|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$14,554.65
|
|
|
Service Code
|
APR-DRG 1144
|
| Min. Negotiated Rate |
$13,861.57 |
| Max. Negotiated Rate |
$14,554.65 |
| Rate for Payer: BCBS Complete |
$14,554.65
|
| Rate for Payer: Mclaren Medicaid |
$13,861.57
|
| Rate for Payer: Meridian Medicaid |
$14,554.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,861.57
|
| Rate for Payer: UHCCP Medicaid |
$14,554.65
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$2,543.01
|
|
|
Service Code
|
APR-DRG 1141
|
| 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: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$5,248.33
|
|
|
Service Code
|
APR-DRG 1143
|
| Min. Negotiated Rate |
$4,998.41 |
| Max. Negotiated Rate |
$5,248.33 |
| Rate for Payer: BCBS Complete |
$5,248.33
|
| Rate for Payer: Mclaren Medicaid |
$4,998.41
|
| Rate for Payer: Meridian Medicaid |
$5,248.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,998.41
|
| Rate for Payer: UHCCP Medicaid |
$5,248.33
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,516.92
|
|
|
Service Code
|
APR-DRG 1142
|
| Min. Negotiated Rate |
$3,349.45 |
| Max. Negotiated Rate |
$3,516.92 |
| Rate for Payer: BCBS Complete |
$3,516.92
|
| Rate for Payer: Mclaren Medicaid |
$3,349.45
|
| Rate for Payer: Meridian Medicaid |
$3,516.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.45
|
| Rate for Payer: UHCCP Medicaid |
$3,516.92
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$2,705.32
|
|
|
Service Code
|
APR-DRG 7512
|
| Min. Negotiated Rate |
$2,576.50 |
| Max. Negotiated Rate |
$2,705.32 |
| Rate for Payer: BCBS Complete |
$2,705.32
|
| Rate for Payer: Mclaren Medicaid |
$2,576.50
|
| Rate for Payer: Meridian Medicaid |
$2,705.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,576.50
|
| Rate for Payer: UHCCP Medicaid |
$2,705.32
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$5,464.76
|
|
|
Service Code
|
APR-DRG 7513
|
| Min. Negotiated Rate |
$5,204.53 |
| Max. Negotiated Rate |
$5,464.76 |
| Rate for Payer: BCBS Complete |
$5,464.76
|
| Rate for Payer: Mclaren Medicaid |
$5,204.53
|
| Rate for Payer: Meridian Medicaid |
$5,464.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,204.53
|
| Rate for Payer: UHCCP Medicaid |
$5,464.76
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$2,001.94
|
|
|
Service Code
|
APR-DRG 7511
|
| Min. Negotiated Rate |
$1,906.61 |
| Max. Negotiated Rate |
$2,001.94 |
| Rate for Payer: BCBS Complete |
$2,001.94
|
| Rate for Payer: Mclaren Medicaid |
$1,906.61
|
| Rate for Payer: Meridian Medicaid |
$2,001.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,906.61
|
| Rate for Payer: UHCCP Medicaid |
$2,001.94
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 7514
|
| 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: DIABETES
|
Facility
|
IP
|
$5,518.86
|
|
|
Service Code
|
APR-DRG 4203
|
| Min. Negotiated Rate |
$5,256.06 |
| Max. Negotiated Rate |
$5,518.86 |
| Rate for Payer: BCBS Complete |
$5,518.86
|
| Rate for Payer: Mclaren Medicaid |
$5,256.06
|
| Rate for Payer: Meridian Medicaid |
$5,518.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,256.06
|
| Rate for Payer: UHCCP Medicaid |
$5,518.86
|
|
|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 4201
|
| Min. Negotiated Rate |
$2,628.03 |
| Max. Negotiated Rate |
$2,759.43 |
| Rate for Payer: BCBS Complete |
$2,759.43
|
| Rate for Payer: Mclaren Medicaid |
$2,628.03
|
| Rate for Payer: Meridian Medicaid |
$2,759.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,628.03
|
| Rate for Payer: UHCCP Medicaid |
$2,759.43
|
|
|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$3,625.14
|
|
|
Service Code
|
APR-DRG 4202
|
| Min. Negotiated Rate |
$3,452.51 |
| Max. Negotiated Rate |
$3,625.14 |
| Rate for Payer: BCBS Complete |
$3,625.14
|
| Rate for Payer: Mclaren Medicaid |
$3,452.51
|
| Rate for Payer: Meridian Medicaid |
$3,625.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,452.51
|
| Rate for Payer: UHCCP Medicaid |
$3,625.14
|
|
|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$10,334.34
|
|
|
Service Code
|
APR-DRG 4204
|
| Min. Negotiated Rate |
$9,842.23 |
| Max. Negotiated Rate |
$10,334.34 |
| Rate for Payer: BCBS Complete |
$10,334.34
|
| Rate for Payer: Mclaren Medicaid |
$9,842.23
|
| Rate for Payer: Meridian Medicaid |
$10,334.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,842.23
|
| Rate for Payer: UHCCP Medicaid |
$10,334.34
|
|
|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$4,328.52
|
|
|
Service Code
|
APR-DRG 2401
|
| Min. Negotiated Rate |
$4,122.40 |
| Max. Negotiated Rate |
$4,328.52 |
| Rate for Payer: BCBS Complete |
$4,328.52
|
| Rate for Payer: Mclaren Medicaid |
$4,122.40
|
| Rate for Payer: Meridian Medicaid |
$4,328.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,122.40
|
| Rate for Payer: UHCCP Medicaid |
$4,328.52
|
|
|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$12,498.60
|
|
|
Service Code
|
APR-DRG 2404
|
| Min. Negotiated Rate |
$11,903.43 |
| Max. Negotiated Rate |
$12,498.60 |
| Rate for Payer: BCBS Complete |
$12,498.60
|
| Rate for Payer: Mclaren Medicaid |
$11,903.43
|
| Rate for Payer: Meridian Medicaid |
$12,498.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,903.43
|
| Rate for Payer: UHCCP Medicaid |
$12,498.60
|
|
|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$5,356.54
|
|
|
Service Code
|
APR-DRG 2402
|
| 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: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$7,845.44
|
|
|
Service Code
|
APR-DRG 2403
|
| 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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$9,144.00
|
|
|
Service Code
|
APR-DRG 5173
|
| 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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$14,013.58
|
|
|
Service Code
|
APR-DRG 5174
|
| 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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 5171
|
| 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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$6,114.03
|
|
|
Service Code
|
APR-DRG 5172
|
| Min. Negotiated Rate |
$5,822.89 |
| Max. Negotiated Rate |
$6,114.03 |
| Rate for Payer: BCBS Complete |
$6,114.03
|
| Rate for Payer: Mclaren Medicaid |
$5,822.89
|
| Rate for Payer: Meridian Medicaid |
$6,114.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,822.89
|
| Rate for Payer: UHCCP Medicaid |
$6,114.03
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 2843
|
| 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: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$3,895.67
|
|
|
Service Code
|
APR-DRG 2841
|
| 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: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$5,248.33
|
|
|
Service Code
|
APR-DRG 2842
|
| Min. Negotiated Rate |
$4,998.41 |
| Max. Negotiated Rate |
$5,248.33 |
| Rate for Payer: BCBS Complete |
$5,248.33
|
| Rate for Payer: Mclaren Medicaid |
$4,998.41
|
| Rate for Payer: Meridian Medicaid |
$5,248.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,998.41
|
| Rate for Payer: UHCCP Medicaid |
$5,248.33
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$12,173.96
|
|
|
Service Code
|
APR-DRG 2844
|
| Min. Negotiated Rate |
$11,594.25 |
| Max. Negotiated Rate |
$12,173.96 |
| Rate for Payer: BCBS Complete |
$12,173.96
|
| Rate for Payer: Mclaren Medicaid |
$11,594.25
|
| Rate for Payer: Meridian Medicaid |
$12,173.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,594.25
|
| Rate for Payer: UHCCP Medicaid |
$12,173.96
|
|
|
APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,112.09
|
|
|
Service Code
|
APR-DRG 2822
|
| 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
|
|