|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$5,302.44
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$5,049.94 |
| Max. Negotiated Rate |
$5,302.44 |
| Rate for Payer: BCBS Complete |
$5,302.44
|
| Rate for Payer: Mclaren Medicaid |
$5,049.94
|
| Rate for Payer: Meridian Medicaid |
$5,302.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,049.94
|
| Rate for Payer: UHCCP Medicaid |
$5,302.44
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 1402
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 0953
|
| 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: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 0952
|
| 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: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$7,845.44
|
|
|
Service Code
|
APR-DRG 0951
|
| 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: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$21,859.03
|
|
|
Service Code
|
APR-DRG 0954
|
| Min. Negotiated Rate |
$20,818.12 |
| Max. Negotiated Rate |
$21,859.03 |
| Rate for Payer: BCBS Complete |
$21,859.03
|
| Rate for Payer: Mclaren Medicaid |
$20,818.12
|
| Rate for Payer: Meridian Medicaid |
$21,859.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,818.12
|
| Rate for Payer: UHCCP Medicaid |
$21,859.03
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 6612
|
| Min. Negotiated Rate |
$6,750.43 |
| Max. Negotiated Rate |
$7,087.95 |
| Rate for Payer: BCBS Complete |
$7,087.95
|
| Rate for Payer: Mclaren Medicaid |
$6,750.43
|
| Rate for Payer: Meridian Medicaid |
$7,087.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,750.43
|
| Rate for Payer: UHCCP Medicaid |
$7,087.95
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$23,590.43
|
|
|
Service Code
|
APR-DRG 6614
|
| Min. Negotiated Rate |
$22,467.08 |
| Max. Negotiated Rate |
$23,590.43 |
| Rate for Payer: BCBS Complete |
$23,590.43
|
| Rate for Payer: Mclaren Medicaid |
$22,467.08
|
| Rate for Payer: Meridian Medicaid |
$23,590.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,467.08
|
| Rate for Payer: UHCCP Medicaid |
$23,590.43
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$15,258.03
|
|
|
Service Code
|
APR-DRG 6613
|
| Min. Negotiated Rate |
$14,531.46 |
| Max. Negotiated Rate |
$15,258.03 |
| Rate for Payer: BCBS Complete |
$15,258.03
|
| Rate for Payer: Mclaren Medicaid |
$14,531.46
|
| Rate for Payer: Meridian Medicaid |
$15,258.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,531.46
|
| Rate for Payer: UHCCP Medicaid |
$15,258.03
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 6611
|
| Min. Negotiated Rate |
$4,173.93 |
| Max. Negotiated Rate |
$4,382.63 |
| Rate for Payer: BCBS Complete |
$4,382.63
|
| Rate for Payer: Mclaren Medicaid |
$4,173.93
|
| Rate for Payer: Meridian Medicaid |
$4,382.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,173.93
|
| Rate for Payer: UHCCP Medicaid |
$4,382.63
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,653.16
|
|
|
Service Code
|
APR-DRG 7743
|
| 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: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,651.22
|
|
|
Service Code
|
APR-DRG 7741
|
| Min. Negotiated Rate |
$2,524.97 |
| Max. Negotiated Rate |
$2,651.22 |
| Rate for Payer: BCBS Complete |
$2,651.22
|
| Rate for Payer: Mclaren Medicaid |
$2,524.97
|
| Rate for Payer: Meridian Medicaid |
$2,651.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,524.97
|
| Rate for Payer: UHCCP Medicaid |
$2,651.22
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$11,416.47
|
|
|
Service Code
|
APR-DRG 7744
|
| Min. Negotiated Rate |
$10,872.83 |
| Max. Negotiated Rate |
$11,416.47 |
| Rate for Payer: BCBS Complete |
$11,416.47
|
| Rate for Payer: Mclaren Medicaid |
$10,872.83
|
| Rate for Payer: Meridian Medicaid |
$11,416.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,872.83
|
| Rate for Payer: UHCCP Medicaid |
$11,416.47
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 7742
|
| Min. Negotiated Rate |
$3,400.98 |
| Max. Negotiated Rate |
$3,571.03 |
| Rate for Payer: BCBS Complete |
$3,571.03
|
| Rate for Payer: Mclaren Medicaid |
$3,400.98
|
| Rate for Payer: Meridian Medicaid |
$3,571.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,400.98
|
| Rate for Payer: UHCCP Medicaid |
$3,571.03
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$6,709.21
|
|
|
Service Code
|
APR-DRG 0573
|
| Min. Negotiated Rate |
$6,389.72 |
| Max. Negotiated Rate |
$6,709.21 |
| Rate for Payer: BCBS Complete |
$6,709.21
|
| Rate for Payer: Mclaren Medicaid |
$6,389.72
|
| Rate for Payer: Meridian Medicaid |
$6,709.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,389.72
|
| Rate for Payer: UHCCP Medicaid |
$6,709.21
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 0571
|
| 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: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 0572
|
| Min. Negotiated Rate |
$4,895.35 |
| Max. Negotiated Rate |
$5,140.12 |
| Rate for Payer: BCBS Complete |
$5,140.12
|
| Rate for Payer: Mclaren Medicaid |
$4,895.35
|
| Rate for Payer: Meridian Medicaid |
$5,140.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,895.35
|
| Rate for Payer: UHCCP Medicaid |
$5,140.12
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 0574
|
| 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: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$14,987.50
|
|
|
Service Code
|
APR-DRG 3464
|
| Min. Negotiated Rate |
$14,273.81 |
| Max. Negotiated Rate |
$14,987.50 |
| Rate for Payer: BCBS Complete |
$14,987.50
|
| Rate for Payer: Mclaren Medicaid |
$14,273.81
|
| Rate for Payer: Meridian Medicaid |
$14,987.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,273.81
|
| Rate for Payer: UHCCP Medicaid |
$14,987.50
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$6,384.57
|
|
|
Service Code
|
APR-DRG 3462
|
| Min. Negotiated Rate |
$6,080.54 |
| Max. Negotiated Rate |
$6,384.57 |
| Rate for Payer: BCBS Complete |
$6,384.57
|
| Rate for Payer: Mclaren Medicaid |
$6,080.54
|
| Rate for Payer: Meridian Medicaid |
$6,384.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,080.54
|
| Rate for Payer: UHCCP Medicaid |
$6,384.57
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 3461
|
| 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: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$8,278.29
|
|
|
Service Code
|
APR-DRG 3463
|
| Min. Negotiated Rate |
$7,884.09 |
| Max. Negotiated Rate |
$8,278.29 |
| Rate for Payer: BCBS Complete |
$8,278.29
|
| Rate for Payer: Mclaren Medicaid |
$7,884.09
|
| Rate for Payer: Meridian Medicaid |
$8,278.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,884.09
|
| Rate for Payer: UHCCP Medicaid |
$8,278.29
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$7,791.34
|
|
|
Service Code
|
APR-DRG 3843
|
| Min. Negotiated Rate |
$7,420.32 |
| Max. Negotiated Rate |
$7,791.34 |
| Rate for Payer: BCBS Complete |
$7,791.34
|
| Rate for Payer: Mclaren Medicaid |
$7,420.32
|
| Rate for Payer: Meridian Medicaid |
$7,791.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,420.32
|
| Rate for Payer: UHCCP Medicaid |
$7,791.34
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$4,815.48
|
|
|
Service Code
|
APR-DRG 3842
|
| 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: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$3,733.35
|
|
|
Service Code
|
APR-DRG 3841
|
| 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
|
|