid |
$2,813.54
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$3,408.71
|
|
|
Service Code
|
APR-DRG 7552
|
| Min. Negotiated Rate |
$3,246.39 |
| Max. Negotiated Rate |
$3,408.71 |
| Rate for Payer: BCBS Complete |
$3,408.71
|
| Rate for Payer: Mclaren Medicaid |
$3,246.39
|
| Rate for Payer: Meridian Medicaid |
$3,408.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,246.39
|
| Rate for Payer: UHCCP Medicaid |
$3,408.71
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$8,332.40
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$7,935.62 |
| Max. Negotiated Rate |
$8,332.40 |
| Rate for Payer: BCBS Complete |
$8,332.40
|
| Rate for Payer: Mclaren Medicaid |
$7,935.62
|
| Rate for Payer: Meridian Medicaid |
$8,332.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,935.62
|
| Rate for Payer: UHCCP Medicaid |
$8,332.40
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$28,081.27
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$26,744.07 |
| Max. Negotiated Rate |
$28,081.27 |
| Rate for Payer: BCBS Complete |
$28,081.27
|
| Rate for Payer: Mclaren Medicaid |
$26,744.07
|
| Rate for Payer: Meridian Medicaid |
$28,081.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,744.07
|
| Rate for Payer: UHCCP Medicaid |
$28,081.27
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$18,125.68
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$17,262.55 |
| Max. Negotiated Rate |
$18,125.68 |
| Rate for Payer: BCBS Complete |
$18,125.68
|
| Rate for Payer: Mclaren Medicaid |
$17,262.55
|
| Rate for Payer: Meridian Medicaid |
$18,125.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,262.55
|
| Rate for Payer: UHCCP Medicaid |
$18,125.68
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$11,632.90
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$11,078.95 |
| Max. Negotiated Rate |
$11,632.90 |
| Rate for Payer: BCBS Complete |
$11,632.90
|
| Rate for Payer: Mclaren Medicaid |
$11,078.95
|
| Rate for Payer: Meridian Medicaid |
$11,632.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,078.95
|
| Rate for Payer: UHCCP Medicaid |
$11,632.90
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$3,555.57 |
| Max. Negotiated Rate |
$3,733.35 |
| Rate for Payer: BCBS Complete |
$3,733.35
|
| Rate for Payer: Mclaren Medicaid |
$3,555.57
|
| Rate for Payer: Meridian Medicaid |
$3,733.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,555.57
|
| Rate for Payer: UHCCP Medicaid |
$3,733.35
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$6,168.14
|
|
|
Service Code
|
APR-DRG 7753
|
| Min. Negotiated Rate |
$5,874.42 |
| Max. Negotiated Rate |
$6,168.14 |
| Rate for Payer: BCBS Complete |
$6,168.14
|
| Rate for Payer: Mclaren Medicaid |
$5,874.42
|
| Rate for Payer: Meridian Medicaid |
$6,168.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,874.42
|
| Rate for Payer: UHCCP Medicaid |
$6,168.14
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$2,937.21 |
| Max. Negotiated Rate |
$3,084.07 |
| Rate for Payer: BCBS Complete |
$3,084.07
|
| Rate for Payer: Mclaren Medicaid |
$2,937.21
|
| Rate for Payer: Meridian Medicaid |
$3,084.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,937.21
|
| Rate for Payer: UHCCP Medicaid |
$3,084.07
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,119.86
|
|
|
Service Code
|
APR-DRG 7754
|
| Min. Negotiated Rate |
$11,542.72 |
| Max. Negotiated Rate |
$12,119.86 |
| Rate for Payer: BCBS Complete |
$12,119.86
|
| Rate for Payer: Mclaren Medicaid |
$11,542.72
|
| Rate for Payer: Meridian Medicaid |
$12,119.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,542.72
|
| Rate for Payer: UHCCP Medicaid |
$12,119.86
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 2801
|
| Min. Negotiated Rate |
$3,143.33 |
| Max. Negotiated Rate |
$3,300.50 |
| Rate for Payer: BCBS Complete |
$3,300.50
|
| Rate for Payer: Mclaren Medicaid |
$3,143.33
|
| Rate for Payer: Meridian Medicaid |
$3,300.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,143.33
|
| Rate for Payer: UHCCP Medicaid |
$3,300.50
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$13,580.73
|
|
|
Service Code
|
APR-DRG 2804
|
| Min. Negotiated Rate |
$12,934.03 |
| Max. Negotiated Rate |
$13,580.73 |
| Rate for Payer: BCBS Complete |
$13,580.73
|
| Rate for Payer: Mclaren Medicaid |
$12,934.03
|
| Rate for Payer: Meridian Medicaid |
$13,580.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,934.03
|
| Rate for Payer: UHCCP Medicaid |
$13,580.73
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 2803
|
| Min. Negotiated Rate |
$5,616.77 |
| Max. Negotiated Rate |
$5,897.61 |
| Rate for Payer: BCBS Complete |
$5,897.61
|
| Rate for Payer: Mclaren Medicaid |
$5,616.77
|
| Rate for Payer: Meridian Medicaid |
$5,897.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,616.77
|
| Rate for Payer: UHCCP Medicaid |
$5,897.61
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$4,274.41
|
|
|
Service Code
|
APR-DRG 2802
|
| Min. Negotiated Rate |
$4,070.87 |
| Max. Negotiated Rate |
$4,274.41 |
| Rate for Payer: BCBS Complete |
$4,274.41
|
| Rate for Payer: Mclaren Medicaid |
$4,070.87
|
| Rate for Payer: Meridian Medicaid |
$4,274.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,070.87
|
| Rate for Payer: UHCCP Medicaid |
$4,274.41
|
|