|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$5,627.08
|
|
|
Service Code
|
APR-DRG 0421
|
| 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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$6,005.82
|
|
|
Service Code
|
APR-DRG 0422
|
| 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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$8,927.57
|
|
|
Service Code
|
APR-DRG 0424
|
| Min. Negotiated Rate |
$8,502.45 |
| Max. Negotiated Rate |
$8,927.57 |
| Rate for Payer: BCBS Complete |
$8,927.57
|
| Rate for Payer: Mclaren Medicaid |
$8,502.45
|
| Rate for Payer: Meridian Medicaid |
$8,927.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,502.45
|
| Rate for Payer: UHCCP Medicaid |
$8,927.57
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0423
|
| Min. Negotiated Rate |
$8,141.74 |
| Max. Negotiated Rate |
$8,548.83 |
| Rate for Payer: BCBS Complete |
$8,548.83
|
| Rate for Payer: Mclaren Medicaid |
$8,141.74
|
| Rate for Payer: Meridian Medicaid |
$8,548.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,141.74
|
| Rate for Payer: UHCCP Medicaid |
$8,548.83
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$16,502.48
|
|
|
Service Code
|
APR-DRG 1144
|
| Min. Negotiated Rate |
$15,716.65 |
| Max. Negotiated Rate |
$16,502.48 |
| Rate for Payer: BCBS Complete |
$16,502.48
|
| Rate for Payer: Mclaren Medicaid |
$15,716.65
|
| Rate for Payer: Meridian Medicaid |
$16,502.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,716.65
|
| Rate for Payer: UHCCP Medicaid |
$16,502.48
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 1142
|
| Min. Negotiated Rate |
$3,091.80 |
| Max. Negotiated Rate |
$3,246.39 |
| Rate for Payer: BCBS Complete |
$3,246.39
|
| Rate for Payer: Mclaren Medicaid |
$3,091.80
|
| Rate for Payer: Meridian Medicaid |
$3,246.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,091.80
|
| Rate for Payer: UHCCP Medicaid |
$3,246.39
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$5,464.76
|
|
|
Service Code
|
APR-DRG 1143
|
| 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: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,084.07
|
|
|
Service Code
|
APR-DRG 1141
|
| 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: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$4,869.58
|
|
|
Service Code
|
APR-DRG 7513
|
| Min. Negotiated Rate |
$4,637.70 |
| Max. Negotiated Rate |
$4,869.58 |
| Rate for Payer: BCBS Complete |
$4,869.58
|
| Rate for Payer: Mclaren Medicaid |
$4,637.70
|
| Rate for Payer: Meridian Medicaid |
$4,869.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,637.70
|
| Rate for Payer: UHCCP Medicaid |
$4,869.58
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$9,360.42
|
|
|
Service Code
|
APR-DRG 7514
|
| Min. Negotiated Rate |
$8,914.69 |
| Max. Negotiated Rate |
$9,360.42 |
| Rate for Payer: BCBS Complete |
$9,360.42
|
| Rate for Payer: Mclaren Medicaid |
$8,914.69
|
| Rate for Payer: Meridian Medicaid |
$9,360.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,914.69
|
| Rate for Payer: UHCCP Medicaid |
$9,360.42
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 7512
|
| Min. Negotiated Rate |
$2,988.74 |
| Max. Negotiated Rate |
$3,138.18 |
| Rate for Payer: BCBS Complete |
$3,138.18
|
| Rate for Payer: Mclaren Medicaid |
$2,988.74
|
| Rate for Payer: Meridian Medicaid |
$3,138.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,988.74
|
| Rate for Payer: UHCCP Medicaid |
$3,138.18
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$2,759.43
|
|
|
Service Code
|
APR-DRG 7511
|
| 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
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 4202
|
| 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: DIABETES
|
Facility
|
IP
|
$8,873.47
|
|
|
Service Code
|
APR-DRG 4204
|
| Min. Negotiated Rate |
$8,450.92 |
| Max. Negotiated Rate |
$8,873.47 |
| Rate for Payer: BCBS Complete |
$8,873.47
|
| Rate for Payer: Mclaren Medicaid |
$8,450.92
|
| Rate for Payer: Meridian Medicaid |
$8,873.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,450.92
|
| Rate for Payer: UHCCP Medicaid |
$8,873.47
|
|
|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 4201
|
| Min. Negotiated Rate |
$2,679.56 |
| Max. Negotiated Rate |
$2,813.54 |
| Rate for Payer: BCBS Complete |
$2,813.54
|
| Rate for Payer: Mclaren Medicaid |
$2,679.56
|
| Rate for Payer: Meridian Medicaid |
$2,813.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,679.56
|
| Rate for Payer: UHCCP Medicaid |
$2,813.54
|
|
|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$5,681.18
|
|
|
Service Code
|
APR-DRG 4203
|
| 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: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 2404
|
| 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: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 2401
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 2403
|
| Min. Negotiated Rate |
$8,141.74 |
| Max. Negotiated Rate |
$8,548.83 |
| Rate for Payer: BCBS Complete |
$8,548.83
|
| Rate for Payer: Mclaren Medicaid |
$8,141.74
|
| Rate for Payer: Meridian Medicaid |
$8,548.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,141.74
|
| Rate for Payer: UHCCP Medicaid |
$8,548.83
|
|
|
APR-DRG 42.00: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$6,276.35
|
|
|
Service Code
|
APR-DRG 2402
|
| Min. Negotiated Rate |
$5,977.48 |
| Max. Negotiated Rate |
$6,276.35 |
| Rate for Payer: BCBS Complete |
$6,276.35
|
| Rate for Payer: Mclaren Medicaid |
$5,977.48
|
| Rate for Payer: Meridian Medicaid |
$6,276.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,977.48
|
| Rate for Payer: UHCCP Medicaid |
$6,276.35
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$6,330.46
|
|
|
Service Code
|
APR-DRG 5172
|
| Min. Negotiated Rate |
$6,029.01 |
| Max. Negotiated Rate |
$6,330.46 |
| Rate for Payer: BCBS Complete |
$6,330.46
|
| Rate for Payer: Mclaren Medicaid |
$6,029.01
|
| Rate for Payer: Meridian Medicaid |
$6,330.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,029.01
|
| Rate for Payer: UHCCP Medicaid |
$6,330.46
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 5173
|
| Min. Negotiated Rate |
$9,017.75 |
| Max. Negotiated Rate |
$9,468.64 |
| Rate for Payer: BCBS Complete |
$9,468.64
|
| Rate for Payer: Mclaren Medicaid |
$9,017.75
|
| Rate for Payer: Meridian Medicaid |
$9,468.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,017.75
|
| Rate for Payer: UHCCP Medicaid |
$9,468.64
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 5171
|
| Min. Negotiated Rate |
$4,689.23 |
| Max. Negotiated Rate |
$4,923.69 |
| Rate for Payer: BCBS Complete |
$4,923.69
|
| Rate for Payer: Mclaren Medicaid |
$4,689.23
|
| Rate for Payer: Meridian Medicaid |
$4,923.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,689.23
|
| Rate for Payer: UHCCP Medicaid |
$4,923.69
|
|
|
APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$13,634.84
|
|
|
Service Code
|
APR-DRG 5174
|
| Min. Negotiated Rate |
$12,985.56 |
| Max. Negotiated Rate |
$13,634.84 |
| Rate for Payer: BCBS Complete |
$13,634.84
|
| Rate for Payer: Mclaren Medicaid |
$12,985.56
|
| Rate for Payer: Meridian Medicaid |
$13,634.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,985.56
|
| Rate for Payer: UHCCP Medicaid |
$13,634.84
|
|
|
APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
|
Facility
|
IP
|
$4,166.20
|
|
|
Service Code
|
APR-DRG 2841
|
| Min. Negotiated Rate |
$3,967.81 |
| Max. Negotiated Rate |
$4,166.20 |
| Rate for Payer: BCBS Complete |
$4,166.20
|
| Rate for Payer: Mclaren Medicaid |
$3,967.81
|
| Rate for Payer: Meridian Medicaid |
$4,166.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,967.81
|
| Rate for Payer: UHCCP Medicaid |
$4,166.20
|
|