|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$10,032.23
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$9,554.50 |
| Max. Negotiated Rate |
$10,032.23 |
| Rate for Payer: BCBS Complete |
$10,032.23
|
| Rate for Payer: Mclaren Medicaid |
$9,554.50
|
| Rate for Payer: Meridian Medicaid |
$10,032.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,554.50
|
| Rate for Payer: UHCCP Medicaid |
$9,554.50
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,430.49
|
|
|
Service Code
|
APR-DRG 7732
|
| 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: 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
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$10,756.20
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$10,244.00 |
| Max. Negotiated Rate |
$10,756.20 |
| Rate for Payer: BCBS Complete |
$10,756.20
|
| Rate for Payer: Mclaren Medicaid |
$10,244.00
|
| Rate for Payer: Meridian Medicaid |
$10,756.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,244.00
|
| Rate for Payer: UHCCP Medicaid |
$10,244.00
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$19,081.91
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$18,173.25 |
| Max. Negotiated Rate |
$19,081.91 |
| Rate for Payer: BCBS Complete |
$19,081.91
|
| Rate for Payer: Mclaren Medicaid |
$18,173.25
|
| Rate for Payer: Meridian Medicaid |
$19,081.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,173.25
|
| Rate for Payer: UHCCP Medicaid |
$18,173.25
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$5,326.39
|
|
|
Service Code
|
APR-DRG 0731
|
| 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: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$7,188.04
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$6,845.75 |
| Max. Negotiated Rate |
$7,188.04 |
| Rate for Payer: BCBS Complete |
$7,188.04
|
| Rate for Payer: Mclaren Medicaid |
$6,845.75
|
| Rate for Payer: Meridian Medicaid |
$7,188.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,845.75
|
| Rate for Payer: UHCCP Medicaid |
$6,845.75
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$14,996.62
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$14,282.50 |
| Max. Negotiated Rate |
$14,996.62 |
| Rate for Payer: BCBS Complete |
$14,996.62
|
| Rate for Payer: Mclaren Medicaid |
$14,282.50
|
| Rate for Payer: Meridian Medicaid |
$14,996.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,282.50
|
| Rate for Payer: UHCCP Medicaid |
$14,282.50
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$2,844.19
|
|
|
Service Code
|
APR-DRG 7571
|
| 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: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$4,240.43
|
|
|
Service Code
|
APR-DRG 7572
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.43 |
| Rate for Payer: BCBS Complete |
$4,240.43
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$6,102.07
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$5,811.50 |
| Max. Negotiated Rate |
$6,102.07 |
| Rate for Payer: BCBS Complete |
$6,102.07
|
| Rate for Payer: Mclaren Medicaid |
$5,811.50
|
| Rate for Payer: Meridian Medicaid |
$6,102.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,811.50
|
| Rate for Payer: UHCCP Medicaid |
$5,811.50
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$5,119.54
|
|
|
Service Code
|
APR-DRG 3442
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$7,601.74
|
|
|
Service Code
|
APR-DRG 3443
|
| Min. Negotiated Rate |
$7,239.75 |
| Max. Negotiated Rate |
$7,601.74 |
| Rate for Payer: BCBS Complete |
$7,601.74
|
| Rate for Payer: Mclaren Medicaid |
$7,239.75
|
| Rate for Payer: Meridian Medicaid |
$7,601.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,239.75
|
| Rate for Payer: UHCCP Medicaid |
$7,239.75
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$12,100.73
|
|
|
Service Code
|
APR-DRG 3444
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 3441
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$4,602.41
|
|
|
Service Code
|
APR-DRG 8622
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 8624
|
| Min. Negotiated Rate |
$5,565.25 |
| Max. Negotiated Rate |
$5,843.51 |
| Rate for Payer: BCBS Complete |
$5,843.51
|
| Rate for Payer: Mclaren Medicaid |
$5,565.25
|
| Rate for Payer: Meridian Medicaid |
$5,843.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.25
|
| Rate for Payer: UHCCP Medicaid |
$5,565.25
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$2,016.79
|
|
|
Service Code
|
APR-DRG 8621
|
| Min. Negotiated Rate |
$1,920.75 |
| Max. Negotiated Rate |
$2,016.79 |
| Rate for Payer: BCBS Complete |
$2,016.79
|
| Rate for Payer: Mclaren Medicaid |
$1,920.75
|
| Rate for Payer: Meridian Medicaid |
$2,016.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,920.75
|
| Rate for Payer: UHCCP Medicaid |
$1,920.75
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 8623
|
| Min. Negotiated Rate |
$5,565.25 |
| Max. Negotiated Rate |
$5,843.51 |
| Rate for Payer: BCBS Complete |
$5,843.51
|
| Rate for Payer: Mclaren Medicaid |
$5,565.25
|
| Rate for Payer: Meridian Medicaid |
$5,843.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,565.25
|
| Rate for Payer: UHCCP Medicaid |
$5,565.25
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$10,601.06
|
|
|
Service Code
|
APR-DRG 2534
|
| Min. Negotiated Rate |
$10,096.25 |
| Max. Negotiated Rate |
$10,601.06 |
| Rate for Payer: BCBS Complete |
$10,601.06
|
| Rate for Payer: Mclaren Medicaid |
$10,096.25
|
| Rate for Payer: Meridian Medicaid |
$10,601.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,096.25
|
| Rate for Payer: UHCCP Medicaid |
$10,096.25
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 2531
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 2533
|
| Min. Negotiated Rate |
$5,860.75 |
| Max. Negotiated Rate |
$6,153.79 |
| Rate for Payer: BCBS Complete |
$6,153.79
|
| Rate for Payer: Mclaren Medicaid |
$5,860.75
|
| Rate for Payer: Meridian Medicaid |
$6,153.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,860.75
|
| Rate for Payer: UHCCP Medicaid |
$5,860.75
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 2532
|
| Min. Negotiated Rate |
$3,890.75 |
| Max. Negotiated Rate |
$4,085.29 |
| Rate for Payer: BCBS Complete |
$4,085.29
|
| Rate for Payer: Mclaren Medicaid |
$3,890.75
|
| Rate for Payer: Meridian Medicaid |
$4,085.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,890.75
|
| Rate for Payer: UHCCP Medicaid |
$3,890.75
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,033.57
|
|
|
Service Code
|
APR-DRG 6632
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.57 |
| Rate for Payer: BCBS Complete |
$4,033.57
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$2,895.90
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$2,758.00 |
| Max. Negotiated Rate |
$2,895.90 |
| Rate for Payer: BCBS Complete |
$2,895.90
|
| Rate for Payer: Mclaren Medicaid |
$2,758.00
|
| Rate for Payer: Meridian Medicaid |
$2,895.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,758.00
|
| Rate for Payer: UHCCP Medicaid |
$2,758.00
|
|