|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$9,411.67
|
|
|
Service Code
|
APR-DRG 4264
|
| Min. Negotiated Rate |
$8,963.50 |
| Max. Negotiated Rate |
$9,411.67 |
| Rate for Payer: BCBS Complete |
$9,411.67
|
| Rate for Payer: Mclaren Medicaid |
$8,963.50
|
| Rate for Payer: Meridian Medicaid |
$9,411.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,963.50
|
| Rate for Payer: UHCCP Medicaid |
$8,963.50
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,464.74
|
|
|
Service Code
|
APR-DRG 4262
|
| Min. Negotiated Rate |
$3,299.75 |
| Max. Negotiated Rate |
$3,464.74 |
| Rate for Payer: BCBS Complete |
$3,464.74
|
| Rate for Payer: Mclaren Medicaid |
$3,299.75
|
| Rate for Payer: Meridian Medicaid |
$3,464.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,299.75
|
| Rate for Payer: UHCCP Medicaid |
$3,299.75
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,585.62
|
|
|
Service Code
|
APR-DRG 4261
|
| Min. Negotiated Rate |
$2,462.50 |
| Max. Negotiated Rate |
$2,585.62 |
| Rate for Payer: BCBS Complete |
$2,585.62
|
| Rate for Payer: Mclaren Medicaid |
$2,462.50
|
| Rate for Payer: Meridian Medicaid |
$2,585.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,462.50
|
| Rate for Payer: UHCCP Medicaid |
$2,462.50
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 4263
|
| Min. Negotiated Rate |
$5,072.75 |
| Max. Negotiated Rate |
$5,326.39 |
| Rate for Payer: BCBS Complete |
$5,326.39
|
| Rate for Payer: Mclaren Medicaid |
$5,072.75
|
| Rate for Payer: Meridian Medicaid |
$5,326.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,072.75
|
| Rate for Payer: UHCCP Medicaid |
$5,072.75
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$12,100.73
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$11,524.50 |
| Max. Negotiated Rate |
$12,100.73 |
| Rate for Payer: BCBS Complete |
$12,100.73
|
| Rate for Payer: Mclaren Medicaid |
$11,524.50
|
| Rate for Payer: Meridian Medicaid |
$12,100.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,524.50
|
| Rate for Payer: UHCCP Medicaid |
$11,524.50
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,171.25
|
|
|
Service Code
|
APR-DRG 0462
|
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$4,188.71
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$3,989.25 |
| Max. Negotiated Rate |
$4,188.71 |
| Rate for Payer: BCBS Complete |
$4,188.71
|
| Rate for Payer: Mclaren Medicaid |
$3,989.25
|
| Rate for Payer: Meridian Medicaid |
$4,188.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,989.25
|
| Rate for Payer: UHCCP Medicaid |
$3,989.25
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 0463
|
| Min. Negotiated Rate |
$6,402.50 |
| Max. Negotiated Rate |
$6,722.62 |
| Rate for Payer: BCBS Complete |
$6,722.62
|
| Rate for Payer: Mclaren Medicaid |
$6,402.50
|
| Rate for Payer: Meridian Medicaid |
$6,722.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,402.50
|
| Rate for Payer: UHCCP Medicaid |
$6,402.50
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$6,877.76
|
|
|
Service Code
|
APR-DRG 7624
|
| Min. Negotiated Rate |
$6,550.25 |
| Max. Negotiated Rate |
$6,877.76 |
| Rate for Payer: BCBS Complete |
$6,877.76
|
| Rate for Payer: Mclaren Medicaid |
$6,550.25
|
| Rate for Payer: Meridian Medicaid |
$6,877.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,550.25
|
| Rate for Payer: UHCCP Medicaid |
$6,550.25
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,723.30
|
|
|
Service Code
|
APR-DRG 7622
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 7621
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,946.94
|
|
|
Service Code
|
APR-DRG 7623
|
| 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: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$12,255.86
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$11,672.25 |
| Max. Negotiated Rate |
$12,255.86 |
| Rate for Payer: BCBS Complete |
$12,255.86
|
| Rate for Payer: Mclaren Medicaid |
$11,672.25
|
| Rate for Payer: Meridian Medicaid |
$12,255.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,672.25
|
| Rate for Payer: UHCCP Medicaid |
$11,672.25
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$22,391.51
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$21,325.25 |
| Max. Negotiated Rate |
$22,391.51 |
| Rate for Payer: BCBS Complete |
$22,391.51
|
| Rate for Payer: Mclaren Medicaid |
$21,325.25
|
| Rate for Payer: Meridian Medicaid |
$22,391.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,325.25
|
| Rate for Payer: UHCCP Medicaid |
$21,325.25
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$31,854.90
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$30,338.00 |
| Max. Negotiated Rate |
$31,854.90 |
| Rate for Payer: BCBS Complete |
$31,854.90
|
| Rate for Payer: Mclaren Medicaid |
$30,338.00
|
| Rate for Payer: Meridian Medicaid |
$31,854.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,338.00
|
| Rate for Payer: UHCCP Medicaid |
$30,338.00
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$16,237.73
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$15,464.50 |
| Max. Negotiated Rate |
$16,237.73 |
| Rate for Payer: BCBS Complete |
$16,237.73
|
| Rate for Payer: Mclaren Medicaid |
$15,464.50
|
| Rate for Payer: Meridian Medicaid |
$16,237.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,464.50
|
| Rate for Payer: UHCCP Medicaid |
$15,464.50
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$27,821.33
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$26,496.50 |
| Max. Negotiated Rate |
$27,821.33 |
| Rate for Payer: BCBS Complete |
$27,821.33
|
| Rate for Payer: Mclaren Medicaid |
$26,496.50
|
| Rate for Payer: Meridian Medicaid |
$27,821.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,496.50
|
| Rate for Payer: UHCCP Medicaid |
$26,496.50
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$13,445.25
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$12,805.00 |
| Max. Negotiated Rate |
$13,445.25 |
| Rate for Payer: BCBS Complete |
$13,445.25
|
| Rate for Payer: Mclaren Medicaid |
$12,805.00
|
| Rate for Payer: Meridian Medicaid |
$13,445.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,805.00
|
| Rate for Payer: UHCCP Medicaid |
$12,805.00
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$10,394.21
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$9,899.25 |
| Max. Negotiated Rate |
$10,394.21 |
| Rate for Payer: BCBS Complete |
$10,394.21
|
| Rate for Payer: Mclaren Medicaid |
$9,899.25
|
| Rate for Payer: Meridian Medicaid |
$10,394.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,899.25
|
| Rate for Payer: UHCCP Medicaid |
$9,899.25
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$19,185.34
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$18,271.75 |
| Max. Negotiated Rate |
$19,185.34 |
| Rate for Payer: BCBS Complete |
$19,185.34
|
| Rate for Payer: Mclaren Medicaid |
$18,271.75
|
| Rate for Payer: Meridian Medicaid |
$19,185.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,271.75
|
| Rate for Payer: UHCCP Medicaid |
$18,271.75
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,222.96
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$4,974.25 |
| Max. Negotiated Rate |
$5,222.96 |
| Rate for Payer: BCBS Complete |
$5,222.96
|
| Rate for Payer: Mclaren Medicaid |
$4,974.25
|
| Rate for Payer: Meridian Medicaid |
$5,222.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,974.25
|
| Rate for Payer: UHCCP Medicaid |
$4,974.25
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$6,929.48
|
|
|
Service Code
|
APR-DRG 0242
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,359.29
|
|
|
Service Code
|
APR-DRG 0243
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$19,288.76
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$18,370.25 |
| Max. Negotiated Rate |
$19,288.76 |
| Rate for Payer: BCBS Complete |
$19,288.76
|
| Rate for Payer: Mclaren Medicaid |
$18,370.25
|
| Rate for Payer: Meridian Medicaid |
$19,288.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,370.25
|
| Rate for Payer: UHCCP Medicaid |
$18,370.25
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,654.80
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,576.00 |
| Max. Negotiated Rate |
$1,654.80 |
| Rate for Payer: BCBS Complete |
$1,654.80
|
| Rate for Payer: Mclaren Medicaid |
$1,576.00
|
| Rate for Payer: Meridian Medicaid |
$1,654.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,576.00
|
| Rate for Payer: UHCCP Medicaid |
$1,576.00
|
|