|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$17,013.41
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,203.25 |
| Max. Negotiated Rate |
$17,013.41 |
| Rate for Payer: BCBS Complete |
$17,013.41
|
| Rate for Payer: Mclaren Medicaid |
$16,203.25
|
| Rate for Payer: Meridian Medicaid |
$17,013.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,203.25
|
| Rate for Payer: UHCCP Medicaid |
$16,203.25
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,430.49
|
|
|
Service Code
|
APR-DRG 7531
|
| Min. Negotiated Rate |
$2,314.75 |
| Max. Negotiated Rate |
$2,430.49 |
| Rate for Payer: BCBS Complete |
$2,430.49
|
| Rate for Payer: Mclaren Medicaid |
$2,314.75
|
| Rate for Payer: Meridian Medicaid |
$2,430.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,314.75
|
| Rate for Payer: UHCCP Medicaid |
$2,314.75
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 7532
|
| Min. Negotiated Rate |
$2,905.75 |
| Max. Negotiated Rate |
$3,051.04 |
| Rate for Payer: BCBS Complete |
$3,051.04
|
| Rate for Payer: Mclaren Medicaid |
$2,905.75
|
| Rate for Payer: Meridian Medicaid |
$3,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,905.75
|
| Rate for Payer: UHCCP Medicaid |
$2,905.75
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$9,980.51
|
|
|
Service Code
|
APR-DRG 7534
|
| Min. Negotiated Rate |
$9,505.25 |
| Max. Negotiated Rate |
$9,980.51 |
| Rate for Payer: BCBS Complete |
$9,980.51
|
| Rate for Payer: Mclaren Medicaid |
$9,505.25
|
| Rate for Payer: Meridian Medicaid |
$9,980.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,505.25
|
| Rate for Payer: UHCCP Medicaid |
$9,505.25
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 7533
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 1322
|
| Min. Negotiated Rate |
$4,383.25 |
| Max. Negotiated Rate |
$4,602.41 |
| Rate for Payer: BCBS Complete |
$4,602.41
|
| Rate for Payer: Mclaren Medicaid |
$4,383.25
|
| Rate for Payer: Meridian Medicaid |
$4,602.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,383.25
|
| Rate for Payer: UHCCP Medicaid |
$4,383.25
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$8,635.99
|
|
|
Service Code
|
APR-DRG 1324
|
| Min. Negotiated Rate |
$8,224.75 |
| Max. Negotiated Rate |
$8,635.99 |
| Rate for Payer: BCBS Complete |
$8,635.99
|
| Rate for Payer: Mclaren Medicaid |
$8,224.75
|
| Rate for Payer: Meridian Medicaid |
$8,635.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,224.75
|
| Rate for Payer: UHCCP Medicaid |
$8,224.75
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$7,653.45
|
|
|
Service Code
|
APR-DRG 1323
|
| Min. Negotiated Rate |
$7,289.00 |
| Max. Negotiated Rate |
$7,653.45 |
| Rate for Payer: BCBS Complete |
$7,653.45
|
| Rate for Payer: Mclaren Medicaid |
$7,289.00
|
| Rate for Payer: Meridian Medicaid |
$7,653.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,289.00
|
| Rate for Payer: UHCCP Medicaid |
$7,289.00
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 1321
|
| 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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$9,928.80
|
|
|
Service Code
|
APR-DRG 0564
|
| Min. Negotiated Rate |
$9,456.00 |
| Max. Negotiated Rate |
$9,928.80 |
| Rate for Payer: BCBS Complete |
$9,928.80
|
| Rate for Payer: Mclaren Medicaid |
$9,456.00
|
| Rate for Payer: Meridian Medicaid |
$9,928.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,456.00
|
| Rate for Payer: UHCCP Medicaid |
$9,456.00
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,775.01
|
|
|
Service Code
|
APR-DRG 0561
|
| Min. Negotiated Rate |
$3,595.25 |
| Max. Negotiated Rate |
$3,775.01 |
| Rate for Payer: BCBS Complete |
$3,775.01
|
| Rate for Payer: Mclaren Medicaid |
$3,595.25
|
| Rate for Payer: Meridian Medicaid |
$3,775.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,595.25
|
| Rate for Payer: UHCCP Medicaid |
$3,595.25
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$8,325.71
|
|
|
Service Code
|
APR-DRG 0563
|
| Min. Negotiated Rate |
$7,929.25 |
| Max. Negotiated Rate |
$8,325.71 |
| Rate for Payer: BCBS Complete |
$8,325.71
|
| Rate for Payer: Mclaren Medicaid |
$7,929.25
|
| Rate for Payer: Meridian Medicaid |
$8,325.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,929.25
|
| Rate for Payer: UHCCP Medicaid |
$7,929.25
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 0562
|
| 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: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$17,220.26
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$16,400.25 |
| Max. Negotiated Rate |
$17,220.26 |
| Rate for Payer: BCBS Complete |
$17,220.26
|
| Rate for Payer: Mclaren Medicaid |
$16,400.25
|
| Rate for Payer: Meridian Medicaid |
$17,220.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,400.25
|
| Rate for Payer: UHCCP Medicaid |
$16,400.25
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$15,720.60
|
|
|
Service Code
|
APR-DRG 3633
|
| Min. Negotiated Rate |
$14,972.00 |
| Max. Negotiated Rate |
$15,720.60 |
| Rate for Payer: BCBS Complete |
$15,720.60
|
| Rate for Payer: Mclaren Medicaid |
$14,972.00
|
| Rate for Payer: Meridian Medicaid |
$15,720.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,972.00
|
| Rate for Payer: UHCCP Medicaid |
$14,972.00
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$7,498.31
|
|
|
Service Code
|
APR-DRG 3631
|
| Min. Negotiated Rate |
$7,141.25 |
| Max. Negotiated Rate |
$7,498.31 |
| Rate for Payer: BCBS Complete |
$7,498.31
|
| Rate for Payer: Mclaren Medicaid |
$7,141.25
|
| Rate for Payer: Meridian Medicaid |
$7,498.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,141.25
|
| Rate for Payer: UHCCP Medicaid |
$7,141.25
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$10,807.91
|
|
|
Service Code
|
APR-DRG 3632
|
| Min. Negotiated Rate |
$10,293.25 |
| Max. Negotiated Rate |
$10,807.91 |
| Rate for Payer: BCBS Complete |
$10,807.91
|
| Rate for Payer: Mclaren Medicaid |
$10,293.25
|
| Rate for Payer: Meridian Medicaid |
$10,807.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,293.25
|
| Rate for Payer: UHCCP Medicaid |
$10,293.25
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 1383
|
| 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: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$8,015.44
|
|
|
Service Code
|
APR-DRG 1384
|
| Min. Negotiated Rate |
$7,633.75 |
| Max. Negotiated Rate |
$8,015.44 |
| Rate for Payer: BCBS Complete |
$8,015.44
|
| Rate for Payer: Mclaren Medicaid |
$7,633.75
|
| Rate for Payer: Meridian Medicaid |
$8,015.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,633.75
|
| Rate for Payer: UHCCP Medicaid |
$7,633.75
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$2,792.48
|
|
|
Service Code
|
APR-DRG 1381
|
| Min. Negotiated Rate |
$2,659.50 |
| Max. Negotiated Rate |
$2,792.48 |
| Rate for Payer: BCBS Complete |
$2,792.48
|
| Rate for Payer: Mclaren Medicaid |
$2,659.50
|
| Rate for Payer: Meridian Medicaid |
$2,792.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,659.50
|
| Rate for Payer: UHCCP Medicaid |
$2,659.50
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$3,981.86
|
|
|
Service Code
|
APR-DRG 1382
|
| Min. Negotiated Rate |
$3,792.25 |
| Max. Negotiated Rate |
$3,981.86 |
| Rate for Payer: BCBS Complete |
$3,981.86
|
| Rate for Payer: Mclaren Medicaid |
$3,792.25
|
| Rate for Payer: Meridian Medicaid |
$3,981.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,792.25
|
| Rate for Payer: UHCCP Medicaid |
$3,792.25
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$9,101.40
|
|
|
Service Code
|
APR-DRG 8421
|
| Min. Negotiated Rate |
$8,668.00 |
| Max. Negotiated Rate |
$9,101.40 |
| Rate for Payer: BCBS Complete |
$9,101.40
|
| Rate for Payer: Mclaren Medicaid |
$8,668.00
|
| Rate for Payer: Meridian Medicaid |
$9,101.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,668.00
|
| Rate for Payer: UHCCP Medicaid |
$8,668.00
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$83,153.70
|
|
|
Service Code
|
APR-DRG 8424
|
| Min. Negotiated Rate |
$79,194.00 |
| Max. Negotiated Rate |
$83,153.70 |
| Rate for Payer: BCBS Complete |
$83,153.70
|
| Rate for Payer: Mclaren Medicaid |
$79,194.00
|
| Rate for Payer: Meridian Medicaid |
$83,153.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$79,194.00
|
| Rate for Payer: UHCCP Medicaid |
$79,194.00
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$22,443.22
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$21,374.50 |
| Max. Negotiated Rate |
$22,443.22 |
| Rate for Payer: BCBS Complete |
$22,443.22
|
| Rate for Payer: Mclaren Medicaid |
$21,374.50
|
| Rate for Payer: Meridian Medicaid |
$22,443.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,374.50
|
| Rate for Payer: UHCCP Medicaid |
$21,374.50
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$17,633.96
|
|
|
Service Code
|
APR-DRG 8422
|
| Min. Negotiated Rate |
$16,794.25 |
| Max. Negotiated Rate |
$17,633.96 |
| Rate for Payer: BCBS Complete |
$17,633.96
|
| Rate for Payer: Mclaren Medicaid |
$16,794.25
|
| Rate for Payer: Meridian Medicaid |
$17,633.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,794.25
|
| Rate for Payer: UHCCP Medicaid |
$16,794.25
|
|