|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$9,793.28
|
|
|
Service Code
|
APR-DRG 7764
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$11,957.54
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$11,388.13 |
| Max. Negotiated Rate |
$11,957.54 |
| Rate for Payer: BCBS Complete |
$11,957.54
|
| Rate for Payer: Mclaren Medicaid |
$11,388.13
|
| Rate for Payer: Meridian Medicaid |
$11,957.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,388.13
|
| Rate for Payer: UHCCP Medicaid |
$11,957.54
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,438.67
|
|
|
Service Code
|
APR-DRG 1153
|
| Min. Negotiated Rate |
$6,132.07 |
| Max. Negotiated Rate |
$6,438.67 |
| Rate for Payer: BCBS Complete |
$6,438.67
|
| Rate for Payer: Mclaren Medicaid |
$6,132.07
|
| Rate for Payer: Meridian Medicaid |
$6,438.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,132.07
|
| Rate for Payer: UHCCP Medicaid |
$6,438.67
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$2,921.75
|
|
|
Service Code
|
APR-DRG 1151
|
| Min. Negotiated Rate |
$2,782.62 |
| Max. Negotiated Rate |
$2,921.75 |
| Rate for Payer: BCBS Complete |
$2,921.75
|
| Rate for Payer: Mclaren Medicaid |
$2,782.62
|
| Rate for Payer: Meridian Medicaid |
$2,921.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,782.62
|
| Rate for Payer: UHCCP Medicaid |
$2,921.75
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,328.52
|
|
|
Service Code
|
APR-DRG 1152
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$8,548.83
|
|
|
Service Code
|
APR-DRG 0982
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$20,993.32
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$19,993.64 |
| Max. Negotiated Rate |
$20,993.32 |
| Rate for Payer: BCBS Complete |
$20,993.32
|
| Rate for Payer: Mclaren Medicaid |
$19,993.64
|
| Rate for Payer: Meridian Medicaid |
$20,993.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,993.64
|
| Rate for Payer: UHCCP Medicaid |
$20,993.32
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$13,093.77
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$12,470.26 |
| Max. Negotiated Rate |
$13,093.77 |
| Rate for Payer: BCBS Complete |
$13,093.77
|
| Rate for Payer: Mclaren Medicaid |
$12,470.26
|
| Rate for Payer: Meridian Medicaid |
$13,093.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,470.26
|
| Rate for Payer: UHCCP Medicaid |
$13,093.77
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$5,140.12
|
|
|
Service Code
|
APR-DRG 0981
|
| 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: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,707.27
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$4,483.11 |
| Max. Negotiated Rate |
$4,707.27 |
| Rate for Payer: BCBS Complete |
$4,707.27
|
| Rate for Payer: Mclaren Medicaid |
$4,483.11
|
| Rate for Payer: Meridian Medicaid |
$4,707.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.11
|
| Rate for Payer: UHCCP Medicaid |
$4,707.27
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$11,470.58
|
|
|
Service Code
|
APR-DRG 4244
|
| 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: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 4241
|
| 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: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$7,087.95
|
|
|
Service Code
|
APR-DRG 4243
|
| 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: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$11,687.00
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$11,130.48 |
| Max. Negotiated Rate |
$11,687.00 |
| Rate for Payer: BCBS Complete |
$11,687.00
|
| Rate for Payer: Mclaren Medicaid |
$11,130.48
|
| Rate for Payer: Meridian Medicaid |
$11,687.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,130.48
|
| Rate for Payer: UHCCP Medicaid |
$11,687.00
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$3,297.92 |
| Max. Negotiated Rate |
$3,462.82 |
| Rate for Payer: BCBS Complete |
$3,462.82
|
| Rate for Payer: Mclaren Medicaid |
$3,297.92
|
| Rate for Payer: Meridian Medicaid |
$3,462.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,297.92
|
| Rate for Payer: UHCCP Medicaid |
$3,462.82
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,330.46
|
|
|
Service Code
|
APR-DRG 2433
|
| 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: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,490.84
|
|
|
Service Code
|
APR-DRG 2432
|
| 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: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$4,740.76 |
| Max. Negotiated Rate |
$4,977.80 |
| Rate for Payer: BCBS Complete |
$4,977.80
|
| Rate for Payer: Mclaren Medicaid |
$4,740.76
|
| Rate for Payer: Meridian Medicaid |
$4,977.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,740.76
|
| Rate for Payer: UHCCP Medicaid |
$4,977.80
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$8,278.29
|
|
|
Service Code
|
APR-DRG 5182
|
| 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: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$13,093.77
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$12,470.26 |
| Max. Negotiated Rate |
$13,093.77 |
| Rate for Payer: BCBS Complete |
$13,093.77
|
| Rate for Payer: Mclaren Medicaid |
$12,470.26
|
| Rate for Payer: Meridian Medicaid |
$13,093.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,470.26
|
| Rate for Payer: UHCCP Medicaid |
$13,093.77
|
|
|
APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$21,696.71
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$20,663.53 |
| Max. Negotiated Rate |
$21,696.71 |
| Rate for Payer: BCBS Complete |
$21,696.71
|
| Rate for Payer: Mclaren Medicaid |
$20,663.53
|
| Rate for Payer: Meridian Medicaid |
$21,696.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,663.53
|
| Rate for Payer: UHCCP Medicaid |
$21,696.71
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$9,576.85
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$9,120.81 |
| Max. Negotiated Rate |
$9,576.85 |
| Rate for Payer: BCBS Complete |
$9,576.85
|
| Rate for Payer: Mclaren Medicaid |
$9,120.81
|
| Rate for Payer: Meridian Medicaid |
$9,576.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,120.81
|
| Rate for Payer: UHCCP Medicaid |
$9,576.85
|
|
|
APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$5,194.22
|
|
|
Service Code
|
APR-DRG 2493
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$2,813.54
|
|
|
Service Code
|
APR-DRG 2491
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$3,516.92
|
|
|
Service Code
|
APR-DRG 2492
|
| 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
|
|