|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 1904
|
| Min. Negotiated Rate |
$11,770.75 |
| Max. Negotiated Rate |
$12,359.29 |
| Rate for Payer: BCBS Complete |
$12,359.29
|
| Rate for Payer: Mclaren Medicaid |
$11,770.75
|
| Rate for Payer: Meridian Medicaid |
$12,359.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,770.75
|
| Rate for Payer: UHCCP Medicaid |
$11,770.75
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$3,878.44
|
|
|
Service Code
|
APR-DRG 1901
|
| Min. Negotiated Rate |
$3,693.75 |
| Max. Negotiated Rate |
$3,878.44 |
| Rate for Payer: BCBS Complete |
$3,878.44
|
| Rate for Payer: Mclaren Medicaid |
$3,693.75
|
| Rate for Payer: Meridian Medicaid |
$3,878.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,693.75
|
| Rate for Payer: UHCCP Medicaid |
$3,693.75
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$5,663.75 |
| Max. Negotiated Rate |
$5,946.94 |
| Rate for Payer: BCBS Complete |
$5,946.94
|
| Rate for Payer: Mclaren Medicaid |
$5,663.75
|
| Rate for Payer: Meridian Medicaid |
$5,946.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,663.75
|
| Rate for Payer: UHCCP Medicaid |
$5,663.75
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,447.28
|
|
|
Service Code
|
APR-DRG 1902
|
| Min. Negotiated Rate |
$4,235.50 |
| Max. Negotiated Rate |
$4,447.28 |
| Rate for Payer: BCBS Complete |
$4,447.28
|
| Rate for Payer: Mclaren Medicaid |
$4,235.50
|
| Rate for Payer: Meridian Medicaid |
$4,447.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,235.50
|
| Rate for Payer: UHCCP Medicaid |
$4,235.50
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$2,689.05
|
|
|
Service Code
|
APR-DRG 7551
|
| Min. Negotiated Rate |
$2,561.00 |
| Max. Negotiated Rate |
$2,689.05 |
| Rate for Payer: BCBS Complete |
$2,689.05
|
| Rate for Payer: Mclaren Medicaid |
$2,561.00
|
| Rate for Payer: Meridian Medicaid |
$2,689.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,561.00
|
| Rate for Payer: UHCCP Medicaid |
$2,561.00
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$3,257.89
|
|
|
Service Code
|
APR-DRG 7552
|
| 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: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,791.80
|
|
|
Service Code
|
APR-DRG 7554
|
| Min. Negotiated Rate |
$5,516.00 |
| Max. Negotiated Rate |
$5,791.80 |
| Rate for Payer: BCBS Complete |
$5,791.80
|
| Rate for Payer: Mclaren Medicaid |
$5,516.00
|
| Rate for Payer: Meridian Medicaid |
$5,791.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,516.00
|
| Rate for Payer: UHCCP Medicaid |
$5,516.00
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 7553
|
| 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: ADRENAL PROCEDURES
|
Facility
|
IP
|
$17,323.69
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$16,498.75 |
| Max. Negotiated Rate |
$17,323.69 |
| Rate for Payer: BCBS Complete |
$17,323.69
|
| Rate for Payer: Mclaren Medicaid |
$16,498.75
|
| Rate for Payer: Meridian Medicaid |
$17,323.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,498.75
|
| Rate for Payer: UHCCP Medicaid |
$16,498.75
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$7,963.72
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$7,584.50 |
| Max. Negotiated Rate |
$7,963.72 |
| Rate for Payer: BCBS Complete |
$7,963.72
|
| Rate for Payer: Mclaren Medicaid |
$7,584.50
|
| Rate for Payer: Meridian Medicaid |
$7,963.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,584.50
|
| Rate for Payer: UHCCP Medicaid |
$7,584.50
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$26,838.79
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$25,560.75 |
| Max. Negotiated Rate |
$26,838.79 |
| Rate for Payer: BCBS Complete |
$26,838.79
|
| Rate for Payer: Mclaren Medicaid |
$25,560.75
|
| Rate for Payer: Meridian Medicaid |
$26,838.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,560.75
|
| Rate for Payer: UHCCP Medicaid |
$25,560.75
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$11,118.19
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$10,588.75 |
| Max. Negotiated Rate |
$11,118.19 |
| Rate for Payer: BCBS Complete |
$11,118.19
|
| Rate for Payer: Mclaren Medicaid |
$10,588.75
|
| Rate for Payer: Meridian Medicaid |
$11,118.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,588.75
|
| Rate for Payer: UHCCP Medicaid |
$10,588.75
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$2,807.25 |
| Max. Negotiated Rate |
$2,947.61 |
| Rate for Payer: BCBS Complete |
$2,947.61
|
| Rate for Payer: Mclaren Medicaid |
$2,807.25
|
| Rate for Payer: Meridian Medicaid |
$2,947.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,807.25
|
| Rate for Payer: UHCCP Medicaid |
$2,807.25
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,568.16
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$3,398.25 |
| Max. Negotiated Rate |
$3,568.16 |
| Rate for Payer: BCBS Complete |
$3,568.16
|
| Rate for Payer: Mclaren Medicaid |
$3,398.25
|
| Rate for Payer: Meridian Medicaid |
$3,568.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,398.25
|
| Rate for Payer: UHCCP Medicaid |
$3,398.25
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$11,583.60
|
|
|
Service Code
|
APR-DRG 7754
|
| Min. Negotiated Rate |
$11,032.00 |
| Max. Negotiated Rate |
$11,583.60 |
| Rate for Payer: BCBS Complete |
$11,583.60
|
| Rate for Payer: Mclaren Medicaid |
$11,032.00
|
| Rate for Payer: Meridian Medicaid |
$11,583.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,032.00
|
| Rate for Payer: UHCCP Medicaid |
$11,032.00
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$5,895.22
|
|
|
Service Code
|
APR-DRG 7753
|
| Min. Negotiated Rate |
$5,614.50 |
| Max. Negotiated Rate |
$5,895.22 |
| Rate for Payer: BCBS Complete |
$5,895.22
|
| Rate for Payer: Mclaren Medicaid |
$5,614.50
|
| Rate for Payer: Meridian Medicaid |
$5,895.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,614.50
|
| Rate for Payer: UHCCP Medicaid |
$5,614.50
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$12,979.84
|
|
|
Service Code
|
APR-DRG 2804
|
| 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
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 2801
|
| 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: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 2802
|
| Min. Negotiated Rate |
$3,890.75 |
| Max. Negotiated Rate |
$4,085.29 |
| Rate for Payer: BCBS Complete |
$4,085.29
|
| Rate for Payer: Mclaren Medicaid |
$3,890.75
|
| Rate for Payer: Meridian Medicaid |
$4,085.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,890.75
|
| Rate for Payer: UHCCP Medicaid |
$3,890.75
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 2803
|
| 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: ALLERGIC REACTIONS
|
Facility
|
IP
|
$9,049.69
|
|
|
Service Code
|
APR-DRG 8114
|
| Min. Negotiated Rate |
$8,618.75 |
| Max. Negotiated Rate |
$9,049.69 |
| Rate for Payer: BCBS Complete |
$9,049.69
|
| Rate for Payer: Mclaren Medicaid |
$8,618.75
|
| Rate for Payer: Meridian Medicaid |
$9,049.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,618.75
|
| Rate for Payer: UHCCP Medicaid |
$8,618.75
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,171.92
|
|
|
Service Code
|
APR-DRG 8112
|
| Min. Negotiated Rate |
$2,068.50 |
| Max. Negotiated Rate |
$2,171.92 |
| Rate for Payer: BCBS Complete |
$2,171.92
|
| Rate for Payer: Mclaren Medicaid |
$2,068.50
|
| Rate for Payer: Meridian Medicaid |
$2,171.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,068.50
|
| Rate for Payer: UHCCP Medicaid |
$2,068.50
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 8113
|
| Min. Negotiated Rate |
$4,531.00 |
| Max. Negotiated Rate |
$4,757.55 |
| Rate for Payer: BCBS Complete |
$4,757.55
|
| Rate for Payer: Mclaren Medicaid |
$4,531.00
|
| Rate for Payer: Meridian Medicaid |
$4,757.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,531.00
|
| Rate for Payer: UHCCP Medicaid |
$4,531.00
|
|
|
APR-DRG 42.00: ALLERGIC REACTIONS
|
Facility
|
IP
|
$1,499.66
|
|
|
Service Code
|
APR-DRG 8111
|
| Min. Negotiated Rate |
$1,428.25 |
| Max. Negotiated Rate |
$1,499.66 |
| Rate for Payer: BCBS Complete |
$1,499.66
|
| Rate for Payer: Mclaren Medicaid |
$1,428.25
|
| Rate for Payer: Meridian Medicaid |
$1,499.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,428.25
|
| Rate for Payer: UHCCP Medicaid |
$1,428.25
|
|
|
APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$58,124.85
|
|
|
Service Code
|
APR-DRG 0073
|
| Min. Negotiated Rate |
$55,357.00 |
| Max. Negotiated Rate |
$58,124.85 |
| Rate for Payer: BCBS Complete |
$58,124.85
|
| Rate for Payer: Mclaren Medicaid |
$55,357.00
|
| Rate for Payer: Meridian Medicaid |
$58,124.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$55,357.00
|
| Rate for Payer: UHCCP Medicaid |
$55,357.00
|
|