|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 1904
|
| Min. Negotiated Rate |
$10,539.50 |
| Max. Negotiated Rate |
$11,066.48 |
| Rate for Payer: BCBS Complete |
$11,066.48
|
| Rate for Payer: Mclaren Medicaid |
$10,539.50
|
| Rate for Payer: Meridian Medicaid |
$11,066.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,539.50
|
| Rate for Payer: UHCCP Medicaid |
$10,539.50
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 1902
|
| Min. Negotiated Rate |
$4,728.00 |
| Max. Negotiated Rate |
$4,964.40 |
| Rate for Payer: BCBS Complete |
$4,964.40
|
| Rate for Payer: Mclaren Medicaid |
$4,728.00
|
| Rate for Payer: Meridian Medicaid |
$4,964.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,728.00
|
| Rate for Payer: UHCCP Medicaid |
$4,728.00
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 1901
|
| Min. Negotiated Rate |
$4,087.75 |
| Max. Negotiated Rate |
$4,292.14 |
| Rate for Payer: BCBS Complete |
$4,292.14
|
| Rate for Payer: Mclaren Medicaid |
$4,087.75
|
| Rate for Payer: Meridian Medicaid |
$4,292.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,087.75
|
| Rate for Payer: UHCCP Medicaid |
$4,087.75
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$6,619.20
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$6,304.00 |
| Max. Negotiated Rate |
$6,619.20 |
| Rate for Payer: BCBS Complete |
$6,619.20
|
| Rate for Payer: Mclaren Medicaid |
$6,304.00
|
| Rate for Payer: Meridian Medicaid |
$6,619.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,304.00
|
| Rate for Payer: UHCCP Medicaid |
$6,304.00
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$1,965.08
|
|
|
Service Code
|
APR-DRG 7552
|
| Min. Negotiated Rate |
$1,871.50 |
| Max. Negotiated Rate |
$1,965.08 |
| Rate for Payer: BCBS Complete |
$1,965.08
|
| Rate for Payer: Mclaren Medicaid |
$1,871.50
|
| Rate for Payer: Meridian Medicaid |
$1,965.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,871.50
|
| Rate for Payer: UHCCP Medicaid |
$1,871.50
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,429.81
|
|
|
Service Code
|
APR-DRG 7554
|
| Min. Negotiated Rate |
$5,171.25 |
| Max. Negotiated Rate |
$5,429.81 |
| Rate for Payer: BCBS Complete |
$5,429.81
|
| Rate for Payer: Mclaren Medicaid |
$5,171.25
|
| Rate for Payer: Meridian Medicaid |
$5,429.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,171.25
|
| Rate for Payer: UHCCP Medicaid |
$5,171.25
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 7553
|
| Min. Negotiated Rate |
$3,743.00 |
| Max. Negotiated Rate |
$3,930.15 |
| Rate for Payer: BCBS Complete |
$3,930.15
|
| Rate for Payer: Mclaren Medicaid |
$3,743.00
|
| Rate for Payer: Meridian Medicaid |
$3,930.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,743.00
|
| Rate for Payer: UHCCP Medicaid |
$3,743.00
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$1,396.24
|
|
|
Service Code
|
APR-DRG 7551
|
| Min. Negotiated Rate |
$1,329.75 |
| Max. Negotiated Rate |
$1,396.24 |
| Rate for Payer: BCBS Complete |
$1,396.24
|
| Rate for Payer: Mclaren Medicaid |
$1,329.75
|
| Rate for Payer: Meridian Medicaid |
$1,396.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,329.75
|
| Rate for Payer: UHCCP Medicaid |
$1,329.75
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$16,444.58
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$15,661.50 |
| Max. Negotiated Rate |
$16,444.58 |
| Rate for Payer: BCBS Complete |
$16,444.58
|
| Rate for Payer: Mclaren Medicaid |
$15,661.50
|
| Rate for Payer: Meridian Medicaid |
$16,444.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,661.50
|
| Rate for Payer: UHCCP Medicaid |
$15,661.50
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$6,156.25 |
| Max. Negotiated Rate |
$6,464.06 |
| Rate for Payer: BCBS Complete |
$6,464.06
|
| Rate for Payer: Mclaren Medicaid |
$6,156.25
|
| Rate for Payer: Meridian Medicaid |
$6,464.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,156.25
|
| Rate for Payer: UHCCP Medicaid |
$6,156.25
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$26,269.95
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$25,019.00 |
| Max. Negotiated Rate |
$26,269.95 |
| Rate for Payer: BCBS Complete |
$26,269.95
|
| Rate for Payer: Mclaren Medicaid |
$25,019.00
|
| Rate for Payer: Meridian Medicaid |
$26,269.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,019.00
|
| Rate for Payer: UHCCP Medicaid |
$25,019.00
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$8,842.84
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$8,421.75 |
| Max. Negotiated Rate |
$8,842.84 |
| Rate for Payer: BCBS Complete |
$8,842.84
|
| Rate for Payer: Mclaren Medicaid |
$8,421.75
|
| Rate for Payer: Meridian Medicaid |
$8,842.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,421.75
|
| Rate for Payer: UHCCP Medicaid |
$8,421.75
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$3,004.25 |
| Max. Negotiated Rate |
$3,154.46 |
| Rate for Payer: BCBS Complete |
$3,154.46
|
| Rate for Payer: Mclaren Medicaid |
$3,004.25
|
| Rate for Payer: Meridian Medicaid |
$3,154.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,004.25
|
| Rate for Payer: UHCCP Medicaid |
$3,004.25
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,068.50
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$1,970.00 |
| Max. Negotiated Rate |
$2,068.50 |
| Rate for Payer: BCBS Complete |
$2,068.50
|
| Rate for Payer: Mclaren Medicaid |
$1,970.00
|
| Rate for Payer: Meridian Medicaid |
$2,068.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,970.00
|
| Rate for Payer: UHCCP Medicaid |
$1,970.00
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 7753
|
| Min. Negotiated Rate |
$5,466.75 |
| Max. Negotiated Rate |
$5,740.09 |
| Rate for Payer: BCBS Complete |
$5,740.09
|
| Rate for Payer: Mclaren Medicaid |
$5,466.75
|
| Rate for Payer: Meridian Medicaid |
$5,740.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,466.75
|
| Rate for Payer: UHCCP Medicaid |
$5,466.75
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,979.84
|
|
|
Service Code
|
APR-DRG 7754
|
| Min. Negotiated Rate |
$12,361.75 |
| Max. Negotiated Rate |
$12,979.84 |
| Rate for Payer: BCBS Complete |
$12,979.84
|
| Rate for Payer: Mclaren Medicaid |
$12,361.75
|
| Rate for Payer: Meridian Medicaid |
$12,979.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,361.75
|
| Rate for Payer: UHCCP Medicaid |
$12,361.75
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$4,343.85
|
|
|
Service Code
|
APR-DRG 2802
|
| Min. Negotiated Rate |
$4,137.00 |
| Max. Negotiated Rate |
$4,343.85 |
| Rate for Payer: BCBS Complete |
$4,343.85
|
| Rate for Payer: Mclaren Medicaid |
$4,137.00
|
| Rate for Payer: Meridian Medicaid |
$4,343.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,137.00
|
| Rate for Payer: UHCCP Medicaid |
$4,137.00
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$3,257.89
|
|
|
Service Code
|
APR-DRG 2801
|
| Min. Negotiated Rate |
$3,102.75 |
| Max. Negotiated Rate |
$3,257.89 |
| Rate for Payer: BCBS Complete |
$3,257.89
|
| Rate for Payer: Mclaren Medicaid |
$3,102.75
|
| Rate for Payer: Meridian Medicaid |
$3,257.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,102.75
|
| Rate for Payer: UHCCP Medicaid |
$3,102.75
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$13,393.54
|
|
|
Service Code
|
APR-DRG 2804
|
| Min. Negotiated Rate |
$12,755.75 |
| Max. Negotiated Rate |
$13,393.54 |
| Rate for Payer: BCBS Complete |
$13,393.54
|
| Rate for Payer: Mclaren Medicaid |
$12,755.75
|
| Rate for Payer: Meridian Medicaid |
$13,393.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,755.75
|
| Rate for Payer: UHCCP Medicaid |
$12,755.75
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$6,826.05
|
|
|
Service Code
|
APR-DRG 2803
|
| Min. Negotiated Rate |
$6,501.00 |
| Max. Negotiated Rate |
$6,826.05 |
| Rate for Payer: BCBS Complete |
$6,826.05
|
| Rate for Payer: Mclaren Medicaid |
$6,501.00
|
| Rate for Payer: Meridian Medicaid |
$6,826.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,501.00
|
| Rate for Payer: UHCCP Medicaid |
$6,501.00
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,016.79
|
|
|
Service Code
|
APR-DRG 8111
|
| Min. Negotiated Rate |
$1,920.75 |
| Max. Negotiated Rate |
$2,016.79 |
| Rate for Payer: BCBS Complete |
$2,016.79
|
| Rate for Payer: Mclaren Medicaid |
$1,920.75
|
| Rate for Payer: Meridian Medicaid |
$2,016.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,920.75
|
| Rate for Payer: UHCCP Medicaid |
$1,920.75
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$10,963.05
|
|
|
Service Code
|
APR-DRG 8114
|
| Min. Negotiated Rate |
$10,441.00 |
| Max. Negotiated Rate |
$10,963.05 |
| Rate for Payer: BCBS Complete |
$10,963.05
|
| Rate for Payer: Mclaren Medicaid |
$10,441.00
|
| Rate for Payer: Meridian Medicaid |
$10,963.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,441.00
|
| Rate for Payer: UHCCP Medicaid |
$10,441.00
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 8112
|
| Min. Negotiated Rate |
$2,758.00 |
| Max. Negotiated Rate |
$2,895.90 |
| Rate for Payer: BCBS Complete |
$2,895.90
|
| Rate for Payer: Mclaren Medicaid |
$2,758.00
|
| Rate for Payer: Meridian Medicaid |
$2,895.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,758.00
|
| Rate for Payer: UHCCP Medicaid |
$2,758.00
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 8113
|
| Min. Negotiated Rate |
$5,368.25 |
| Max. Negotiated Rate |
$5,636.66 |
| Rate for Payer: BCBS Complete |
$5,636.66
|
| Rate for Payer: Mclaren Medicaid |
$5,368.25
|
| Rate for Payer: Meridian Medicaid |
$5,636.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,368.25
|
| Rate for Payer: UHCCP Medicaid |
$5,368.25
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$96,288.68
|
|
|
Service Code
|
APR-DRG 0074
|
| Min. Negotiated Rate |
$91,703.50 |
| Max. Negotiated Rate |
$96,288.68 |
| Rate for Payer: BCBS Complete |
$96,288.68
|
| Rate for Payer: Mclaren Medicaid |
$91,703.50
|
| Rate for Payer: Meridian Medicaid |
$96,288.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$91,703.50
|
| Rate for Payer: UHCCP Medicaid |
$91,703.50
|
|