|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$25,159.52
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$23,961.45 |
| Max. Negotiated Rate |
$25,159.52 |
| Rate for Payer: BCBS Complete |
$25,159.52
|
| Rate for Payer: Mclaren Medicaid |
$23,961.45
|
| Rate for Payer: Meridian Medicaid |
$25,159.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,961.45
|
| Rate for Payer: UHCCP Medicaid |
$25,159.52
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$52,104.56
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$49,623.39 |
| Max. Negotiated Rate |
$52,104.56 |
| Rate for Payer: BCBS Complete |
$52,104.56
|
| Rate for Payer: Mclaren Medicaid |
$49,623.39
|
| Rate for Payer: Meridian Medicaid |
$52,104.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$49,623.39
|
| Rate for Payer: UHCCP Medicaid |
$52,104.56
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$13,472.52
|
|
|
Service Code
|
APR-DRG 0493
|
| Min. Negotiated Rate |
$12,830.97 |
| Max. Negotiated Rate |
$13,472.52 |
| Rate for Payer: BCBS Complete |
$13,472.52
|
| Rate for Payer: Mclaren Medicaid |
$12,830.97
|
| Rate for Payer: Meridian Medicaid |
$13,472.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,830.97
|
| Rate for Payer: UHCCP Medicaid |
$13,472.52
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$8,332.40
|
|
|
Service Code
|
APR-DRG 0491
|
| 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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$17,801.04
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,953.37 |
| Max. Negotiated Rate |
$17,801.04 |
| Rate for Payer: BCBS Complete |
$17,801.04
|
| Rate for Payer: Mclaren Medicaid |
$16,953.37
|
| Rate for Payer: Meridian Medicaid |
$17,801.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,953.37
|
| Rate for Payer: UHCCP Medicaid |
$17,801.04
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 0492
|
| Min. Negotiated Rate |
$9,069.28 |
| Max. Negotiated Rate |
$9,522.74 |
| Rate for Payer: BCBS Complete |
$9,522.74
|
| Rate for Payer: Mclaren Medicaid |
$9,069.28
|
| Rate for Payer: Meridian Medicaid |
$9,522.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,069.28
|
| Rate for Payer: UHCCP Medicaid |
$9,522.74
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 7533
|
| 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: BIPOLAR DISORDERS
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 7534
|
| Min. Negotiated Rate |
$9,945.29 |
| Max. Negotiated Rate |
$10,442.55 |
| Rate for Payer: BCBS Complete |
$10,442.55
|
| Rate for Payer: Mclaren Medicaid |
$9,945.29
|
| Rate for Payer: Meridian Medicaid |
$10,442.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,945.29
|
| Rate for Payer: UHCCP Medicaid |
$10,442.55
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 7532
|
| Min. Negotiated Rate |
$3,040.27 |
| Max. Negotiated Rate |
$3,192.28 |
| Rate for Payer: BCBS Complete |
$3,192.28
|
| Rate for Payer: Mclaren Medicaid |
$3,040.27
|
| Rate for Payer: Meridian Medicaid |
$3,192.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,040.27
|
| Rate for Payer: UHCCP Medicaid |
$3,192.28
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,543.01
|
|
|
Service Code
|
APR-DRG 7531
|
| Min. Negotiated Rate |
$2,421.91 |
| Max. Negotiated Rate |
$2,543.01 |
| Rate for Payer: BCBS Complete |
$2,543.01
|
| Rate for Payer: Mclaren Medicaid |
$2,421.91
|
| Rate for Payer: Meridian Medicaid |
$2,543.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,421.91
|
| Rate for Payer: UHCCP Medicaid |
$2,543.01
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1321
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 1322
|
| Min. Negotiated Rate |
$4,586.17 |
| Max. Negotiated Rate |
$4,815.48 |
| Rate for Payer: BCBS Complete |
$4,815.48
|
| Rate for Payer: Mclaren Medicaid |
$4,586.17
|
| Rate for Payer: Meridian Medicaid |
$4,815.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,586.17
|
| Rate for Payer: UHCCP Medicaid |
$4,815.48
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$9,035.79
|
|
|
Service Code
|
APR-DRG 1324
|
| Min. Negotiated Rate |
$8,605.51 |
| Max. Negotiated Rate |
$9,035.79 |
| Rate for Payer: BCBS Complete |
$9,035.79
|
| Rate for Payer: Mclaren Medicaid |
$8,605.51
|
| Rate for Payer: Meridian Medicaid |
$9,035.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,605.51
|
| Rate for Payer: UHCCP Medicaid |
$9,035.79
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$8,007.76
|
|
|
Service Code
|
APR-DRG 1323
|
| Min. Negotiated Rate |
$7,626.44 |
| Max. Negotiated Rate |
$8,007.76 |
| Rate for Payer: BCBS Complete |
$8,007.76
|
| Rate for Payer: Mclaren Medicaid |
$7,626.44
|
| Rate for Payer: Meridian Medicaid |
$8,007.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,626.44
|
| Rate for Payer: UHCCP Medicaid |
$8,007.76
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$10,388.45
|
|
|
Service Code
|
APR-DRG 0564
|
| Min. Negotiated Rate |
$9,893.76 |
| Max. Negotiated Rate |
$10,388.45 |
| Rate for Payer: BCBS Complete |
$10,388.45
|
| Rate for Payer: Mclaren Medicaid |
$9,893.76
|
| Rate for Payer: Meridian Medicaid |
$10,388.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,893.76
|
| Rate for Payer: UHCCP Medicaid |
$10,388.45
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$8,711.15
|
|
|
Service Code
|
APR-DRG 0563
|
| Min. Negotiated Rate |
$8,296.33 |
| Max. Negotiated Rate |
$8,711.15 |
| Rate for Payer: BCBS Complete |
$8,711.15
|
| Rate for Payer: Mclaren Medicaid |
$8,296.33
|
| Rate for Payer: Meridian Medicaid |
$8,711.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,296.33
|
| Rate for Payer: UHCCP Medicaid |
$8,711.15
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 0561
|
| Min. Negotiated Rate |
$3,761.69 |
| Max. Negotiated Rate |
$3,949.77 |
| Rate for Payer: BCBS Complete |
$3,949.77
|
| Rate for Payer: Mclaren Medicaid |
$3,761.69
|
| Rate for Payer: Meridian Medicaid |
$3,949.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,761.69
|
| Rate for Payer: UHCCP Medicaid |
$3,949.77
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 0562
|
| 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: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$7,845.44
|
|
|
Service Code
|
APR-DRG 3631
|
| Min. Negotiated Rate |
$7,471.85 |
| Max. Negotiated Rate |
$7,845.44 |
| Rate for Payer: BCBS Complete |
$7,845.44
|
| Rate for Payer: Mclaren Medicaid |
$7,471.85
|
| Rate for Payer: Meridian Medicaid |
$7,845.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,471.85
|
| Rate for Payer: UHCCP Medicaid |
$7,845.44
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$18,017.46
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$17,159.49 |
| Max. Negotiated Rate |
$18,017.46 |
| Rate for Payer: BCBS Complete |
$18,017.46
|
| Rate for Payer: Mclaren Medicaid |
$17,159.49
|
| Rate for Payer: Meridian Medicaid |
$18,017.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,159.49
|
| Rate for Payer: UHCCP Medicaid |
$18,017.46
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$16,448.38
|
|
|
Service Code
|
APR-DRG 3633
|
| Min. Negotiated Rate |
$15,665.12 |
| Max. Negotiated Rate |
$16,448.38 |
| Rate for Payer: BCBS Complete |
$16,448.38
|
| Rate for Payer: Mclaren Medicaid |
$15,665.12
|
| Rate for Payer: Meridian Medicaid |
$16,448.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,665.12
|
| Rate for Payer: UHCCP Medicaid |
$16,448.38
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 3632
|
| Min. Negotiated Rate |
$10,769.77 |
| Max. Negotiated Rate |
$11,308.26 |
| Rate for Payer: BCBS Complete |
$11,308.26
|
| Rate for Payer: Mclaren Medicaid |
$10,769.77
|
| Rate for Payer: Meridian Medicaid |
$11,308.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,769.77
|
| Rate for Payer: UHCCP Medicaid |
$11,308.26
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$8,386.51
|
|
|
Service Code
|
APR-DRG 1384
|
| Min. Negotiated Rate |
$7,987.15 |
| Max. Negotiated Rate |
$8,386.51 |
| Rate for Payer: BCBS Complete |
$8,386.51
|
| Rate for Payer: Mclaren Medicaid |
$7,987.15
|
| Rate for Payer: Meridian Medicaid |
$8,386.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,987.15
|
| Rate for Payer: UHCCP Medicaid |
$8,386.51
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 1383
|
| 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: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 1381
|
| 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
|
|