|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$17,746.93
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,901.84 |
| Max. Negotiated Rate |
$17,746.93 |
| Rate for Payer: BCBS Complete |
$17,746.93
|
| Rate for Payer: Mclaren Medicaid |
$16,901.84
|
| Rate for Payer: Meridian Medicaid |
$17,746.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,901.84
|
| Rate for Payer: UHCCP Medicaid |
$17,746.93
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,953.66
|
|
|
Service Code
|
APR-DRG 0492
|
| Min. Negotiated Rate |
$7,574.91 |
| Max. Negotiated Rate |
$7,953.66 |
| Rate for Payer: BCBS Complete |
$7,953.66
|
| Rate for Payer: Mclaren Medicaid |
$7,574.91
|
| Rate for Payer: Meridian Medicaid |
$7,953.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,574.91
|
| Rate for Payer: UHCCP Medicaid |
$7,953.66
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,326.58
|
|
|
Service Code
|
APR-DRG 7531
|
| Min. Negotiated Rate |
$2,215.79 |
| Max. Negotiated Rate |
$2,326.58 |
| Rate for Payer: BCBS Complete |
$2,326.58
|
| Rate for Payer: Mclaren Medicaid |
$2,215.79
|
| Rate for Payer: Meridian Medicaid |
$2,326.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,215.79
|
| Rate for Payer: UHCCP Medicaid |
$2,326.58
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 7533
|
| Min. Negotiated Rate |
$5,359.12 |
| Max. Negotiated Rate |
$5,627.08 |
| Rate for Payer: BCBS Complete |
$5,627.08
|
| Rate for Payer: Mclaren Medicaid |
$5,359.12
|
| Rate for Payer: Meridian Medicaid |
$5,627.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,359.12
|
| Rate for Payer: UHCCP Medicaid |
$5,627.08
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$9,793.28
|
|
|
Service Code
|
APR-DRG 7534
|
| Min. Negotiated Rate |
$9,326.93 |
| Max. Negotiated Rate |
$9,793.28 |
| Rate for Payer: BCBS Complete |
$9,793.28
|
| Rate for Payer: Mclaren Medicaid |
$9,326.93
|
| Rate for Payer: Meridian Medicaid |
$9,793.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,326.93
|
| Rate for Payer: UHCCP Medicaid |
$9,793.28
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 7532
|
| 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
|
$6,925.63
|
|
|
Service Code
|
APR-DRG 1323
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 1322
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,434.79
|
|
|
Service Code
|
APR-DRG 1321
|
| Min. Negotiated Rate |
$2,318.85 |
| Max. Negotiated Rate |
$2,434.79 |
| Rate for Payer: BCBS Complete |
$2,434.79
|
| Rate for Payer: Mclaren Medicaid |
$2,318.85
|
| Rate for Payer: Meridian Medicaid |
$2,434.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,318.85
|
| Rate for Payer: UHCCP Medicaid |
$2,434.79
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$9,630.96
|
|
|
Service Code
|
APR-DRG 1324
|
| Min. Negotiated Rate |
$9,172.34 |
| Max. Negotiated Rate |
$9,630.96 |
| Rate for Payer: BCBS Complete |
$9,630.96
|
| Rate for Payer: Mclaren Medicaid |
$9,172.34
|
| Rate for Payer: Meridian Medicaid |
$9,630.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,172.34
|
| Rate for Payer: UHCCP Medicaid |
$9,630.96
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 0562
|
| Min. Negotiated Rate |
$5,101.47 |
| Max. Negotiated Rate |
$5,356.54 |
| Rate for Payer: BCBS Complete |
$5,356.54
|
| Rate for Payer: Mclaren Medicaid |
$5,101.47
|
| Rate for Payer: Meridian Medicaid |
$5,356.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,101.47
|
| Rate for Payer: UHCCP Medicaid |
$5,356.54
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$8,170.08
|
|
|
Service Code
|
APR-DRG 0563
|
| Min. Negotiated Rate |
$7,781.03 |
| Max. Negotiated Rate |
$8,170.08 |
| Rate for Payer: BCBS Complete |
$8,170.08
|
| Rate for Payer: Mclaren Medicaid |
$7,781.03
|
| Rate for Payer: Meridian Medicaid |
$8,170.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,781.03
|
| Rate for Payer: UHCCP Medicaid |
$8,170.08
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$14,608.75
|
|
|
Service Code
|
APR-DRG 0564
|
| Min. Negotiated Rate |
$13,913.10 |
| Max. Negotiated Rate |
$14,608.75 |
| Rate for Payer: BCBS Complete |
$14,608.75
|
| Rate for Payer: Mclaren Medicaid |
$13,913.10
|
| Rate for Payer: Meridian Medicaid |
$14,608.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,913.10
|
| Rate for Payer: UHCCP Medicaid |
$14,608.75
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 0561
|
| Min. Negotiated Rate |
$3,710.16 |
| Max. Negotiated Rate |
$3,895.67 |
| Rate for Payer: BCBS Complete |
$3,895.67
|
| Rate for Payer: Mclaren Medicaid |
$3,710.16
|
| Rate for Payer: Meridian Medicaid |
$3,895.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,710.16
|
| Rate for Payer: UHCCP Medicaid |
$3,895.67
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$15,799.10
|
|
|
Service Code
|
APR-DRG 3633
|
| Min. Negotiated Rate |
$15,046.76 |
| Max. Negotiated Rate |
$15,799.10 |
| Rate for Payer: BCBS Complete |
$15,799.10
|
| Rate for Payer: Mclaren Medicaid |
$15,046.76
|
| Rate for Payer: Meridian Medicaid |
$15,799.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,046.76
|
| Rate for Payer: UHCCP Medicaid |
$15,799.10
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 3631
|
| Min. Negotiated Rate |
$6,905.02 |
| Max. Negotiated Rate |
$7,250.27 |
| Rate for Payer: BCBS Complete |
$7,250.27
|
| Rate for Payer: Mclaren Medicaid |
$6,905.02
|
| Rate for Payer: Meridian Medicaid |
$7,250.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,905.02
|
| Rate for Payer: UHCCP Medicaid |
$7,250.27
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$11,578.79
|
|
|
Service Code
|
APR-DRG 3632
|
| 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: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$17,151.76
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$16,335.01 |
| Max. Negotiated Rate |
$17,151.76 |
| Rate for Payer: BCBS Complete |
$17,151.76
|
| Rate for Payer: Mclaren Medicaid |
$16,335.01
|
| Rate for Payer: Meridian Medicaid |
$17,151.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,335.01
|
| Rate for Payer: UHCCP Medicaid |
$17,151.76
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$10,172.02
|
|
|
Service Code
|
APR-DRG 1384
|
| Min. Negotiated Rate |
$9,687.64 |
| Max. Negotiated Rate |
$10,172.02 |
| Rate for Payer: BCBS Complete |
$10,172.02
|
| Rate for Payer: Mclaren Medicaid |
$9,687.64
|
| Rate for Payer: Meridian Medicaid |
$10,172.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,687.64
|
| Rate for Payer: UHCCP Medicaid |
$10,172.02
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$2,975.86
|
|
|
Service Code
|
APR-DRG 1382
|
| Min. Negotiated Rate |
$2,834.15 |
| Max. Negotiated Rate |
$2,975.86 |
| Rate for Payer: BCBS Complete |
$2,975.86
|
| Rate for Payer: Mclaren Medicaid |
$2,834.15
|
| Rate for Payer: Meridian Medicaid |
$2,975.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,834.15
|
| Rate for Payer: UHCCP Medicaid |
$2,975.86
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 1383
|
| 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: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$1,839.62
|
|
|
Service Code
|
APR-DRG 1381
|
| Min. Negotiated Rate |
$1,752.02 |
| Max. Negotiated Rate |
$1,839.62 |
| Rate for Payer: BCBS Complete |
$1,839.62
|
| Rate for Payer: Mclaren Medicaid |
$1,752.02
|
| Rate for Payer: Meridian Medicaid |
$1,839.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,752.02
|
| Rate for Payer: UHCCP Medicaid |
$1,839.62
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$13,797.16
|
|
|
Service Code
|
APR-DRG 8422
|
| Min. Negotiated Rate |
$13,140.15 |
| Max. Negotiated Rate |
$13,797.16 |
| Rate for Payer: BCBS Complete |
$13,797.16
|
| Rate for Payer: Mclaren Medicaid |
$13,140.15
|
| Rate for Payer: Meridian Medicaid |
$13,797.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,140.15
|
| Rate for Payer: UHCCP Medicaid |
$13,797.16
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 8421
|
| Min. Negotiated Rate |
$8,708.57 |
| Max. Negotiated Rate |
$9,144.00 |
| Rate for Payer: BCBS Complete |
$9,144.00
|
| Rate for Payer: Mclaren Medicaid |
$8,708.57
|
| Rate for Payer: Meridian Medicaid |
$9,144.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,708.57
|
| Rate for Payer: UHCCP Medicaid |
$9,144.00
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$25,700.59
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$24,476.75 |
| Max. Negotiated Rate |
$25,700.59 |
| Rate for Payer: BCBS Complete |
$25,700.59
|
| Rate for Payer: Mclaren Medicaid |
$24,476.75
|
| Rate for Payer: Meridian Medicaid |
$25,700.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,476.75
|
| Rate for Payer: UHCCP Medicaid |
$25,700.59
|
|