|
APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$8,126.25 |
| Max. Negotiated Rate |
$8,532.56 |
| Rate for Payer: BCBS Complete |
$8,532.56
|
| Rate for Payer: Mclaren Medicaid |
$8,126.25
|
| Rate for Payer: Meridian Medicaid |
$8,532.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,126.25
|
| Rate for Payer: UHCCP Medicaid |
$8,126.25
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 8132
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 8131
|
| 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 COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,257.21
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$5,959.25 |
| Max. Negotiated Rate |
$6,257.21 |
| Rate for Payer: BCBS Complete |
$6,257.21
|
| Rate for Payer: Mclaren Medicaid |
$5,959.25
|
| Rate for Payer: Meridian Medicaid |
$6,257.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,959.25
|
| Rate for Payer: UHCCP Medicaid |
$5,959.25
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,066.48
|
|
|
Service Code
|
APR-DRG 8134
|
| 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: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$20,788.42
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$19,798.50 |
| Max. Negotiated Rate |
$20,788.42 |
| Rate for Payer: BCBS Complete |
$20,788.42
|
| Rate for Payer: Mclaren Medicaid |
$19,798.50
|
| Rate for Payer: Meridian Medicaid |
$20,788.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,798.50
|
| Rate for Payer: UHCCP Medicaid |
$19,798.50
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$12,979.84
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$12,361.75 |
| Max. Negotiated Rate |
$12,979.84 |
| Rate for Payer: BCBS Complete |
$12,979.84
|
| Rate for Payer: Mclaren Medicaid |
$12,361.75
|
| Rate for Payer: Meridian Medicaid |
$12,979.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,361.75
|
| Rate for Payer: UHCCP Medicaid |
$12,361.75
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 2291
|
| 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 DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,739.41
|
|
|
Service Code
|
APR-DRG 2292
|
| 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: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,085.29
|
|
|
Service Code
|
APR-DRG 2542
|
| 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 DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$10,290.79
|
|
|
Service Code
|
APR-DRG 2544
|
| 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: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,102.07
|
|
|
Service Code
|
APR-DRG 2543
|
| 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: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,154.46
|
|
|
Service Code
|
APR-DRG 2541
|
| 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 DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,153.79
|
|
|
Service Code
|
APR-DRG 0582
|
| 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 DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$8,532.56
|
|
|
Service Code
|
APR-DRG 0583
|
| Min. Negotiated Rate |
$8,126.25 |
| Max. Negotiated Rate |
$8,532.56 |
| Rate for Payer: BCBS Complete |
$8,532.56
|
| Rate for Payer: Mclaren Medicaid |
$8,126.25
|
| Rate for Payer: Meridian Medicaid |
$8,532.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,126.25
|
| Rate for Payer: UHCCP Medicaid |
$8,126.25
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,240.43
|
|
|
Service Code
|
APR-DRG 0581
|
| 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: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$11,480.17
|
|
|
Service Code
|
APR-DRG 0584
|
| Min. Negotiated Rate |
$10,933.50 |
| Max. Negotiated Rate |
$11,480.17 |
| Rate for Payer: BCBS Complete |
$11,480.17
|
| Rate for Payer: Mclaren Medicaid |
$10,933.50
|
| Rate for Payer: Meridian Medicaid |
$11,480.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,933.50
|
| Rate for Payer: UHCCP Medicaid |
$10,933.50
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$4,240.43
|
|
|
Service Code
|
APR-DRG 2832
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$6,464.06
|
|
|
Service Code
|
APR-DRG 2833
|
| Min. Negotiated Rate |
$6,156.25 |
| Max. Negotiated Rate |
$6,464.06 |
| Rate for Payer: BCBS Complete |
$6,464.06
|
| Rate for Payer: Mclaren Medicaid |
$6,156.25
|
| Rate for Payer: Meridian Medicaid |
$6,464.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,156.25
|
| Rate for Payer: UHCCP Medicaid |
$6,156.25
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$12,049.01
|
|
|
Service Code
|
APR-DRG 2834
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$3,051.04
|
|
|
Service Code
|
APR-DRG 2831
|
| Min. Negotiated Rate |
$2,905.75 |
| Max. Negotiated Rate |
$3,051.04 |
| Rate for Payer: BCBS Complete |
$3,051.04
|
| Rate for Payer: Mclaren Medicaid |
$2,905.75
|
| Rate for Payer: Meridian Medicaid |
$3,051.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,905.75
|
| Rate for Payer: UHCCP Medicaid |
$2,905.75
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,585.62
|
|
|
Service Code
|
APR-DRG 7762
|
| 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: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,912.69
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$4,678.75 |
| Max. Negotiated Rate |
$4,912.69 |
| Rate for Payer: BCBS Complete |
$4,912.69
|
| Rate for Payer: Mclaren Medicaid |
$4,678.75
|
| Rate for Payer: Meridian Medicaid |
$4,912.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,678.75
|
| Rate for Payer: UHCCP Medicaid |
$4,678.75
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$9,359.96
|
|
|
Service Code
|
APR-DRG 7764
|
| 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: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,913.36
|
|
|
Service Code
|
APR-DRG 7761
|
| Min. Negotiated Rate |
$1,822.25 |
| Max. Negotiated Rate |
$1,913.36 |
| Rate for Payer: BCBS Complete |
$1,913.36
|
| Rate for Payer: Mclaren Medicaid |
$1,822.25
|
| Rate for Payer: Meridian Medicaid |
$1,913.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,822.25
|
| Rate for Payer: UHCCP Medicaid |
$1,822.25
|
|