|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$10,009.70
|
|
|
Service Code
|
APR-DRG 1444
|
| Min. Negotiated Rate |
$9,533.05 |
| Max. Negotiated Rate |
$10,009.70 |
| Rate for Payer: BCBS Complete |
$10,009.70
|
| Rate for Payer: Mclaren Medicaid |
$9,533.05
|
| Rate for Payer: Meridian Medicaid |
$10,009.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,533.05
|
| Rate for Payer: UHCCP Medicaid |
$10,009.70
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 1442
|
| 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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 1441
|
| 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: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$22,345.98
|
|
|
Service Code
|
APR-DRG 1303
|
| Min. Negotiated Rate |
$21,281.89 |
| Max. Negotiated Rate |
$22,345.98 |
| Rate for Payer: BCBS Complete |
$22,345.98
|
| Rate for Payer: Mclaren Medicaid |
$21,281.89
|
| Rate for Payer: Meridian Medicaid |
$22,345.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,281.89
|
| Rate for Payer: UHCCP Medicaid |
$22,345.98
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$15,149.82
|
|
|
Service Code
|
APR-DRG 1301
|
| Min. Negotiated Rate |
$14,428.40 |
| Max. Negotiated Rate |
$15,149.82 |
| Rate for Payer: BCBS Complete |
$15,149.82
|
| Rate for Payer: Mclaren Medicaid |
$14,428.40
|
| Rate for Payer: Meridian Medicaid |
$15,149.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,428.40
|
| Rate for Payer: UHCCP Medicaid |
$15,149.82
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$29,596.26
|
|
|
Service Code
|
APR-DRG 1304
|
| Min. Negotiated Rate |
$28,186.91 |
| Max. Negotiated Rate |
$29,596.26 |
| Rate for Payer: BCBS Complete |
$29,596.26
|
| Rate for Payer: Mclaren Medicaid |
$28,186.91
|
| Rate for Payer: Meridian Medicaid |
$29,596.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,186.91
|
| Rate for Payer: UHCCP Medicaid |
$29,596.26
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$18,288.00
|
|
|
Service Code
|
APR-DRG 1302
|
| Min. Negotiated Rate |
$17,417.14 |
| Max. Negotiated Rate |
$18,288.00 |
| Rate for Payer: BCBS Complete |
$18,288.00
|
| Rate for Payer: Mclaren Medicaid |
$17,417.14
|
| Rate for Payer: Meridian Medicaid |
$18,288.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,417.14
|
| Rate for Payer: UHCCP Medicaid |
$18,288.00
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$8,061.87
|
|
|
Service Code
|
APR-DRG 7613
|
| Min. Negotiated Rate |
$7,677.97 |
| Max. Negotiated Rate |
$8,061.87 |
| Rate for Payer: BCBS Complete |
$8,061.87
|
| Rate for Payer: Mclaren Medicaid |
$7,677.97
|
| Rate for Payer: Meridian Medicaid |
$8,061.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,677.97
|
| Rate for Payer: UHCCP Medicaid |
$8,061.87
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$4,382.63
|
|
|
Service Code
|
APR-DRG 7612
|
| Min. Negotiated Rate |
$4,173.93 |
| Max. Negotiated Rate |
$4,382.63 |
| Rate for Payer: BCBS Complete |
$4,382.63
|
| Rate for Payer: Mclaren Medicaid |
$4,173.93
|
| Rate for Payer: Meridian Medicaid |
$4,382.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,173.93
|
| Rate for Payer: UHCCP Medicaid |
$4,382.63
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$13,905.37
|
|
|
Service Code
|
APR-DRG 7614
|
| Min. Negotiated Rate |
$13,243.21 |
| Max. Negotiated Rate |
$13,905.37 |
| Rate for Payer: BCBS Complete |
$13,905.37
|
| Rate for Payer: Mclaren Medicaid |
$13,243.21
|
| Rate for Payer: Meridian Medicaid |
$13,905.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,243.21
|
| Rate for Payer: UHCCP Medicaid |
$13,905.37
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$4,166.20
|
|
|
Service Code
|
APR-DRG 7611
|
| 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
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$12,931.45
|
|
|
Service Code
|
APR-DRG 7504
|
| Min. Negotiated Rate |
$12,315.67 |
| Max. Negotiated Rate |
$12,931.45 |
| Rate for Payer: BCBS Complete |
$12,931.45
|
| Rate for Payer: Mclaren Medicaid |
$12,315.67
|
| Rate for Payer: Meridian Medicaid |
$12,931.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,315.67
|
| Rate for Payer: UHCCP Medicaid |
$12,931.45
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$3,246.39
|
|
|
Service Code
|
APR-DRG 7501
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$4,436.73
|
|
|
Service Code
|
APR-DRG 7502
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$6,709.21
|
|
|
Service Code
|
APR-DRG 7503
|
| Min. Negotiated Rate |
$6,389.72 |
| Max. Negotiated Rate |
$6,709.21 |
| Rate for Payer: BCBS Complete |
$6,709.21
|
| Rate for Payer: Mclaren Medicaid |
$6,389.72
|
| Rate for Payer: Meridian Medicaid |
$6,709.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,389.72
|
| Rate for Payer: UHCCP Medicaid |
$6,709.21
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$3,138.18
|
|
|
Service Code
|
APR-DRG 0531
|
| 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: SEIZURE
|
Facility
|
IP
|
$12,660.92
|
|
|
Service Code
|
APR-DRG 0534
|
| Min. Negotiated Rate |
$12,058.02 |
| Max. Negotiated Rate |
$12,660.92 |
| Rate for Payer: BCBS Complete |
$12,660.92
|
| Rate for Payer: Mclaren Medicaid |
$12,058.02
|
| Rate for Payer: Meridian Medicaid |
$12,660.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,058.02
|
| Rate for Payer: UHCCP Medicaid |
$12,660.92
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$6,709.21
|
|
|
Service Code
|
APR-DRG 0533
|
| Min. Negotiated Rate |
$6,389.72 |
| Max. Negotiated Rate |
$6,709.21 |
| Rate for Payer: BCBS Complete |
$6,709.21
|
| Rate for Payer: Mclaren Medicaid |
$6,389.72
|
| Rate for Payer: Meridian Medicaid |
$6,709.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,389.72
|
| Rate for Payer: UHCCP Medicaid |
$6,709.21
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$4,220.31
|
|
|
Service Code
|
APR-DRG 0532
|
| Min. Negotiated Rate |
$4,019.34 |
| Max. Negotiated Rate |
$4,220.31 |
| Rate for Payer: BCBS Complete |
$4,220.31
|
| Rate for Payer: Mclaren Medicaid |
$4,019.34
|
| Rate for Payer: Meridian Medicaid |
$4,220.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,019.34
|
| Rate for Payer: UHCCP Medicaid |
$4,220.31
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$3,571.03
|
|
|
Service Code
|
APR-DRG 7201
|
| Min. Negotiated Rate |
$3,400.98 |
| Max. Negotiated Rate |
$3,571.03 |
| Rate for Payer: BCBS Complete |
$3,571.03
|
| Rate for Payer: Mclaren Medicaid |
$3,400.98
|
| Rate for Payer: Meridian Medicaid |
$3,571.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,400.98
|
| Rate for Payer: UHCCP Medicaid |
$3,571.03
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$4,977.80
|
|
|
Service Code
|
APR-DRG 7202
|
| 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: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$7,899.55
|
|
|
Service Code
|
APR-DRG 7203
|
| Min. Negotiated Rate |
$7,523.38 |
| Max. Negotiated Rate |
$7,899.55 |
| Rate for Payer: BCBS Complete |
$7,899.55
|
| Rate for Payer: Mclaren Medicaid |
$7,523.38
|
| Rate for Payer: Meridian Medicaid |
$7,899.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,523.38
|
| Rate for Payer: UHCCP Medicaid |
$7,899.55
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$14,608.75
|
|
|
Service Code
|
APR-DRG 7204
|
| Min. Negotiated Rate |
$13,913.10 |
| Max. Negotiated Rate |
$14,608.75 |
| Rate for Payer: BCBS Complete |
$14,608.75
|
| Rate for Payer: Mclaren Medicaid |
$13,913.10
|
| Rate for Payer: Meridian Medicaid |
$14,608.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,913.10
|
| Rate for Payer: UHCCP Medicaid |
$14,608.75
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$18,233.89
|
|
|
Service Code
|
APR-DRG 3224
|
| Min. Negotiated Rate |
$17,365.61 |
| Max. Negotiated Rate |
$18,233.89 |
| Rate for Payer: BCBS Complete |
$18,233.89
|
| Rate for Payer: Mclaren Medicaid |
$17,365.61
|
| Rate for Payer: Meridian Medicaid |
$18,233.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,365.61
|
| Rate for Payer: UHCCP Medicaid |
$18,233.89
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$10,442.55
|
|
|
Service Code
|
APR-DRG 3222
|
| Min. Negotiated Rate |
$9,945.29 |
| Max. Negotiated Rate |
$10,442.55 |
| Rate for Payer: BCBS Complete |
$10,442.55
|
| Rate for Payer: Mclaren Medicaid |
$9,945.29
|
| Rate for Payer: Meridian Medicaid |
$10,442.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,945.29
|
| Rate for Payer: UHCCP Medicaid |
$10,442.55
|
|