|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$21,588.49
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$20,560.47 |
| Max. Negotiated Rate |
$21,588.49 |
| Rate for Payer: BCBS Complete |
$21,588.49
|
| Rate for Payer: Mclaren Medicaid |
$20,560.47
|
| Rate for Payer: Meridian Medicaid |
$21,588.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,560.47
|
| Rate for Payer: UHCCP Medicaid |
$21,588.49
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 1901
|
| Min. Negotiated Rate |
$4,276.99 |
| Max. Negotiated Rate |
$4,490.84 |
| Rate for Payer: BCBS Complete |
$4,490.84
|
| Rate for Payer: Mclaren Medicaid |
$4,276.99
|
| Rate for Payer: Meridian Medicaid |
$4,490.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,276.99
|
| Rate for Payer: UHCCP Medicaid |
$4,490.84
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$6,925.63
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$6,595.84 |
| Max. Negotiated Rate |
$6,925.63 |
| Rate for Payer: BCBS Complete |
$6,925.63
|
| Rate for Payer: Mclaren Medicaid |
$6,595.84
|
| Rate for Payer: Meridian Medicaid |
$6,925.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,595.84
|
| Rate for Payer: UHCCP Medicaid |
$6,925.63
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 1902
|
| Min. Negotiated Rate |
$4,946.88 |
| Max. Negotiated Rate |
$5,194.22 |
| Rate for Payer: BCBS Complete |
$5,194.22
|
| Rate for Payer: Mclaren Medicaid |
$4,946.88
|
| Rate for Payer: Meridian Medicaid |
$5,194.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,946.88
|
| Rate for Payer: UHCCP Medicaid |
$5,194.22
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 1904
|
| Min. Negotiated Rate |
$11,027.42 |
| Max. Negotiated Rate |
$11,578.79 |
| Rate for Payer: BCBS Complete |
$11,578.79
|
| Rate for Payer: Mclaren Medicaid |
$11,027.42
|
| Rate for Payer: Meridian Medicaid |
$11,578.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,027.42
|
| Rate for Payer: UHCCP Medicaid |
$11,578.79
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 7553
|
| Min. Negotiated Rate |
$3,916.28 |
| Max. Negotiated Rate |
$4,112.09 |
| Rate for Payer: BCBS Complete |
$4,112.09
|
| Rate for Payer: Mclaren Medicaid |
$3,916.28
|
| Rate for Payer: Meridian Medicaid |
$4,112.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,916.28
|
| Rate for Payer: UHCCP Medicaid |
$4,112.09
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$1,460.88
|
|
|
Service Code
|
APR-DRG 7551
|
| Min. Negotiated Rate |
$1,391.31 |
| Max. Negotiated Rate |
$1,460.88 |
| Rate for Payer: BCBS Complete |
$1,460.88
|
| Rate for Payer: Mclaren Medicaid |
$1,391.31
|
| Rate for Payer: Meridian Medicaid |
$1,460.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,391.31
|
| Rate for Payer: UHCCP Medicaid |
$1,460.88
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,681.18
|
|
|
Service Code
|
APR-DRG 7554
|
| Min. Negotiated Rate |
$5,410.65 |
| Max. Negotiated Rate |
$5,681.18 |
| Rate for Payer: BCBS Complete |
$5,681.18
|
| Rate for Payer: Mclaren Medicaid |
$5,410.65
|
| Rate for Payer: Meridian Medicaid |
$5,681.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,410.65
|
| Rate for Payer: UHCCP Medicaid |
$5,681.18
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$2,056.05
|
|
|
Service Code
|
APR-DRG 7552
|
| Min. Negotiated Rate |
$1,958.14 |
| Max. Negotiated Rate |
$2,056.05 |
| Rate for Payer: BCBS Complete |
$2,056.05
|
| Rate for Payer: Mclaren Medicaid |
$1,958.14
|
| Rate for Payer: Meridian Medicaid |
$2,056.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,958.14
|
| Rate for Payer: UHCCP Medicaid |
$2,056.05
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$27,486.10
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$26,177.24 |
| Max. Negotiated Rate |
$27,486.10 |
| Rate for Payer: BCBS Complete |
$27,486.10
|
| Rate for Payer: Mclaren Medicaid |
$26,177.24
|
| Rate for Payer: Meridian Medicaid |
$27,486.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,177.24
|
| Rate for Payer: UHCCP Medicaid |
$27,486.10
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$17,205.87
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$16,386.54 |
| Max. Negotiated Rate |
$17,205.87 |
| Rate for Payer: BCBS Complete |
$17,205.87
|
| Rate for Payer: Mclaren Medicaid |
$16,386.54
|
| Rate for Payer: Meridian Medicaid |
$17,205.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,386.54
|
| Rate for Payer: UHCCP Medicaid |
$17,205.87
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$9,252.21
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$8,811.63 |
| Max. Negotiated Rate |
$9,252.21 |
| Rate for Payer: BCBS Complete |
$9,252.21
|
| Rate for Payer: Mclaren Medicaid |
$8,811.63
|
| Rate for Payer: Meridian Medicaid |
$9,252.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,811.63
|
| Rate for Payer: UHCCP Medicaid |
$9,252.21
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$6,763.31
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$6,441.25 |
| Max. Negotiated Rate |
$6,763.31 |
| Rate for Payer: BCBS Complete |
$6,763.31
|
| Rate for Payer: Mclaren Medicaid |
$6,441.25
|
| Rate for Payer: Meridian Medicaid |
$6,763.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,441.25
|
| Rate for Payer: UHCCP Medicaid |
$6,763.31
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,164.26
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$2,061.20 |
| Max. Negotiated Rate |
$2,164.26 |
| Rate for Payer: BCBS Complete |
$2,164.26
|
| Rate for Payer: Mclaren Medicaid |
$2,061.20
|
| Rate for Payer: Meridian Medicaid |
$2,164.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,061.20
|
| Rate for Payer: UHCCP Medicaid |
$2,164.26
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$6,005.82
|
|
|
Service Code
|
APR-DRG 7753
|
| Min. Negotiated Rate |
$5,719.83 |
| Max. Negotiated Rate |
$6,005.82 |
| Rate for Payer: BCBS Complete |
$6,005.82
|
| Rate for Payer: Mclaren Medicaid |
$5,719.83
|
| Rate for Payer: Meridian Medicaid |
$6,005.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,719.83
|
| Rate for Payer: UHCCP Medicaid |
$6,005.82
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,300.50
|
|
|
Service Code
|
APR-DRG 7752
|
| 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: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$13,580.73
|
|
|
Service Code
|
APR-DRG 7754
|
| 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
|
$14,013.58
|
|
|
Service Code
|
APR-DRG 2804
|
| Min. Negotiated Rate |
$13,346.27 |
| Max. Negotiated Rate |
$14,013.58 |
| Rate for Payer: BCBS Complete |
$14,013.58
|
| Rate for Payer: Mclaren Medicaid |
$13,346.27
|
| Rate for Payer: Meridian Medicaid |
$14,013.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,346.27
|
| Rate for Payer: UHCCP Medicaid |
$14,013.58
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$3,408.71
|
|
|
Service Code
|
APR-DRG 2801
|
| 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: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$7,142.06
|
|
|
Service Code
|
APR-DRG 2803
|
| Min. Negotiated Rate |
$6,801.96 |
| Max. Negotiated Rate |
$7,142.06 |
| Rate for Payer: BCBS Complete |
$7,142.06
|
| Rate for Payer: Mclaren Medicaid |
$6,801.96
|
| Rate for Payer: Meridian Medicaid |
$7,142.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,801.96
|
| Rate for Payer: UHCCP Medicaid |
$7,142.06
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$4,544.95
|
|
|
Service Code
|
APR-DRG 2802
|
| Min. Negotiated Rate |
$4,328.52 |
| Max. Negotiated Rate |
$4,544.95 |
| Rate for Payer: BCBS Complete |
$4,544.95
|
| Rate for Payer: Mclaren Medicaid |
$4,328.52
|
| Rate for Payer: Meridian Medicaid |
$4,544.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,328.52
|
| Rate for Payer: UHCCP Medicaid |
$4,544.95
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$3,029.96
|
|
|
Service Code
|
APR-DRG 8112
|
| Min. Negotiated Rate |
$2,885.68 |
| Max. Negotiated Rate |
$3,029.96 |
| Rate for Payer: BCBS Complete |
$3,029.96
|
| Rate for Payer: Mclaren Medicaid |
$2,885.68
|
| Rate for Payer: Meridian Medicaid |
$3,029.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,885.68
|
| Rate for Payer: UHCCP Medicaid |
$3,029.96
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$5,897.61
|
|
|
Service Code
|
APR-DRG 8113
|
| 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: ALLERGIC REACTIONS
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 8114
|
| Min. Negotiated Rate |
$10,924.36 |
| Max. Negotiated Rate |
$11,470.58 |
| Rate for Payer: BCBS Complete |
$11,470.58
|
| Rate for Payer: Mclaren Medicaid |
$10,924.36
|
| Rate for Payer: Meridian Medicaid |
$11,470.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,924.36
|
| Rate for Payer: UHCCP Medicaid |
$11,470.58
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,110.15
|
|
|
Service Code
|
APR-DRG 8111
|
| Min. Negotiated Rate |
$2,009.67 |
| Max. Negotiated Rate |
$2,110.15 |
| Rate for Payer: BCBS Complete |
$2,110.15
|
| Rate for Payer: Mclaren Medicaid |
$2,009.67
|
| Rate for Payer: Meridian Medicaid |
$2,110.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,009.67
|
| Rate for Payer: UHCCP Medicaid |
$2,110.15
|
|