INPATIENT APRDRG 7402: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$6,628.39
|
|
Service Code
|
APR-DRG 7402
|
Hospital Charge Code |
APRDRG 7402
|
Min. Negotiated Rate |
$6,312.75 |
Max. Negotiated Rate |
$6,628.39 |
Rate for Payer: BCBS Complete |
$6,628.39
|
Rate for Payer: Mclaren Medicaid |
$6,312.75
|
Rate for Payer: Meridian Medicaid |
$6,628.39
|
Rate for Payer: Priority Health Choice Medicaid |
$6,312.75
|
|
INPATIENT APRDRG 7403: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$15,241.31
|
|
Service Code
|
APR-DRG 7403
|
Hospital Charge Code |
APRDRG 7403
|
Min. Negotiated Rate |
$14,515.53 |
Max. Negotiated Rate |
$15,241.31 |
Rate for Payer: BCBS Complete |
$15,241.31
|
Rate for Payer: Mclaren Medicaid |
$14,515.53
|
Rate for Payer: Meridian Medicaid |
$15,241.31
|
Rate for Payer: Priority Health Choice Medicaid |
$14,515.53
|
|
INPATIENT APRDRG 7404: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$35,048.16
|
|
Service Code
|
APR-DRG 7404
|
Hospital Charge Code |
APRDRG 7404
|
Min. Negotiated Rate |
$33,379.20 |
Max. Negotiated Rate |
$35,048.16 |
Rate for Payer: BCBS Complete |
$35,048.16
|
Rate for Payer: Mclaren Medicaid |
$33,379.20
|
Rate for Payer: Meridian Medicaid |
$35,048.16
|
Rate for Payer: Priority Health Choice Medicaid |
$33,379.20
|
|
INPATIENT APRDRG 7501: SCHIZOPHRENIA
|
Facility
|
IP
|
$3,794.99
|
|
Service Code
|
APR-DRG 7501
|
Hospital Charge Code |
APRDRG 7501
|
Min. Negotiated Rate |
$3,614.28 |
Max. Negotiated Rate |
$3,794.99 |
Rate for Payer: BCBS Complete |
$3,794.99
|
Rate for Payer: Mclaren Medicaid |
$3,614.28
|
Rate for Payer: Meridian Medicaid |
$3,794.99
|
Rate for Payer: Priority Health Choice Medicaid |
$3,614.28
|
|
INPATIENT APRDRG 7502: SCHIZOPHRENIA
|
Facility
|
IP
|
$4,462.32
|
|
Service Code
|
APR-DRG 7502
|
Hospital Charge Code |
APRDRG 7502
|
Min. Negotiated Rate |
$4,249.83 |
Max. Negotiated Rate |
$4,462.32 |
Rate for Payer: BCBS Complete |
$4,462.32
|
Rate for Payer: Mclaren Medicaid |
$4,249.83
|
Rate for Payer: Meridian Medicaid |
$4,462.32
|
Rate for Payer: Priority Health Choice Medicaid |
$4,249.83
|
|
INPATIENT APRDRG 7503: SCHIZOPHRENIA
|
Facility
|
IP
|
$6,175.03
|
|
Service Code
|
APR-DRG 7503
|
Hospital Charge Code |
APRDRG 7503
|
Min. Negotiated Rate |
$5,880.98 |
Max. Negotiated Rate |
$6,175.03 |
Rate for Payer: BCBS Complete |
$6,175.03
|
Rate for Payer: Mclaren Medicaid |
$5,880.98
|
Rate for Payer: Meridian Medicaid |
$6,175.03
|
Rate for Payer: Priority Health Choice Medicaid |
$5,880.98
|
|
INPATIENT APRDRG 7504: SCHIZOPHRENIA
|
Facility
|
IP
|
$12,793.94
|
|
Service Code
|
APR-DRG 7504
|
Hospital Charge Code |
APRDRG 7504
|
Min. Negotiated Rate |
$12,184.70 |
Max. Negotiated Rate |
$12,793.94 |
Rate for Payer: BCBS Complete |
$12,793.94
|
Rate for Payer: Mclaren Medicaid |
$12,184.70
|
Rate for Payer: Meridian Medicaid |
$12,793.94
|
Rate for Payer: Priority Health Choice Medicaid |
$12,184.70
|
|
INPATIENT APRDRG 7511: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$2,551.11
|
|
Service Code
|
APR-DRG 7511
|
Hospital Charge Code |
APRDRG 7511
|
Min. Negotiated Rate |
$2,429.63 |
Max. Negotiated Rate |
$2,551.11 |
Rate for Payer: BCBS Complete |
$2,551.11
|
Rate for Payer: Mclaren Medicaid |
$2,429.63
|
Rate for Payer: Meridian Medicaid |
$2,551.11
|
Rate for Payer: Priority Health Choice Medicaid |
$2,429.63
|
|
INPATIENT APRDRG 7512: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$3,083.27
|
|
Service Code
|
APR-DRG 7512
|
Hospital Charge Code |
APRDRG 7512
|
Min. Negotiated Rate |
$2,936.45 |
Max. Negotiated Rate |
$3,083.27 |
Rate for Payer: BCBS Complete |
$3,083.27
|
Rate for Payer: Mclaren Medicaid |
$2,936.45
|
Rate for Payer: Meridian Medicaid |
$3,083.27
|
Rate for Payer: Priority Health Choice Medicaid |
$2,936.45
|
|
INPATIENT APRDRG 7513: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$4,568.06
|
|
Service Code
|
APR-DRG 7513
|
Hospital Charge Code |
APRDRG 7513
|
Min. Negotiated Rate |
$4,350.53 |
Max. Negotiated Rate |
$4,568.06 |
Rate for Payer: BCBS Complete |
$4,568.06
|
Rate for Payer: Mclaren Medicaid |
$4,350.53
|
Rate for Payer: Meridian Medicaid |
$4,568.06
|
Rate for Payer: Priority Health Choice Medicaid |
$4,350.53
|
|
INPATIENT APRDRG 7514: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$9,478.75
|
|
Service Code
|
APR-DRG 7514
|
Hospital Charge Code |
APRDRG 7514
|
Min. Negotiated Rate |
$9,027.38 |
Max. Negotiated Rate |
$9,478.75 |
Rate for Payer: BCBS Complete |
$9,478.75
|
Rate for Payer: Mclaren Medicaid |
$9,027.38
|
Rate for Payer: Meridian Medicaid |
$9,478.75
|
Rate for Payer: Priority Health Choice Medicaid |
$9,027.38
|
|
INPATIENT APRDRG 7521: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$1,715.70
|
|
Service Code
|
APR-DRG 7521
|
Hospital Charge Code |
APRDRG 7521
|
Min. Negotiated Rate |
$1,634.00 |
Max. Negotiated Rate |
$1,715.70 |
Rate for Payer: BCBS Complete |
$1,715.70
|
Rate for Payer: Mclaren Medicaid |
$1,634.00
|
Rate for Payer: Meridian Medicaid |
$1,715.70
|
Rate for Payer: Priority Health Choice Medicaid |
$1,634.00
|
|
INPATIENT APRDRG 7522: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$2,491.26
|
|
Service Code
|
APR-DRG 7522
|
Hospital Charge Code |
APRDRG 7522
|
Min. Negotiated Rate |
$2,372.63 |
Max. Negotiated Rate |
$2,491.26 |
Rate for Payer: BCBS Complete |
$2,491.26
|
Rate for Payer: Mclaren Medicaid |
$2,372.63
|
Rate for Payer: Meridian Medicaid |
$2,491.26
|
Rate for Payer: Priority Health Choice Medicaid |
$2,372.63
|
|
INPATIENT APRDRG 7523: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$6,871.28
|
|
Service Code
|
APR-DRG 7523
|
Hospital Charge Code |
APRDRG 7523
|
Min. Negotiated Rate |
$6,544.08 |
Max. Negotiated Rate |
$6,871.28 |
Rate for Payer: BCBS Complete |
$6,871.28
|
Rate for Payer: Mclaren Medicaid |
$6,544.08
|
Rate for Payer: Meridian Medicaid |
$6,871.28
|
Rate for Payer: Priority Health Choice Medicaid |
$6,544.08
|
|
INPATIENT APRDRG 7524: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$12,755.54
|
|
Service Code
|
APR-DRG 7524
|
Hospital Charge Code |
APRDRG 7524
|
Min. Negotiated Rate |
$12,148.13 |
Max. Negotiated Rate |
$12,755.54 |
Rate for Payer: BCBS Complete |
$12,755.54
|
Rate for Payer: Mclaren Medicaid |
$12,148.13
|
Rate for Payer: Meridian Medicaid |
$12,755.54
|
Rate for Payer: Priority Health Choice Medicaid |
$12,148.13
|
|
INPATIENT APRDRG 7531: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,277.80
|
|
Service Code
|
APR-DRG 7531
|
Hospital Charge Code |
APRDRG 7531
|
Min. Negotiated Rate |
$2,169.33 |
Max. Negotiated Rate |
$2,277.80 |
Rate for Payer: BCBS Complete |
$2,277.80
|
Rate for Payer: Mclaren Medicaid |
$2,169.33
|
Rate for Payer: Meridian Medicaid |
$2,277.80
|
Rate for Payer: Priority Health Choice Medicaid |
$2,169.33
|
|
INPATIENT APRDRG 7532: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,991.01
|
|
Service Code
|
APR-DRG 7532
|
Hospital Charge Code |
APRDRG 7532
|
Min. Negotiated Rate |
$2,848.58 |
Max. Negotiated Rate |
$2,991.01 |
Rate for Payer: BCBS Complete |
$2,991.01
|
Rate for Payer: Mclaren Medicaid |
$2,848.58
|
Rate for Payer: Meridian Medicaid |
$2,991.01
|
Rate for Payer: Priority Health Choice Medicaid |
$2,848.58
|
|
INPATIENT APRDRG 7533: BIPOLAR DISORDERS
|
Facility
|
IP
|
$6,227.90
|
|
Service Code
|
APR-DRG 7533
|
Hospital Charge Code |
APRDRG 7533
|
Min. Negotiated Rate |
$5,931.33 |
Max. Negotiated Rate |
$6,227.90 |
Rate for Payer: BCBS Complete |
$6,227.90
|
Rate for Payer: Mclaren Medicaid |
$5,931.33
|
Rate for Payer: Meridian Medicaid |
$6,227.90
|
Rate for Payer: Priority Health Choice Medicaid |
$5,931.33
|
|
INPATIENT APRDRG 7534: BIPOLAR DISORDERS
|
Facility
|
IP
|
$10,854.30
|
|
Service Code
|
APR-DRG 7534
|
Hospital Charge Code |
APRDRG 7534
|
Min. Negotiated Rate |
$10,337.43 |
Max. Negotiated Rate |
$10,854.30 |
Rate for Payer: BCBS Complete |
$10,854.30
|
Rate for Payer: Mclaren Medicaid |
$10,337.43
|
Rate for Payer: Meridian Medicaid |
$10,854.30
|
Rate for Payer: Priority Health Choice Medicaid |
$10,337.43
|
|
INPATIENT APRDRG 7541: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$2,389.52
|
|
Service Code
|
APR-DRG 7541
|
Hospital Charge Code |
APRDRG 7541
|
Min. Negotiated Rate |
$2,275.73 |
Max. Negotiated Rate |
$2,389.52 |
Rate for Payer: BCBS Complete |
$2,389.52
|
Rate for Payer: Mclaren Medicaid |
$2,275.73
|
Rate for Payer: Meridian Medicaid |
$2,389.52
|
Rate for Payer: Priority Health Choice Medicaid |
$2,275.73
|
|
INPATIENT APRDRG 7542: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$3,360.58
|
|
Service Code
|
APR-DRG 7542
|
Hospital Charge Code |
APRDRG 7542
|
Min. Negotiated Rate |
$3,200.55 |
Max. Negotiated Rate |
$3,360.58 |
Rate for Payer: BCBS Complete |
$3,360.58
|
Rate for Payer: Mclaren Medicaid |
$3,200.55
|
Rate for Payer: Meridian Medicaid |
$3,360.58
|
Rate for Payer: Priority Health Choice Medicaid |
$3,200.55
|
|
INPATIENT APRDRG 7543: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$4,435.88
|
|
Service Code
|
APR-DRG 7543
|
Hospital Charge Code |
APRDRG 7543
|
Min. Negotiated Rate |
$4,224.65 |
Max. Negotiated Rate |
$4,435.88 |
Rate for Payer: BCBS Complete |
$4,435.88
|
Rate for Payer: Mclaren Medicaid |
$4,224.65
|
Rate for Payer: Meridian Medicaid |
$4,435.88
|
Rate for Payer: Priority Health Choice Medicaid |
$4,224.65
|
|
INPATIENT APRDRG 7544: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$10,725.62
|
|
Service Code
|
APR-DRG 7544
|
Hospital Charge Code |
APRDRG 7544
|
Min. Negotiated Rate |
$10,214.88 |
Max. Negotiated Rate |
$10,725.62 |
Rate for Payer: BCBS Complete |
$10,725.62
|
Rate for Payer: Mclaren Medicaid |
$10,214.88
|
Rate for Payer: Meridian Medicaid |
$10,725.62
|
Rate for Payer: Priority Health Choice Medicaid |
$10,214.88
|
|
INPATIENT APRDRG 7551: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$2,934.64
|
|
Service Code
|
APR-DRG 7551
|
Hospital Charge Code |
APRDRG 7551
|
Min. Negotiated Rate |
$2,794.90 |
Max. Negotiated Rate |
$2,934.64 |
Rate for Payer: BCBS Complete |
$2,934.64
|
Rate for Payer: Mclaren Medicaid |
$2,794.90
|
Rate for Payer: Meridian Medicaid |
$2,934.64
|
Rate for Payer: Priority Health Choice Medicaid |
$2,794.90
|
|
INPATIENT APRDRG 7552: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$3,811.95
|
|
Service Code
|
APR-DRG 7552
|
Hospital Charge Code |
APRDRG 7552
|
Min. Negotiated Rate |
$3,630.43 |
Max. Negotiated Rate |
$3,811.95 |
Rate for Payer: BCBS Complete |
$3,811.95
|
Rate for Payer: Mclaren Medicaid |
$3,630.43
|
Rate for Payer: Meridian Medicaid |
$3,811.95
|
Rate for Payer: Priority Health Choice Medicaid |
$3,630.43
|
|