|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$10,290.79
|
|
|
Service Code
|
APR-DRG 8174
|
| Min. Negotiated Rate |
$9,800.75 |
| Max. Negotiated Rate |
$10,290.79 |
| Rate for Payer: BCBS Complete |
$10,290.79
|
| Rate for Payer: Mclaren Medicaid |
$9,800.75
|
| Rate for Payer: Meridian Medicaid |
$10,290.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,800.75
|
| Rate for Payer: UHCCP Medicaid |
$9,800.75
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,327.06
|
|
|
Service Code
|
APR-DRG 8171
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,257.89
|
|
|
Service Code
|
APR-DRG 1421
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$9,463.39
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$9,012.75 |
| Max. Negotiated Rate |
$9,463.39 |
| Rate for Payer: BCBS Complete |
$9,463.39
|
| Rate for Payer: Mclaren Medicaid |
$9,012.75
|
| Rate for Payer: Meridian Medicaid |
$9,463.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,012.75
|
| Rate for Payer: UHCCP Medicaid |
$9,012.75
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$6,670.91
|
|
|
Service Code
|
APR-DRG 1423
|
| Min. Negotiated Rate |
$6,353.25 |
| Max. Negotiated Rate |
$6,670.91 |
| Rate for Payer: BCBS Complete |
$6,670.91
|
| Rate for Payer: Mclaren Medicaid |
$6,353.25
|
| Rate for Payer: Meridian Medicaid |
$6,670.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,353.25
|
| Rate for Payer: UHCCP Medicaid |
$6,353.25
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,860.98
|
|
|
Service Code
|
APR-DRG 1422
|
| Min. Negotiated Rate |
$4,629.50 |
| Max. Negotiated Rate |
$4,860.98 |
| Rate for Payer: BCBS Complete |
$4,860.98
|
| Rate for Payer: Mclaren Medicaid |
$4,629.50
|
| Rate for Payer: Meridian Medicaid |
$4,860.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,629.50
|
| Rate for Payer: UHCCP Medicaid |
$4,629.50
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,792.48
|
|
|
Service Code
|
APR-DRG 2471
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,619.88
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$3,447.50 |
| Max. Negotiated Rate |
$3,619.88 |
| Rate for Payer: BCBS Complete |
$3,619.88
|
| Rate for Payer: Mclaren Medicaid |
$3,447.50
|
| Rate for Payer: Meridian Medicaid |
$3,619.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,447.50
|
| Rate for Payer: UHCCP Medicaid |
$3,447.50
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$9,980.51
|
|
|
Service Code
|
APR-DRG 2474
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 2473
|
| Min. Negotiated Rate |
$4,925.00 |
| Max. Negotiated Rate |
$5,171.25 |
| Rate for Payer: BCBS Complete |
$5,171.25
|
| Rate for Payer: Mclaren Medicaid |
$4,925.00
|
| Rate for Payer: Meridian Medicaid |
$5,171.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,925.00
|
| Rate for Payer: UHCCP Medicaid |
$4,925.00
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$13,807.24
|
|
|
Service Code
|
APR-DRG 0444
|
| Min. Negotiated Rate |
$13,149.75 |
| Max. Negotiated Rate |
$13,807.24 |
| Rate for Payer: BCBS Complete |
$13,807.24
|
| Rate for Payer: Mclaren Medicaid |
$13,149.75
|
| Rate for Payer: Meridian Medicaid |
$13,807.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,149.75
|
| Rate for Payer: UHCCP Medicaid |
$13,149.75
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$10,963.05
|
|
|
Service Code
|
APR-DRG 0443
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$4,757.55
|
|
|
Service Code
|
APR-DRG 0441
|
| 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: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$7,239.75
|
|
|
Service Code
|
APR-DRG 0442
|
| Min. Negotiated Rate |
$6,895.00 |
| Max. Negotiated Rate |
$7,239.75 |
| Rate for Payer: BCBS Complete |
$7,239.75
|
| Rate for Payer: Mclaren Medicaid |
$6,895.00
|
| Rate for Payer: Meridian Medicaid |
$7,239.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,895.00
|
| Rate for Payer: UHCCP Medicaid |
$6,895.00
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$7,343.18
|
|
|
Service Code
|
APR-DRG 4634
|
| Min. Negotiated Rate |
$6,993.50 |
| Max. Negotiated Rate |
$7,343.18 |
| Rate for Payer: BCBS Complete |
$7,343.18
|
| Rate for Payer: Mclaren Medicaid |
$6,993.50
|
| Rate for Payer: Meridian Medicaid |
$7,343.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,993.50
|
| Rate for Payer: UHCCP Medicaid |
$6,993.50
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$4,860.98
|
|
|
Service Code
|
APR-DRG 4633
|
| Min. Negotiated Rate |
$4,629.50 |
| Max. Negotiated Rate |
$4,860.98 |
| Rate for Payer: BCBS Complete |
$4,860.98
|
| Rate for Payer: Mclaren Medicaid |
$4,629.50
|
| Rate for Payer: Meridian Medicaid |
$4,860.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,629.50
|
| Rate for Payer: UHCCP Medicaid |
$4,629.50
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$2,792.48
|
|
|
Service Code
|
APR-DRG 4631
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,516.45
|
|
|
Service Code
|
APR-DRG 4632
|
| Min. Negotiated Rate |
$3,349.00 |
| Max. Negotiated Rate |
$3,516.45 |
| Rate for Payer: BCBS Complete |
$3,516.45
|
| Rate for Payer: Mclaren Medicaid |
$3,349.00
|
| Rate for Payer: Meridian Medicaid |
$3,516.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,349.00
|
| Rate for Payer: UHCCP Medicaid |
$3,349.00
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$13,393.54
|
|
|
Service Code
|
APR-DRG 4614
|
| 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: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$7,498.31
|
|
|
Service Code
|
APR-DRG 4613
|
| 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: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$4,809.26
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$4,580.25 |
| Max. Negotiated Rate |
$4,809.26 |
| Rate for Payer: BCBS Complete |
$4,809.26
|
| Rate for Payer: Mclaren Medicaid |
$4,580.25
|
| Rate for Payer: Meridian Medicaid |
$4,809.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,580.25
|
| Rate for Payer: UHCCP Medicaid |
$4,580.25
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,636.66
|
|
|
Service Code
|
APR-DRG 4612
|
| 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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$15,358.61
|
|
|
Service Code
|
APR-DRG 4423
|
| Min. Negotiated Rate |
$14,627.25 |
| Max. Negotiated Rate |
$15,358.61 |
| Rate for Payer: BCBS Complete |
$15,358.61
|
| Rate for Payer: Mclaren Medicaid |
$14,627.25
|
| Rate for Payer: Meridian Medicaid |
$15,358.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,627.25
|
| Rate for Payer: UHCCP Medicaid |
$14,627.25
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$10,083.94
|
|
|
Service Code
|
APR-DRG 4422
|
| Min. Negotiated Rate |
$9,603.75 |
| Max. Negotiated Rate |
$10,083.94 |
| Rate for Payer: BCBS Complete |
$10,083.94
|
| Rate for Payer: Mclaren Medicaid |
$9,603.75
|
| Rate for Payer: Meridian Medicaid |
$10,083.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,603.75
|
| Rate for Payer: UHCCP Medicaid |
$9,603.75
|
|
|
APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$8,687.70
|
|
|
Service Code
|
APR-DRG 4421
|
| Min. Negotiated Rate |
$8,274.00 |
| Max. Negotiated Rate |
$8,687.70 |
| Rate for Payer: BCBS Complete |
$8,687.70
|
| Rate for Payer: Mclaren Medicaid |
$8,274.00
|
| Rate for Payer: Meridian Medicaid |
$8,687.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,274.00
|
| Rate for Payer: UHCCP Medicaid |
$8,274.00
|
|