|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,722.62
|
|
|
Service Code
|
APR-DRG 2543
|
| 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: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$3,826.72
|
|
|
Service Code
|
APR-DRG 0581
|
| 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 DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,705.16
|
|
|
Service Code
|
APR-DRG 0583
|
| Min. Negotiated Rate |
$7,338.25 |
| Max. Negotiated Rate |
$7,705.16 |
| Rate for Payer: BCBS Complete |
$7,705.16
|
| Rate for Payer: Mclaren Medicaid |
$7,338.25
|
| Rate for Payer: Meridian Medicaid |
$7,705.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,338.25
|
| Rate for Payer: UHCCP Medicaid |
$7,338.25
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,342.50
|
|
|
Service Code
|
APR-DRG 0584
|
| Min. Negotiated Rate |
$9,850.00 |
| Max. Negotiated Rate |
$10,342.50 |
| Rate for Payer: BCBS Complete |
$10,342.50
|
| Rate for Payer: Mclaren Medicaid |
$9,850.00
|
| Rate for Payer: Meridian Medicaid |
$10,342.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,850.00
|
| Rate for Payer: UHCCP Medicaid |
$9,850.00
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$5,533.24
|
|
|
Service Code
|
APR-DRG 0582
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$6,412.35
|
|
|
Service Code
|
APR-DRG 2833
|
| Min. Negotiated Rate |
$6,107.00 |
| Max. Negotiated Rate |
$6,412.35 |
| Rate for Payer: BCBS Complete |
$6,412.35
|
| Rate for Payer: Mclaren Medicaid |
$6,107.00
|
| Rate for Payer: Meridian Medicaid |
$6,412.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,107.00
|
| Rate for Payer: UHCCP Medicaid |
$6,107.00
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$4,292.14
|
|
|
Service Code
|
APR-DRG 2832
|
| 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 DISORDERS OF THE LIVER
|
Facility
|
IP
|
$2,740.76
|
|
|
Service Code
|
APR-DRG 2831
|
| Min. Negotiated Rate |
$2,610.25 |
| Max. Negotiated Rate |
$2,740.76 |
| Rate for Payer: BCBS Complete |
$2,740.76
|
| Rate for Payer: Mclaren Medicaid |
$2,610.25
|
| Rate for Payer: Meridian Medicaid |
$2,740.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,610.25
|
| Rate for Payer: UHCCP Medicaid |
$2,610.25
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$10,239.08
|
|
|
Service Code
|
APR-DRG 2834
|
| Min. Negotiated Rate |
$9,751.50 |
| Max. Negotiated Rate |
$10,239.08 |
| Rate for Payer: BCBS Complete |
$10,239.08
|
| Rate for Payer: Mclaren Medicaid |
$9,751.50
|
| Rate for Payer: Meridian Medicaid |
$10,239.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,751.50
|
| Rate for Payer: UHCCP Medicaid |
$9,751.50
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,033.58
|
|
|
Service Code
|
APR-DRG 7762
|
| Min. Negotiated Rate |
$3,841.50 |
| Max. Negotiated Rate |
$4,033.58 |
| Rate for Payer: BCBS Complete |
$4,033.58
|
| Rate for Payer: Mclaren Medicaid |
$3,841.50
|
| Rate for Payer: Meridian Medicaid |
$4,033.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,841.50
|
| Rate for Payer: UHCCP Medicaid |
$3,841.50
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$5,843.51
|
|
|
Service Code
|
APR-DRG 7763
|
| 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 DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,257.89
|
|
|
Service Code
|
APR-DRG 7761
|
| 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: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$10,652.78
|
|
|
Service Code
|
APR-DRG 7764
|
| Min. Negotiated Rate |
$10,145.50 |
| Max. Negotiated Rate |
$10,652.78 |
| Rate for Payer: BCBS Complete |
$10,652.78
|
| Rate for Payer: Mclaren Medicaid |
$10,145.50
|
| Rate for Payer: Meridian Medicaid |
$10,652.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,145.50
|
| Rate for Payer: UHCCP Medicaid |
$10,145.50
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,619.20
|
|
|
Service Code
|
APR-DRG 1153
|
| Min. Negotiated Rate |
$6,304.00 |
| Max. Negotiated Rate |
$6,619.20 |
| Rate for Payer: BCBS Complete |
$6,619.20
|
| Rate for Payer: Mclaren Medicaid |
$6,304.00
|
| Rate for Payer: Meridian Medicaid |
$6,619.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,304.00
|
| Rate for Payer: UHCCP Medicaid |
$6,304.00
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,240.42
|
|
|
Service Code
|
APR-DRG 1152
|
| Min. Negotiated Rate |
$4,038.50 |
| Max. Negotiated Rate |
$4,240.42 |
| Rate for Payer: BCBS Complete |
$4,240.42
|
| Rate for Payer: Mclaren Medicaid |
$4,038.50
|
| Rate for Payer: Meridian Medicaid |
$4,240.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,038.50
|
| Rate for Payer: UHCCP Medicaid |
$4,038.50
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$3,206.18
|
|
|
Service Code
|
APR-DRG 1151
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$10,445.92
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$9,948.50 |
| Max. Negotiated Rate |
$10,445.92 |
| Rate for Payer: BCBS Complete |
$10,445.92
|
| Rate for Payer: Mclaren Medicaid |
$9,948.50
|
| Rate for Payer: Meridian Medicaid |
$10,445.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,948.50
|
| Rate for Payer: UHCCP Medicaid |
$9,948.50
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$5,740.09
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$5,466.75 |
| Max. Negotiated Rate |
$5,740.09 |
| Rate for Payer: BCBS Complete |
$5,740.09
|
| Rate for Payer: Mclaren Medicaid |
$5,466.75
|
| Rate for Payer: Meridian Medicaid |
$5,740.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,466.75
|
| Rate for Payer: UHCCP Medicaid |
$5,466.75
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$18,513.08
|
|
|
Service Code
|
APR-DRG 0984
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$14,220.94
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$13,543.75 |
| Max. Negotiated Rate |
$14,220.94 |
| Rate for Payer: BCBS Complete |
$14,220.94
|
| Rate for Payer: Mclaren Medicaid |
$13,543.75
|
| Rate for Payer: Meridian Medicaid |
$14,220.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,543.75
|
| Rate for Payer: UHCCP Medicaid |
$13,543.75
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$9,670.24
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$9,209.75 |
| Max. Negotiated Rate |
$9,670.24 |
| Rate for Payer: BCBS Complete |
$9,670.24
|
| Rate for Payer: Mclaren Medicaid |
$9,209.75
|
| Rate for Payer: Meridian Medicaid |
$9,670.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,209.75
|
| Rate for Payer: UHCCP Medicaid |
$9,209.75
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 4243
|
| Min. Negotiated Rate |
$6,944.25 |
| Max. Negotiated Rate |
$7,291.46 |
| Rate for Payer: BCBS Complete |
$7,291.46
|
| Rate for Payer: Mclaren Medicaid |
$6,944.25
|
| Rate for Payer: Meridian Medicaid |
$7,291.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,944.25
|
| Rate for Payer: UHCCP Medicaid |
$6,944.25
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,395.56
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$4,186.25 |
| Max. Negotiated Rate |
$4,395.56 |
| Rate for Payer: BCBS Complete |
$4,395.56
|
| Rate for Payer: Mclaren Medicaid |
$4,186.25
|
| Rate for Payer: Meridian Medicaid |
$4,395.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.25
|
| Rate for Payer: UHCCP Medicaid |
$4,186.25
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,619.88
|
|
|
Service Code
|
APR-DRG 4241
|
| 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: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$12,514.42
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$11,918.50 |
| Max. Negotiated Rate |
$12,514.42 |
| Rate for Payer: BCBS Complete |
$12,514.42
|
| Rate for Payer: Mclaren Medicaid |
$11,918.50
|
| Rate for Payer: Meridian Medicaid |
$12,514.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,918.50
|
| Rate for Payer: UHCCP Medicaid |
$11,918.50
|
|