|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$19,599.04
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$18,665.75 |
| Max. Negotiated Rate |
$19,599.04 |
| Rate for Payer: BCBS Complete |
$19,599.04
|
| Rate for Payer: Mclaren Medicaid |
$18,665.75
|
| Rate for Payer: Meridian Medicaid |
$19,599.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,665.75
|
| Rate for Payer: UHCCP Medicaid |
$18,665.75
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$27,614.48
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$26,299.50 |
| Max. Negotiated Rate |
$27,614.48 |
| Rate for Payer: BCBS Complete |
$27,614.48
|
| Rate for Payer: Mclaren Medicaid |
$26,299.50
|
| Rate for Payer: Meridian Medicaid |
$27,614.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,299.50
|
| Rate for Payer: UHCCP Medicaid |
$26,299.50
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$25,339.12
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$24,132.50 |
| Max. Negotiated Rate |
$25,339.12 |
| Rate for Payer: BCBS Complete |
$25,339.12
|
| Rate for Payer: Mclaren Medicaid |
$24,132.50
|
| Rate for Payer: Meridian Medicaid |
$25,339.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,132.50
|
| Rate for Payer: UHCCP Medicaid |
$24,132.50
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$12,772.99
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$12,164.75 |
| Max. Negotiated Rate |
$12,772.99 |
| Rate for Payer: BCBS Complete |
$12,772.99
|
| Rate for Payer: Mclaren Medicaid |
$12,164.75
|
| Rate for Payer: Meridian Medicaid |
$12,772.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,164.75
|
| Rate for Payer: UHCCP Medicaid |
$12,164.75
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$9,101.40
|
|
|
Service Code
|
APR-DRG 0201
|
| 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: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$35,629.91
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$33,933.25 |
| Max. Negotiated Rate |
$35,629.91 |
| Rate for Payer: BCBS Complete |
$35,629.91
|
| Rate for Payer: Mclaren Medicaid |
$33,933.25
|
| Rate for Payer: Meridian Medicaid |
$35,629.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,933.25
|
| Rate for Payer: UHCCP Medicaid |
$33,933.25
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$23,684.32
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$22,556.50 |
| Max. Negotiated Rate |
$23,684.32 |
| Rate for Payer: BCBS Complete |
$23,684.32
|
| Rate for Payer: Mclaren Medicaid |
$22,556.50
|
| Rate for Payer: Meridian Medicaid |
$23,684.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,556.50
|
| Rate for Payer: UHCCP Medicaid |
$22,556.50
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$14,169.22
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$13,494.50 |
| Max. Negotiated Rate |
$14,169.22 |
| Rate for Payer: BCBS Complete |
$14,169.22
|
| Rate for Payer: Mclaren Medicaid |
$13,494.50
|
| Rate for Payer: Meridian Medicaid |
$14,169.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,494.50
|
| Rate for Payer: UHCCP Medicaid |
$13,494.50
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,533.24
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$5,269.75 |
| Max. Negotiated Rate |
$5,533.24 |
| Rate for Payer: BCBS Complete |
$5,533.24
|
| Rate for Payer: Mclaren Medicaid |
$5,269.75
|
| Rate for Payer: Meridian Medicaid |
$5,533.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,269.75
|
| Rate for Payer: UHCCP Medicaid |
$5,269.75
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,669.56
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$12,066.25 |
| Max. Negotiated Rate |
$12,669.56 |
| Rate for Payer: BCBS Complete |
$12,669.56
|
| Rate for Payer: Mclaren Medicaid |
$12,066.25
|
| Rate for Payer: Meridian Medicaid |
$12,669.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,066.25
|
| Rate for Payer: UHCCP Medicaid |
$12,066.25
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,049.69
|
|
|
Service Code
|
APR-DRG 0242
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,513.08
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$17,631.50 |
| Max. Negotiated Rate |
$18,513.08 |
| Rate for Payer: BCBS Complete |
$18,513.08
|
| Rate for Payer: Mclaren Medicaid |
$17,631.50
|
| Rate for Payer: Meridian Medicaid |
$18,513.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,631.50
|
| Rate for Payer: UHCCP Medicaid |
$17,631.50
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 7733
|
| 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: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,152.44
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$11,573.75 |
| Max. Negotiated Rate |
$12,152.44 |
| Rate for Payer: BCBS Complete |
$12,152.44
|
| Rate for Payer: Mclaren Medicaid |
$11,573.75
|
| Rate for Payer: Meridian Medicaid |
$12,152.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,573.75
|
| Rate for Payer: UHCCP Medicaid |
$11,573.75
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,206.18
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$3,053.50 |
| Max. Negotiated Rate |
$3,206.18 |
| Rate for Payer: BCBS Complete |
$3,206.18
|
| Rate for Payer: Mclaren Medicaid |
$3,053.50
|
| Rate for Payer: Meridian Medicaid |
$3,206.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,053.50
|
| Rate for Payer: UHCCP Medicaid |
$3,053.50
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,861.65
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,773.00 |
| Max. Negotiated Rate |
$1,861.65 |
| Rate for Payer: BCBS Complete |
$1,861.65
|
| Rate for Payer: Mclaren Medicaid |
$1,773.00
|
| Rate for Payer: Meridian Medicaid |
$1,861.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,773.00
|
| Rate for Payer: UHCCP Medicaid |
$1,773.00
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$20,943.56
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$19,946.25 |
| Max. Negotiated Rate |
$20,943.56 |
| Rate for Payer: BCBS Complete |
$20,943.56
|
| Rate for Payer: Mclaren Medicaid |
$19,946.25
|
| Rate for Payer: Meridian Medicaid |
$20,943.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,946.25
|
| Rate for Payer: UHCCP Medicaid |
$19,946.25
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$12,049.01
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$11,475.25 |
| Max. Negotiated Rate |
$12,049.01 |
| Rate for Payer: BCBS Complete |
$12,049.01
|
| Rate for Payer: Mclaren Medicaid |
$11,475.25
|
| Rate for Payer: Meridian Medicaid |
$12,049.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,475.25
|
| Rate for Payer: UHCCP Medicaid |
$11,475.25
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 0731
|
| 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: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,222.29
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$7,830.75 |
| Max. Negotiated Rate |
$8,222.29 |
| Rate for Payer: BCBS Complete |
$8,222.29
|
| Rate for Payer: Mclaren Medicaid |
$7,830.75
|
| Rate for Payer: Meridian Medicaid |
$8,222.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,830.75
|
| Rate for Payer: UHCCP Medicaid |
$7,830.75
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 7571
|
| Min. Negotiated Rate |
$3,644.50 |
| Max. Negotiated Rate |
$3,826.72 |
| Rate for Payer: BCBS Complete |
$3,826.72
|
| Rate for Payer: Mclaren Medicaid |
$3,644.50
|
| Rate for Payer: Meridian Medicaid |
$3,826.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,644.50
|
| Rate for Payer: UHCCP Medicaid |
$3,644.50
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$15,565.46
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$14,824.25 |
| Max. Negotiated Rate |
$15,565.46 |
| Rate for Payer: BCBS Complete |
$15,565.46
|
| Rate for Payer: Mclaren Medicaid |
$14,824.25
|
| Rate for Payer: Meridian Medicaid |
$15,565.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,824.25
|
| Rate for Payer: UHCCP Medicaid |
$14,824.25
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$6,515.78
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$6,205.50 |
| Max. Negotiated Rate |
$6,515.78 |
| Rate for Payer: BCBS Complete |
$6,515.78
|
| Rate for Payer: Mclaren Medicaid |
$6,205.50
|
| Rate for Payer: Meridian Medicaid |
$6,515.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,205.50
|
| Rate for Payer: UHCCP Medicaid |
$6,205.50
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$5,688.38
|
|
|
Service Code
|
APR-DRG 7572
|
| Min. Negotiated Rate |
$5,417.50 |
| Max. Negotiated Rate |
$5,688.38 |
| Rate for Payer: BCBS Complete |
$5,688.38
|
| Rate for Payer: Mclaren Medicaid |
$5,417.50
|
| Rate for Payer: Meridian Medicaid |
$5,688.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,417.50
|
| Rate for Payer: UHCCP Medicaid |
$5,417.50
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$8,480.85
|
|
|
Service Code
|
APR-DRG 3444
|
| Min. Negotiated Rate |
$8,077.00 |
| Max. Negotiated Rate |
$8,480.85 |
| Rate for Payer: BCBS Complete |
$8,480.85
|
| Rate for Payer: Mclaren Medicaid |
$8,077.00
|
| Rate for Payer: Meridian Medicaid |
$8,480.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,077.00
|
| Rate for Payer: UHCCP Medicaid |
$8,077.00
|
|