|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$14,608.76
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$13,913.10 |
| Max. Negotiated Rate |
$14,608.76 |
| Rate for Payer: BCBS Complete |
$14,608.76
|
| Rate for Payer: Mclaren Medicaid |
$13,913.10
|
| Rate for Payer: Meridian Medicaid |
$14,608.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,913.10
|
| Rate for Payer: UHCCP Medicaid |
$14,608.76
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,410.65
|
|
|
Service Code
|
APR-DRG 7623
|
| Min. Negotiated Rate |
$5,153.00 |
| Max. Negotiated Rate |
$5,410.65 |
| Rate for Payer: BCBS Complete |
$5,410.65
|
| Rate for Payer: Mclaren Medicaid |
$5,153.00
|
| Rate for Payer: Meridian Medicaid |
$5,410.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,153.00
|
| Rate for Payer: UHCCP Medicaid |
$5,410.65
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 7621
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,408.71
|
|
|
Service Code
|
APR-DRG 7622
|
| Min. Negotiated Rate |
$3,246.39 |
| Max. Negotiated Rate |
$3,408.71 |
| Rate for Payer: BCBS Complete |
$3,408.71
|
| Rate for Payer: Mclaren Medicaid |
$3,246.39
|
| Rate for Payer: Meridian Medicaid |
$3,408.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,246.39
|
| Rate for Payer: UHCCP Medicaid |
$3,408.71
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$6,222.25
|
|
|
Service Code
|
APR-DRG 7624
|
| 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: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$13,364.31
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$12,727.91 |
| Max. Negotiated Rate |
$13,364.31 |
| Rate for Payer: BCBS Complete |
$13,364.31
|
| Rate for Payer: Mclaren Medicaid |
$12,727.91
|
| Rate for Payer: Meridian Medicaid |
$13,364.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,727.91
|
| Rate for Payer: UHCCP Medicaid |
$13,364.31
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$26,512.18
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$25,249.70 |
| Max. Negotiated Rate |
$26,512.18 |
| Rate for Payer: BCBS Complete |
$26,512.18
|
| Rate for Payer: Mclaren Medicaid |
$25,249.70
|
| Rate for Payer: Meridian Medicaid |
$26,512.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,249.70
|
| Rate for Payer: UHCCP Medicaid |
$26,512.18
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$28,892.87
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$27,517.02 |
| Max. Negotiated Rate |
$28,892.87 |
| Rate for Payer: BCBS Complete |
$28,892.87
|
| Rate for Payer: Mclaren Medicaid |
$27,517.02
|
| Rate for Payer: Meridian Medicaid |
$28,892.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,517.02
|
| Rate for Payer: UHCCP Medicaid |
$28,892.87
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$20,506.36
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$19,529.87 |
| Max. Negotiated Rate |
$20,506.36 |
| Rate for Payer: BCBS Complete |
$20,506.36
|
| Rate for Payer: Mclaren Medicaid |
$19,529.87
|
| Rate for Payer: Meridian Medicaid |
$20,506.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,529.87
|
| Rate for Payer: UHCCP Medicaid |
$20,506.36
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$14,825.18
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$14,119.22 |
| Max. Negotiated Rate |
$14,825.18 |
| Rate for Payer: BCBS Complete |
$14,825.18
|
| Rate for Payer: Mclaren Medicaid |
$14,119.22
|
| Rate for Payer: Meridian Medicaid |
$14,825.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,119.22
|
| Rate for Payer: UHCCP Medicaid |
$14,825.18
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$37,279.38
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$35,504.17 |
| Max. Negotiated Rate |
$37,279.38 |
| Rate for Payer: BCBS Complete |
$37,279.38
|
| Rate for Payer: Mclaren Medicaid |
$35,504.17
|
| Rate for Payer: Meridian Medicaid |
$37,279.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,504.17
|
| Rate for Payer: UHCCP Medicaid |
$37,279.38
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$9,522.74
|
|
|
Service Code
|
APR-DRG 0201
|
| 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: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$24,780.78
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$23,600.74 |
| Max. Negotiated Rate |
$24,780.78 |
| Rate for Payer: BCBS Complete |
$24,780.78
|
| Rate for Payer: Mclaren Medicaid |
$23,600.74
|
| Rate for Payer: Meridian Medicaid |
$24,780.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,600.74
|
| Rate for Payer: UHCCP Medicaid |
$24,780.78
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,256.09
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$12,624.85 |
| Max. Negotiated Rate |
$13,256.09 |
| Rate for Payer: BCBS Complete |
$13,256.09
|
| Rate for Payer: Mclaren Medicaid |
$12,624.85
|
| Rate for Payer: Meridian Medicaid |
$13,256.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,624.85
|
| Rate for Payer: UHCCP Medicaid |
$13,256.09
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$19,370.13
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$18,447.74 |
| Max. Negotiated Rate |
$19,370.13 |
| Rate for Payer: BCBS Complete |
$19,370.13
|
| Rate for Payer: Mclaren Medicaid |
$18,447.74
|
| Rate for Payer: Meridian Medicaid |
$19,370.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,447.74
|
| Rate for Payer: UHCCP Medicaid |
$19,370.13
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,468.64
|
|
|
Service Code
|
APR-DRG 0242
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,789.40
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$5,513.71 |
| Max. Negotiated Rate |
$5,789.40 |
| Rate for Payer: BCBS Complete |
$5,789.40
|
| Rate for Payer: Mclaren Medicaid |
$5,513.71
|
| Rate for Payer: Meridian Medicaid |
$5,789.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,513.71
|
| Rate for Payer: UHCCP Medicaid |
$5,789.40
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 7733
|
| 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: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,947.83
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,855.08 |
| Max. Negotiated Rate |
$1,947.83 |
| Rate for Payer: BCBS Complete |
$1,947.83
|
| Rate for Payer: Mclaren Medicaid |
$1,855.08
|
| Rate for Payer: Meridian Medicaid |
$1,947.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,855.08
|
| Rate for Payer: UHCCP Medicaid |
$1,947.83
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,354.60
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$3,194.86 |
| Max. Negotiated Rate |
$3,354.60 |
| Rate for Payer: BCBS Complete |
$3,354.60
|
| Rate for Payer: Mclaren Medicaid |
$3,194.86
|
| Rate for Payer: Meridian Medicaid |
$3,354.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,194.86
|
| Rate for Payer: UHCCP Medicaid |
$3,354.60
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,715.03
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$12,109.55 |
| Max. Negotiated Rate |
$12,715.03 |
| Rate for Payer: BCBS Complete |
$12,715.03
|
| Rate for Payer: Mclaren Medicaid |
$12,109.55
|
| Rate for Payer: Meridian Medicaid |
$12,715.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,109.55
|
| Rate for Payer: UHCCP Medicaid |
$12,715.03
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$7,250.27
|
|
|
Service Code
|
APR-DRG 0731
|
| 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: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$12,606.81
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$12,006.49 |
| Max. Negotiated Rate |
$12,606.81 |
| Rate for Payer: BCBS Complete |
$12,606.81
|
| Rate for Payer: Mclaren Medicaid |
$12,006.49
|
| Rate for Payer: Meridian Medicaid |
$12,606.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,006.49
|
| Rate for Payer: UHCCP Medicaid |
$12,606.81
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,602.93
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$8,193.27 |
| Max. Negotiated Rate |
$8,602.93 |
| Rate for Payer: BCBS Complete |
$8,602.93
|
| Rate for Payer: Mclaren Medicaid |
$8,193.27
|
| Rate for Payer: Meridian Medicaid |
$8,602.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,193.27
|
| Rate for Payer: UHCCP Medicaid |
$8,602.93
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$21,913.13
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$20,869.65 |
| Max. Negotiated Rate |
$21,913.13 |
| Rate for Payer: BCBS Complete |
$21,913.13
|
| Rate for Payer: Mclaren Medicaid |
$20,869.65
|
| Rate for Payer: Meridian Medicaid |
$21,913.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,869.65
|
| Rate for Payer: UHCCP Medicaid |
$21,913.13
|
|