INPATIENT APRDRG 7733: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,236.09
|
|
Service Code
|
APR-DRG 7733
|
Hospital Charge Code |
APRDRG 7733
|
Min. Negotiated Rate |
$4,034.37 |
Max. Negotiated Rate |
$4,236.09 |
Rate for Payer: BCBS Complete |
$4,236.09
|
Rate for Payer: Mclaren Medicaid |
$4,034.37
|
Rate for Payer: Meridian Medicaid |
$4,236.09
|
Rate for Payer: Priority Health Choice Medicaid |
$4,034.37
|
|
INPATIENT APRDRG 7734: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$13,224.90
|
|
Service Code
|
APR-DRG 7734
|
Hospital Charge Code |
APRDRG 7734
|
Min. Negotiated Rate |
$12,595.14 |
Max. Negotiated Rate |
$13,224.90 |
Rate for Payer: BCBS Complete |
$13,224.90
|
Rate for Payer: Mclaren Medicaid |
$12,595.14
|
Rate for Payer: Meridian Medicaid |
$13,224.90
|
Rate for Payer: Priority Health Choice Medicaid |
$12,595.14
|
|
INPATIENT APRDRG 7741: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$2,828.75
|
|
Service Code
|
APR-DRG 7741
|
Hospital Charge Code |
APRDRG 7741
|
Min. Negotiated Rate |
$2,694.05 |
Max. Negotiated Rate |
$2,828.75 |
Rate for Payer: BCBS Complete |
$2,828.75
|
Rate for Payer: Mclaren Medicaid |
$2,694.05
|
Rate for Payer: Meridian Medicaid |
$2,828.75
|
Rate for Payer: Priority Health Choice Medicaid |
$2,694.05
|
|
INPATIENT APRDRG 7742: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,311.24
|
|
Service Code
|
APR-DRG 7742
|
Hospital Charge Code |
APRDRG 7742
|
Min. Negotiated Rate |
$3,153.56 |
Max. Negotiated Rate |
$3,311.24 |
Rate for Payer: BCBS Complete |
$3,311.24
|
Rate for Payer: Mclaren Medicaid |
$3,153.56
|
Rate for Payer: Meridian Medicaid |
$3,311.24
|
Rate for Payer: Priority Health Choice Medicaid |
$3,153.56
|
|
INPATIENT APRDRG 7743: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,652.43
|
|
Service Code
|
APR-DRG 7743
|
Hospital Charge Code |
APRDRG 7743
|
Min. Negotiated Rate |
$4,430.89 |
Max. Negotiated Rate |
$4,652.43 |
Rate for Payer: BCBS Complete |
$4,652.43
|
Rate for Payer: Mclaren Medicaid |
$4,430.89
|
Rate for Payer: Meridian Medicaid |
$4,652.43
|
Rate for Payer: Priority Health Choice Medicaid |
$4,430.89
|
|
INPATIENT APRDRG 7744: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$10,984.33
|
|
Service Code
|
APR-DRG 7744
|
Hospital Charge Code |
APRDRG 7744
|
Min. Negotiated Rate |
$10,461.27 |
Max. Negotiated Rate |
$10,984.33 |
Rate for Payer: BCBS Complete |
$10,984.33
|
Rate for Payer: Mclaren Medicaid |
$10,461.27
|
Rate for Payer: Meridian Medicaid |
$10,984.33
|
Rate for Payer: Priority Health Choice Medicaid |
$10,461.27
|
|
INPATIENT APRDRG 7751: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,082.46
|
|
Service Code
|
APR-DRG 7751
|
Hospital Charge Code |
APRDRG 7751
|
Min. Negotiated Rate |
$2,935.68 |
Max. Negotiated Rate |
$3,082.46 |
Rate for Payer: BCBS Complete |
$3,082.46
|
Rate for Payer: Mclaren Medicaid |
$2,935.68
|
Rate for Payer: Meridian Medicaid |
$3,082.46
|
Rate for Payer: Priority Health Choice Medicaid |
$2,935.68
|
|
INPATIENT APRDRG 7752: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,747.64
|
|
Service Code
|
APR-DRG 7752
|
Hospital Charge Code |
APRDRG 7752
|
Min. Negotiated Rate |
$3,569.18 |
Max. Negotiated Rate |
$3,747.64 |
Rate for Payer: BCBS Complete |
$3,747.64
|
Rate for Payer: Mclaren Medicaid |
$3,569.18
|
Rate for Payer: Meridian Medicaid |
$3,747.64
|
Rate for Payer: Priority Health Choice Medicaid |
$3,569.18
|
|
INPATIENT APRDRG 7753: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,490.00
|
|
Service Code
|
APR-DRG 7753
|
Hospital Charge Code |
APRDRG 7753
|
Min. Negotiated Rate |
$5,228.57 |
Max. Negotiated Rate |
$5,490.00 |
Rate for Payer: BCBS Complete |
$5,490.00
|
Rate for Payer: Mclaren Medicaid |
$5,228.57
|
Rate for Payer: Meridian Medicaid |
$5,490.00
|
Rate for Payer: Priority Health Choice Medicaid |
$5,228.57
|
|
INPATIENT APRDRG 7754: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$11,174.08
|
|
Service Code
|
APR-DRG 7754
|
Hospital Charge Code |
APRDRG 7754
|
Min. Negotiated Rate |
$10,641.98 |
Max. Negotiated Rate |
$11,174.08 |
Rate for Payer: BCBS Complete |
$11,174.08
|
Rate for Payer: Mclaren Medicaid |
$10,641.98
|
Rate for Payer: Meridian Medicaid |
$11,174.08
|
Rate for Payer: Priority Health Choice Medicaid |
$10,641.98
|
|
INPATIENT APRDRG 7761: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,174.29
|
|
Service Code
|
APR-DRG 7761
|
Hospital Charge Code |
APRDRG 7761
|
Min. Negotiated Rate |
$3,975.51 |
Max. Negotiated Rate |
$4,174.29 |
Rate for Payer: BCBS Complete |
$4,174.29
|
Rate for Payer: Mclaren Medicaid |
$3,975.51
|
Rate for Payer: Meridian Medicaid |
$4,174.29
|
Rate for Payer: Priority Health Choice Medicaid |
$3,975.51
|
|
INPATIENT APRDRG 7762: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,129.29
|
|
Service Code
|
APR-DRG 7762
|
Hospital Charge Code |
APRDRG 7762
|
Min. Negotiated Rate |
$3,932.66 |
Max. Negotiated Rate |
$4,129.29 |
Rate for Payer: BCBS Complete |
$4,129.29
|
Rate for Payer: Mclaren Medicaid |
$3,932.66
|
Rate for Payer: Meridian Medicaid |
$4,129.29
|
Rate for Payer: Priority Health Choice Medicaid |
$3,932.66
|
|
INPATIENT APRDRG 7763: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,613.06
|
|
Service Code
|
APR-DRG 7763
|
Hospital Charge Code |
APRDRG 7763
|
Min. Negotiated Rate |
$5,345.77 |
Max. Negotiated Rate |
$5,613.06 |
Rate for Payer: BCBS Complete |
$5,613.06
|
Rate for Payer: Mclaren Medicaid |
$5,345.77
|
Rate for Payer: Meridian Medicaid |
$5,613.06
|
Rate for Payer: Priority Health Choice Medicaid |
$5,345.77
|
|
INPATIENT APRDRG 7764: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$10,703.52
|
|
Service Code
|
APR-DRG 7764
|
Hospital Charge Code |
APRDRG 7764
|
Min. Negotiated Rate |
$10,193.83 |
Max. Negotiated Rate |
$10,703.52 |
Rate for Payer: BCBS Complete |
$10,703.52
|
Rate for Payer: Mclaren Medicaid |
$10,193.83
|
Rate for Payer: Meridian Medicaid |
$10,703.52
|
Rate for Payer: Priority Health Choice Medicaid |
$10,193.83
|
|
INPATIENT APRDRG 7921: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,292.73
|
|
Service Code
|
APR-DRG 7921
|
Hospital Charge Code |
APRDRG 7921
|
Min. Negotiated Rate |
$7,897.84 |
Max. Negotiated Rate |
$8,292.73 |
Rate for Payer: BCBS Complete |
$8,292.73
|
Rate for Payer: Mclaren Medicaid |
$7,897.84
|
Rate for Payer: Meridian Medicaid |
$8,292.73
|
Rate for Payer: Priority Health Choice Medicaid |
$7,897.84
|
|
INPATIENT APRDRG 7922: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,600.52
|
|
Service Code
|
APR-DRG 7922
|
Hospital Charge Code |
APRDRG 7922
|
Min. Negotiated Rate |
$10,095.73 |
Max. Negotiated Rate |
$10,600.52 |
Rate for Payer: BCBS Complete |
$10,600.52
|
Rate for Payer: Mclaren Medicaid |
$10,095.73
|
Rate for Payer: Meridian Medicaid |
$10,600.52
|
Rate for Payer: Priority Health Choice Medicaid |
$10,095.73
|
|
INPATIENT APRDRG 7923: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$15,989.14
|
|
Service Code
|
APR-DRG 7923
|
Hospital Charge Code |
APRDRG 7923
|
Min. Negotiated Rate |
$15,227.75 |
Max. Negotiated Rate |
$15,989.14 |
Rate for Payer: BCBS Complete |
$15,989.14
|
Rate for Payer: Mclaren Medicaid |
$15,227.75
|
Rate for Payer: Meridian Medicaid |
$15,989.14
|
Rate for Payer: Priority Health Choice Medicaid |
$15,227.75
|
|
INPATIENT APRDRG 7924: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$31,218.78
|
|
Service Code
|
APR-DRG 7924
|
Hospital Charge Code |
APRDRG 7924
|
Min. Negotiated Rate |
$29,732.17 |
Max. Negotiated Rate |
$31,218.78 |
Rate for Payer: BCBS Complete |
$31,218.78
|
Rate for Payer: Mclaren Medicaid |
$29,732.17
|
Rate for Payer: Meridian Medicaid |
$31,218.78
|
Rate for Payer: Priority Health Choice Medicaid |
$29,732.17
|
|
INPATIENT APRDRG 7931: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,362.80
|
|
Service Code
|
APR-DRG 7931
|
Hospital Charge Code |
APRDRG 7931
|
Min. Negotiated Rate |
$6,059.81 |
Max. Negotiated Rate |
$6,362.80 |
Rate for Payer: BCBS Complete |
$6,362.80
|
Rate for Payer: Mclaren Medicaid |
$6,059.81
|
Rate for Payer: Meridian Medicaid |
$6,362.80
|
Rate for Payer: Priority Health Choice Medicaid |
$6,059.81
|
|
INPATIENT APRDRG 7932: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,575.17
|
|
Service Code
|
APR-DRG 7932
|
Hospital Charge Code |
APRDRG 7932
|
Min. Negotiated Rate |
$8,166.83 |
Max. Negotiated Rate |
$8,575.17 |
Rate for Payer: BCBS Complete |
$8,575.17
|
Rate for Payer: Mclaren Medicaid |
$8,166.83
|
Rate for Payer: Meridian Medicaid |
$8,575.17
|
Rate for Payer: Priority Health Choice Medicaid |
$8,166.83
|
|
INPATIENT APRDRG 7933: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$13,114.85
|
|
Service Code
|
APR-DRG 7933
|
Hospital Charge Code |
APRDRG 7933
|
Min. Negotiated Rate |
$12,490.33 |
Max. Negotiated Rate |
$13,114.85 |
Rate for Payer: BCBS Complete |
$13,114.85
|
Rate for Payer: Mclaren Medicaid |
$12,490.33
|
Rate for Payer: Meridian Medicaid |
$13,114.85
|
Rate for Payer: Priority Health Choice Medicaid |
$12,490.33
|
|
INPATIENT APRDRG 7934: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$25,785.70
|
|
Service Code
|
APR-DRG 7934
|
Hospital Charge Code |
APRDRG 7934
|
Min. Negotiated Rate |
$24,557.81 |
Max. Negotiated Rate |
$25,785.70 |
Rate for Payer: BCBS Complete |
$25,785.70
|
Rate for Payer: Mclaren Medicaid |
$24,557.81
|
Rate for Payer: Meridian Medicaid |
$25,785.70
|
Rate for Payer: Priority Health Choice Medicaid |
$24,557.81
|
|
INPATIENT APRDRG 7941: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,161.47
|
|
Service Code
|
APR-DRG 7941
|
Hospital Charge Code |
APRDRG 7941
|
Min. Negotiated Rate |
$4,915.69 |
Max. Negotiated Rate |
$5,161.47 |
Rate for Payer: BCBS Complete |
$5,161.47
|
Rate for Payer: Mclaren Medicaid |
$4,915.69
|
Rate for Payer: Meridian Medicaid |
$5,161.47
|
Rate for Payer: Priority Health Choice Medicaid |
$4,915.69
|
|
INPATIENT APRDRG 7942: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,803.00
|
|
Service Code
|
APR-DRG 7942
|
Hospital Charge Code |
APRDRG 7942
|
Min. Negotiated Rate |
$6,479.05 |
Max. Negotiated Rate |
$6,803.00 |
Rate for Payer: BCBS Complete |
$6,803.00
|
Rate for Payer: Mclaren Medicaid |
$6,479.05
|
Rate for Payer: Meridian Medicaid |
$6,803.00
|
Rate for Payer: Priority Health Choice Medicaid |
$6,479.05
|
|
INPATIENT APRDRG 7943: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,224.29
|
|
Service Code
|
APR-DRG 7943
|
Hospital Charge Code |
APRDRG 7943
|
Min. Negotiated Rate |
$9,737.42 |
Max. Negotiated Rate |
$10,224.29 |
Rate for Payer: BCBS Complete |
$10,224.29
|
Rate for Payer: Mclaren Medicaid |
$9,737.42
|
Rate for Payer: Meridian Medicaid |
$10,224.29
|
Rate for Payer: Priority Health Choice Medicaid |
$9,737.42
|
|