|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$2,378.78
|
|
|
Service Code
|
APR-DRG 7601
|
| Min. Negotiated Rate |
$2,265.50 |
| Max. Negotiated Rate |
$2,378.78 |
| Rate for Payer: BCBS Complete |
$2,378.78
|
| Rate for Payer: Mclaren Medicaid |
$2,265.50
|
| Rate for Payer: Meridian Medicaid |
$2,378.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,265.50
|
| Rate for Payer: UHCCP Medicaid |
$2,265.50
|
|
|
APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS
|
Facility
|
IP
|
$8,687.70
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$8,274.00 |
| Max. Negotiated Rate |
$8,687.70 |
| Rate for Payer: BCBS Complete |
$8,687.70
|
| Rate for Payer: Mclaren Medicaid |
$8,274.00
|
| Rate for Payer: Meridian Medicaid |
$8,687.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,274.00
|
| Rate for Payer: UHCCP Medicaid |
$8,274.00
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 3514
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,637.34
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$2,511.75 |
| Max. Negotiated Rate |
$2,637.34 |
| Rate for Payer: BCBS Complete |
$2,637.34
|
| Rate for Payer: Mclaren Medicaid |
$2,511.75
|
| Rate for Payer: Meridian Medicaid |
$2,637.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,511.75
|
| Rate for Payer: UHCCP Medicaid |
$2,511.75
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,413.02
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$3,250.50 |
| Max. Negotiated Rate |
$3,413.02 |
| Rate for Payer: BCBS Complete |
$3,413.02
|
| Rate for Payer: Mclaren Medicaid |
$3,250.50
|
| Rate for Payer: Meridian Medicaid |
$3,413.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.50
|
| Rate for Payer: UHCCP Medicaid |
$3,250.50
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$5,023.50 |
| Max. Negotiated Rate |
$5,274.68 |
| Rate for Payer: BCBS Complete |
$5,274.68
|
| Rate for Payer: Mclaren Medicaid |
$5,023.50
|
| Rate for Payer: Meridian Medicaid |
$5,274.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.50
|
| Rate for Payer: UHCCP Medicaid |
$5,023.50
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$12,307.58
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$11,721.50 |
| Max. Negotiated Rate |
$12,307.58 |
| Rate for Payer: BCBS Complete |
$12,307.58
|
| Rate for Payer: Mclaren Medicaid |
$11,721.50
|
| Rate for Payer: Meridian Medicaid |
$12,307.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,721.50
|
| Rate for Payer: UHCCP Medicaid |
$11,721.50
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$7,291.46
|
|
|
Service Code
|
APR-DRG 3201
|
| 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$9,773.66
|
|
|
Service Code
|
APR-DRG 3202
|
| Min. Negotiated Rate |
$9,308.25 |
| Max. Negotiated Rate |
$9,773.66 |
| Rate for Payer: BCBS Complete |
$9,773.66
|
| Rate for Payer: Mclaren Medicaid |
$9,308.25
|
| Rate for Payer: Meridian Medicaid |
$9,773.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,308.25
|
| Rate for Payer: UHCCP Medicaid |
$9,308.25
|
|
|
APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$19,599.04
|
|
|
Service Code
|
APR-DRG 3204
|
| 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: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$11,687.02
|
|
|
Service Code
|
APR-DRG 0262
|
| Min. Negotiated Rate |
$11,130.50 |
| Max. Negotiated Rate |
$11,687.02 |
| Rate for Payer: BCBS Complete |
$11,687.02
|
| Rate for Payer: Mclaren Medicaid |
$11,130.50
|
| Rate for Payer: Meridian Medicaid |
$11,687.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,130.50
|
| Rate for Payer: UHCCP Medicaid |
$11,130.50
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$12,617.85
|
|
|
Service Code
|
APR-DRG 0263
|
| Min. Negotiated Rate |
$12,017.00 |
| Max. Negotiated Rate |
$12,617.85 |
| Rate for Payer: BCBS Complete |
$12,617.85
|
| Rate for Payer: Mclaren Medicaid |
$12,017.00
|
| Rate for Payer: Meridian Medicaid |
$12,617.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,017.00
|
| Rate for Payer: UHCCP Medicaid |
$12,017.00
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$7,756.88
|
|
|
Service Code
|
APR-DRG 0261
|
| Min. Negotiated Rate |
$7,387.50 |
| Max. Negotiated Rate |
$7,756.88 |
| Rate for Payer: BCBS Complete |
$7,756.88
|
| Rate for Payer: Mclaren Medicaid |
$7,387.50
|
| Rate for Payer: Meridian Medicaid |
$7,756.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,387.50
|
| Rate for Payer: UHCCP Medicaid |
$7,387.50
|
|
|
APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$16,909.99
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$16,104.75 |
| Max. Negotiated Rate |
$16,909.99 |
| Rate for Payer: BCBS Complete |
$16,909.99
|
| Rate for Payer: Mclaren Medicaid |
$16,104.75
|
| Rate for Payer: Meridian Medicaid |
$16,909.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,104.75
|
| Rate for Payer: UHCCP Medicaid |
$16,104.75
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,671.59
|
|
|
Service Code
|
APR-DRG 4252
|
| Min. Negotiated Rate |
$3,496.75 |
| Max. Negotiated Rate |
$3,671.59 |
| Rate for Payer: BCBS Complete |
$3,671.59
|
| Rate for Payer: Mclaren Medicaid |
$3,496.75
|
| Rate for Payer: Meridian Medicaid |
$3,671.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,496.75
|
| Rate for Payer: UHCCP Medicaid |
$3,496.75
|
|
|
APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,290.79
|
|
|
Service Code
|
APR-DRG 4254
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,585.62
|
|
|
Service Code
|
APR-DRG 4251
|
| 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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,274.68
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$5,023.50 |
| Max. Negotiated Rate |
$5,274.68 |
| Rate for Payer: BCBS Complete |
$5,274.68
|
| Rate for Payer: Mclaren Medicaid |
$5,023.50
|
| Rate for Payer: Meridian Medicaid |
$5,274.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.50
|
| Rate for Payer: UHCCP Medicaid |
$5,023.50
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$23,787.75
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$22,655.00 |
| Max. Negotiated Rate |
$23,787.75 |
| Rate for Payer: BCBS Complete |
$23,787.75
|
| Rate for Payer: Mclaren Medicaid |
$22,655.00
|
| Rate for Payer: Meridian Medicaid |
$23,787.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,655.00
|
| Rate for Payer: UHCCP Medicaid |
$22,655.00
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$11,480.18
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$10,933.50 |
| Max. Negotiated Rate |
$11,480.18 |
| Rate for Payer: BCBS Complete |
$11,480.18
|
| Rate for Payer: Mclaren Medicaid |
$10,933.50
|
| Rate for Payer: Meridian Medicaid |
$11,480.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,933.50
|
| Rate for Payer: UHCCP Medicaid |
$10,933.50
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$16,703.14
|
|
|
Service Code
|
APR-DRG 0273
|
| Min. Negotiated Rate |
$15,907.75 |
| Max. Negotiated Rate |
$16,703.14 |
| Rate for Payer: BCBS Complete |
$16,703.14
|
| Rate for Payer: Mclaren Medicaid |
$15,907.75
|
| Rate for Payer: Meridian Medicaid |
$16,703.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,907.75
|
| Rate for Payer: UHCCP Medicaid |
$15,907.75
|
|
|
APR-DRG 42.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$8,377.42
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$7,978.50 |
| Max. Negotiated Rate |
$8,377.42 |
| Rate for Payer: BCBS Complete |
$8,377.42
|
| Rate for Payer: Mclaren Medicaid |
$7,978.50
|
| Rate for Payer: Meridian Medicaid |
$8,377.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,978.50
|
| Rate for Payer: UHCCP Medicaid |
$7,978.50
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$27,614.48
|
|
|
Service Code
|
APR-DRG 6814
|
| 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: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$11,221.61
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$10,687.25 |
| Max. Negotiated Rate |
$11,221.61 |
| Rate for Payer: BCBS Complete |
$11,221.61
|
| Rate for Payer: Mclaren Medicaid |
$10,687.25
|
| Rate for Payer: Meridian Medicaid |
$11,221.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,687.25
|
| Rate for Payer: UHCCP Medicaid |
$10,687.25
|
|
|
APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$13,548.68
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$12,903.50 |
| Max. Negotiated Rate |
$13,548.68 |
| Rate for Payer: BCBS Complete |
$13,548.68
|
| Rate for Payer: Mclaren Medicaid |
$12,903.50
|
| Rate for Payer: Meridian Medicaid |
$13,548.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,903.50
|
| Rate for Payer: UHCCP Medicaid |
$12,903.50
|
|