|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$4,923.69
|
|
|
Service Code
|
APR-DRG 7502
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$3,841.56
|
|
|
Service Code
|
APR-DRG 7501
|
| Min. Negotiated Rate |
$3,658.63 |
| Max. Negotiated Rate |
$3,841.56 |
| Rate for Payer: BCBS Complete |
$3,841.56
|
| Rate for Payer: Mclaren Medicaid |
$3,658.63
|
| Rate for Payer: Meridian Medicaid |
$3,841.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,658.63
|
| Rate for Payer: UHCCP Medicaid |
$3,841.56
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$6,059.93
|
|
|
Service Code
|
APR-DRG 7503
|
| Min. Negotiated Rate |
$5,771.36 |
| Max. Negotiated Rate |
$6,059.93 |
| Rate for Payer: BCBS Complete |
$6,059.93
|
| Rate for Payer: Mclaren Medicaid |
$5,771.36
|
| Rate for Payer: Meridian Medicaid |
$6,059.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,771.36
|
| Rate for Payer: UHCCP Medicaid |
$6,059.93
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 0532
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 0533
|
| Min. Negotiated Rate |
$6,235.13 |
| Max. Negotiated Rate |
$6,546.89 |
| Rate for Payer: BCBS Complete |
$6,546.89
|
| Rate for Payer: Mclaren Medicaid |
$6,235.13
|
| Rate for Payer: Meridian Medicaid |
$6,546.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,235.13
|
| Rate for Payer: UHCCP Medicaid |
$6,546.89
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$3,462.82
|
|
|
Service Code
|
APR-DRG 0531
|
| 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: SEIZURE
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 0534
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$6,546.89
|
|
|
Service Code
|
APR-DRG 7203
|
| Min. Negotiated Rate |
$6,235.13 |
| Max. Negotiated Rate |
$6,546.89 |
| Rate for Payer: BCBS Complete |
$6,546.89
|
| Rate for Payer: Mclaren Medicaid |
$6,235.13
|
| Rate for Payer: Meridian Medicaid |
$6,546.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,235.13
|
| Rate for Payer: UHCCP Medicaid |
$6,546.89
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$3,841.56
|
|
|
Service Code
|
APR-DRG 7201
|
| Min. Negotiated Rate |
$3,658.63 |
| Max. Negotiated Rate |
$3,841.56 |
| Rate for Payer: BCBS Complete |
$3,841.56
|
| Rate for Payer: Mclaren Medicaid |
$3,658.63
|
| Rate for Payer: Meridian Medicaid |
$3,841.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,658.63
|
| Rate for Payer: UHCCP Medicaid |
$3,841.56
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 7202
|
| Min. Negotiated Rate |
$4,225.46 |
| Max. Negotiated Rate |
$4,436.73 |
| Rate for Payer: BCBS Complete |
$4,436.73
|
| Rate for Payer: Mclaren Medicaid |
$4,225.46
|
| Rate for Payer: Meridian Medicaid |
$4,436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,225.46
|
| Rate for Payer: UHCCP Medicaid |
$4,436.73
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$12,823.24
|
|
|
Service Code
|
APR-DRG 7204
|
| Min. Negotiated Rate |
$12,212.61 |
| Max. Negotiated Rate |
$12,823.24 |
| Rate for Payer: BCBS Complete |
$12,823.24
|
| Rate for Payer: Mclaren Medicaid |
$12,212.61
|
| Rate for Payer: Meridian Medicaid |
$12,823.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,212.61
|
| Rate for Payer: UHCCP Medicaid |
$12,823.24
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$9,360.42
|
|
|
Service Code
|
APR-DRG 3221
|
| 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: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$11,308.26
|
|
|
Service Code
|
APR-DRG 3222
|
| Min. Negotiated Rate |
$10,769.77 |
| Max. Negotiated Rate |
$11,308.26 |
| Rate for Payer: BCBS Complete |
$11,308.26
|
| Rate for Payer: Mclaren Medicaid |
$10,769.77
|
| Rate for Payer: Meridian Medicaid |
$11,308.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,769.77
|
| Rate for Payer: UHCCP Medicaid |
$11,308.26
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$19,802.98
|
|
|
Service Code
|
APR-DRG 3224
|
| Min. Negotiated Rate |
$18,859.98 |
| Max. Negotiated Rate |
$19,802.98 |
| Rate for Payer: BCBS Complete |
$19,802.98
|
| Rate for Payer: Mclaren Medicaid |
$18,859.98
|
| Rate for Payer: Meridian Medicaid |
$19,802.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,859.98
|
| Rate for Payer: UHCCP Medicaid |
$19,802.98
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$15,420.35
|
|
|
Service Code
|
APR-DRG 3223
|
| Min. Negotiated Rate |
$14,686.05 |
| Max. Negotiated Rate |
$15,420.35 |
| Rate for Payer: BCBS Complete |
$15,420.35
|
| Rate for Payer: Mclaren Medicaid |
$14,686.05
|
| Rate for Payer: Meridian Medicaid |
$15,420.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,686.05
|
| Rate for Payer: UHCCP Medicaid |
$15,420.35
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$7,412.59
|
|
|
Service Code
|
APR-DRG 3151
|
| Min. Negotiated Rate |
$7,059.61 |
| Max. Negotiated Rate |
$7,412.59 |
| Rate for Payer: BCBS Complete |
$7,412.59
|
| Rate for Payer: Mclaren Medicaid |
$7,059.61
|
| Rate for Payer: Meridian Medicaid |
$7,412.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,059.61
|
| Rate for Payer: UHCCP Medicaid |
$7,412.59
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$10,767.19
|
|
|
Service Code
|
APR-DRG 3152
|
| Min. Negotiated Rate |
$10,254.47 |
| Max. Negotiated Rate |
$10,767.19 |
| Rate for Payer: BCBS Complete |
$10,767.19
|
| Rate for Payer: Mclaren Medicaid |
$10,254.47
|
| Rate for Payer: Meridian Medicaid |
$10,767.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,254.47
|
| Rate for Payer: UHCCP Medicaid |
$10,767.19
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$14,608.76
|
|
|
Service Code
|
APR-DRG 3153
|
| 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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$22,887.05
|
|
|
Service Code
|
APR-DRG 3154
|
| Min. Negotiated Rate |
$21,797.19 |
| Max. Negotiated Rate |
$22,887.05 |
| Rate for Payer: BCBS Complete |
$22,887.05
|
| Rate for Payer: Mclaren Medicaid |
$21,797.19
|
| Rate for Payer: Meridian Medicaid |
$22,887.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,797.19
|
| Rate for Payer: UHCCP Medicaid |
$22,887.05
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$11,741.11
|
|
|
Service Code
|
APR-DRG 6624
|
| Min. Negotiated Rate |
$11,182.01 |
| Max. Negotiated Rate |
$11,741.11 |
| Rate for Payer: BCBS Complete |
$11,741.11
|
| Rate for Payer: Mclaren Medicaid |
$11,182.01
|
| Rate for Payer: Meridian Medicaid |
$11,741.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,182.01
|
| Rate for Payer: UHCCP Medicaid |
$11,741.11
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$7,683.12
|
|
|
Service Code
|
APR-DRG 6623
|
| Min. Negotiated Rate |
$7,317.26 |
| Max. Negotiated Rate |
$7,683.12 |
| Rate for Payer: BCBS Complete |
$7,683.12
|
| Rate for Payer: Mclaren Medicaid |
$7,317.26
|
| Rate for Payer: Meridian Medicaid |
$7,683.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,317.26
|
| Rate for Payer: UHCCP Medicaid |
$7,683.12
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$3,192.28
|
|
|
Service Code
|
APR-DRG 6621
|
| Min. Negotiated Rate |
$3,040.27 |
| Max. Negotiated Rate |
$3,192.28 |
| Rate for Payer: BCBS Complete |
$3,192.28
|
| Rate for Payer: Mclaren Medicaid |
$3,040.27
|
| Rate for Payer: Meridian Medicaid |
$3,192.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,040.27
|
| Rate for Payer: UHCCP Medicaid |
$3,192.28
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$4,599.05
|
|
|
Service Code
|
APR-DRG 6622
|
| Min. Negotiated Rate |
$4,380.05 |
| Max. Negotiated Rate |
$4,599.05 |
| Rate for Payer: BCBS Complete |
$4,599.05
|
| Rate for Payer: Mclaren Medicaid |
$4,380.05
|
| Rate for Payer: Meridian Medicaid |
$4,599.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,380.05
|
| Rate for Payer: UHCCP Medicaid |
$4,599.05
|
|
|
APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$3,949.77
|
|
|
Service Code
|
APR-DRG 8612
|
| 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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$6,276.35
|
|
|
Service Code
|
APR-DRG 8613
|
| 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
|
|