|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,205.50
|
|
|
Service Code
|
APR-DRG 0491
|
| Min. Negotiated Rate |
$5,910.00 |
| Max. Negotiated Rate |
$6,205.50 |
| Rate for Payer: BCBS Complete |
$6,205.50
|
| Rate for Payer: Mclaren Medicaid |
$5,910.00
|
| Rate for Payer: Meridian Medicaid |
$6,205.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,910.00
|
| Rate for Payer: UHCCP Medicaid |
$5,910.00
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,947.61
|
|
|
Service Code
|
APR-DRG 7532
|
| 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: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,223.64
|
|
|
Service Code
|
APR-DRG 7531
|
| Min. Negotiated Rate |
$2,117.75 |
| Max. Negotiated Rate |
$2,223.64 |
| Rate for Payer: BCBS Complete |
$2,223.64
|
| Rate for Payer: Mclaren Medicaid |
$2,117.75
|
| Rate for Payer: Meridian Medicaid |
$2,223.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,117.75
|
| Rate for Payer: UHCCP Medicaid |
$2,117.75
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$5,378.10
|
|
|
Service Code
|
APR-DRG 7533
|
| Min. Negotiated Rate |
$5,122.00 |
| Max. Negotiated Rate |
$5,378.10 |
| Rate for Payer: BCBS Complete |
$5,378.10
|
| Rate for Payer: Mclaren Medicaid |
$5,122.00
|
| Rate for Payer: Meridian Medicaid |
$5,378.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,122.00
|
| Rate for Payer: UHCCP Medicaid |
$5,122.00
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$9,359.96
|
|
|
Service Code
|
APR-DRG 7534
|
| Min. Negotiated Rate |
$8,914.25 |
| Max. Negotiated Rate |
$9,359.96 |
| Rate for Payer: BCBS Complete |
$9,359.96
|
| Rate for Payer: Mclaren Medicaid |
$8,914.25
|
| Rate for Payer: Meridian Medicaid |
$9,359.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,914.25
|
| Rate for Payer: UHCCP Medicaid |
$8,914.25
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,327.06
|
|
|
Service Code
|
APR-DRG 1321
|
| Min. Negotiated Rate |
$2,216.25 |
| Max. Negotiated Rate |
$2,327.06 |
| Rate for Payer: BCBS Complete |
$2,327.06
|
| Rate for Payer: Mclaren Medicaid |
$2,216.25
|
| Rate for Payer: Meridian Medicaid |
$2,327.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,216.25
|
| Rate for Payer: UHCCP Medicaid |
$2,216.25
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$6,619.20
|
|
|
Service Code
|
APR-DRG 1323
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$9,204.83
|
|
|
Service Code
|
APR-DRG 1324
|
| Min. Negotiated Rate |
$8,766.50 |
| Max. Negotiated Rate |
$9,204.83 |
| Rate for Payer: BCBS Complete |
$9,204.83
|
| Rate for Payer: Mclaren Medicaid |
$8,766.50
|
| Rate for Payer: Meridian Medicaid |
$9,204.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,766.50
|
| Rate for Payer: UHCCP Medicaid |
$8,766.50
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$3,930.15
|
|
|
Service Code
|
APR-DRG 1322
|
| 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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 0562
|
| Min. Negotiated Rate |
$4,875.75 |
| Max. Negotiated Rate |
$5,119.54 |
| Rate for Payer: BCBS Complete |
$5,119.54
|
| Rate for Payer: Mclaren Medicaid |
$4,875.75
|
| Rate for Payer: Meridian Medicaid |
$5,119.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,875.75
|
| Rate for Payer: UHCCP Medicaid |
$4,875.75
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$7,808.59
|
|
|
Service Code
|
APR-DRG 0563
|
| Min. Negotiated Rate |
$7,436.75 |
| Max. Negotiated Rate |
$7,808.59 |
| Rate for Payer: BCBS Complete |
$7,808.59
|
| Rate for Payer: Mclaren Medicaid |
$7,436.75
|
| Rate for Payer: Meridian Medicaid |
$7,808.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,436.75
|
| Rate for Payer: UHCCP Medicaid |
$7,436.75
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$13,962.38
|
|
|
Service Code
|
APR-DRG 0564
|
| Min. Negotiated Rate |
$13,297.50 |
| Max. Negotiated Rate |
$13,962.38 |
| Rate for Payer: BCBS Complete |
$13,962.38
|
| Rate for Payer: Mclaren Medicaid |
$13,297.50
|
| Rate for Payer: Meridian Medicaid |
$13,962.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,297.50
|
| Rate for Payer: UHCCP Medicaid |
$13,297.50
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 0561
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$3,723.30 |
| Rate for Payer: BCBS Complete |
$3,723.30
|
| Rate for Payer: Mclaren Medicaid |
$3,546.00
|
| Rate for Payer: Meridian Medicaid |
$3,723.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,546.00
|
| Rate for Payer: UHCCP Medicaid |
$3,546.00
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 3631
|
| Min. Negotiated Rate |
$6,599.50 |
| Max. Negotiated Rate |
$6,929.48 |
| Rate for Payer: BCBS Complete |
$6,929.48
|
| Rate for Payer: Mclaren Medicaid |
$6,599.50
|
| Rate for Payer: Meridian Medicaid |
$6,929.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,599.50
|
| Rate for Payer: UHCCP Medicaid |
$6,599.50
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 3632
|
| 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: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$16,392.86
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$15,612.25 |
| Max. Negotiated Rate |
$16,392.86 |
| Rate for Payer: BCBS Complete |
$16,392.86
|
| Rate for Payer: Mclaren Medicaid |
$15,612.25
|
| Rate for Payer: Meridian Medicaid |
$16,392.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,612.25
|
| Rate for Payer: UHCCP Medicaid |
$15,612.25
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$15,100.05
|
|
|
Service Code
|
APR-DRG 3633
|
| Min. Negotiated Rate |
$14,381.00 |
| Max. Negotiated Rate |
$15,100.05 |
| Rate for Payer: BCBS Complete |
$15,100.05
|
| Rate for Payer: Mclaren Medicaid |
$14,381.00
|
| Rate for Payer: Meridian Medicaid |
$15,100.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,381.00
|
| Rate for Payer: UHCCP Medicaid |
$14,381.00
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 1382
|
| Min. Negotiated Rate |
$2,708.75 |
| Max. Negotiated Rate |
$2,844.19 |
| Rate for Payer: BCBS Complete |
$2,844.19
|
| Rate for Payer: Mclaren Medicaid |
$2,708.75
|
| Rate for Payer: Meridian Medicaid |
$2,844.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,708.75
|
| Rate for Payer: UHCCP Medicaid |
$2,708.75
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$9,721.95
|
|
|
Service Code
|
APR-DRG 1384
|
| Min. Negotiated Rate |
$9,259.00 |
| Max. Negotiated Rate |
$9,721.95 |
| Rate for Payer: BCBS Complete |
$9,721.95
|
| Rate for Payer: Mclaren Medicaid |
$9,259.00
|
| Rate for Payer: Meridian Medicaid |
$9,721.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,259.00
|
| Rate for Payer: UHCCP Medicaid |
$9,259.00
|
|
|
APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$4,964.40
|
|
|
Service Code
|
APR-DRG 1383
|
| 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: BRONCHIOLITIS AND RSV PNEUMONIA
|
Facility
|
IP
|
$1,758.22
|
|
|
Service Code
|
APR-DRG 1381
|
| Min. Negotiated Rate |
$1,674.50 |
| Max. Negotiated Rate |
$1,758.22 |
| Rate for Payer: BCBS Complete |
$1,758.22
|
| Rate for Payer: Mclaren Medicaid |
$1,674.50
|
| Rate for Payer: Meridian Medicaid |
$1,758.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,674.50
|
| Rate for Payer: UHCCP Medicaid |
$1,674.50
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$24,563.44
|
|
|
Service Code
|
APR-DRG 8423
|
| Min. Negotiated Rate |
$23,393.75 |
| Max. Negotiated Rate |
$24,563.44 |
| Rate for Payer: BCBS Complete |
$24,563.44
|
| Rate for Payer: Mclaren Medicaid |
$23,393.75
|
| Rate for Payer: Meridian Medicaid |
$24,563.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,393.75
|
| Rate for Payer: UHCCP Medicaid |
$23,393.75
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 8421
|
| Min. Negotiated Rate |
$8,323.25 |
| Max. Negotiated Rate |
$8,739.41 |
| Rate for Payer: BCBS Complete |
$8,739.41
|
| Rate for Payer: Mclaren Medicaid |
$8,323.25
|
| Rate for Payer: Meridian Medicaid |
$8,739.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,323.25
|
| Rate for Payer: UHCCP Medicaid |
$8,323.25
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$13,186.69
|
|
|
Service Code
|
APR-DRG 8422
|
| Min. Negotiated Rate |
$12,558.75 |
| Max. Negotiated Rate |
$13,186.69 |
| Rate for Payer: BCBS Complete |
$13,186.69
|
| Rate for Payer: Mclaren Medicaid |
$12,558.75
|
| Rate for Payer: Meridian Medicaid |
$13,186.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,558.75
|
| Rate for Payer: UHCCP Medicaid |
$12,558.75
|
|
|
APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS
|
Facility
|
IP
|
$60,762.19
|
|
|
Service Code
|
APR-DRG 8424
|
| Min. Negotiated Rate |
$57,868.75 |
| Max. Negotiated Rate |
$60,762.19 |
| Rate for Payer: BCBS Complete |
$60,762.19
|
| Rate for Payer: Mclaren Medicaid |
$57,868.75
|
| Rate for Payer: Meridian Medicaid |
$60,762.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$57,868.75
|
| Rate for Payer: UHCCP Medicaid |
$57,868.75
|
|