INPATIENT APRDRG 7553: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$6,088.74
|
|
Service Code
|
APR-DRG 7553
|
Hospital Charge Code |
APRDRG 7553
|
Min. Negotiated Rate |
$5,798.80 |
Max. Negotiated Rate |
$6,088.74 |
Rate for Payer: BCBS Complete |
$6,088.74
|
Rate for Payer: Mclaren Medicaid |
$5,798.80
|
Rate for Payer: Meridian Medicaid |
$6,088.74
|
Rate for Payer: Priority Health Choice Medicaid |
$5,798.80
|
|
INPATIENT APRDRG 7554: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$6,289.24
|
|
Service Code
|
APR-DRG 7554
|
Hospital Charge Code |
APRDRG 7554
|
Min. Negotiated Rate |
$5,989.75 |
Max. Negotiated Rate |
$6,289.24 |
Rate for Payer: BCBS Complete |
$6,289.24
|
Rate for Payer: Mclaren Medicaid |
$5,989.75
|
Rate for Payer: Meridian Medicaid |
$6,289.24
|
Rate for Payer: Priority Health Choice Medicaid |
$5,989.75
|
|
INPATIENT APRDRG 7561: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$3,183.53
|
|
Service Code
|
APR-DRG 7561
|
Hospital Charge Code |
APRDRG 7561
|
Min. Negotiated Rate |
$3,031.93 |
Max. Negotiated Rate |
$3,183.53 |
Rate for Payer: BCBS Complete |
$3,183.53
|
Rate for Payer: Mclaren Medicaid |
$3,031.93
|
Rate for Payer: Meridian Medicaid |
$3,183.53
|
Rate for Payer: Priority Health Choice Medicaid |
$3,031.93
|
|
INPATIENT APRDRG 7562: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$4,203.97
|
|
Service Code
|
APR-DRG 7562
|
Hospital Charge Code |
APRDRG 7562
|
Min. Negotiated Rate |
$4,003.78 |
Max. Negotiated Rate |
$4,203.97 |
Rate for Payer: BCBS Complete |
$4,203.97
|
Rate for Payer: Mclaren Medicaid |
$4,003.78
|
Rate for Payer: Meridian Medicaid |
$4,203.97
|
Rate for Payer: Priority Health Choice Medicaid |
$4,003.78
|
|
INPATIENT APRDRG 7563: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$4,775.03
|
|
Service Code
|
APR-DRG 7563
|
Hospital Charge Code |
APRDRG 7563
|
Min. Negotiated Rate |
$4,547.65 |
Max. Negotiated Rate |
$4,775.03 |
Rate for Payer: BCBS Complete |
$4,775.03
|
Rate for Payer: Mclaren Medicaid |
$4,547.65
|
Rate for Payer: Meridian Medicaid |
$4,775.03
|
Rate for Payer: Priority Health Choice Medicaid |
$4,547.65
|
|
INPATIENT APRDRG 7564: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$11,202.43
|
|
Service Code
|
APR-DRG 7564
|
Hospital Charge Code |
APRDRG 7564
|
Min. Negotiated Rate |
$10,668.98 |
Max. Negotiated Rate |
$11,202.43 |
Rate for Payer: BCBS Complete |
$11,202.43
|
Rate for Payer: Mclaren Medicaid |
$10,668.98
|
Rate for Payer: Meridian Medicaid |
$11,202.43
|
Rate for Payer: Priority Health Choice Medicaid |
$10,668.98
|
|
INPATIENT APRDRG 7571: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$3,637.39
|
|
Service Code
|
APR-DRG 7571
|
Hospital Charge Code |
APRDRG 7571
|
Min. Negotiated Rate |
$3,464.18 |
Max. Negotiated Rate |
$3,637.39 |
Rate for Payer: BCBS Complete |
$3,637.39
|
Rate for Payer: Mclaren Medicaid |
$3,464.18
|
Rate for Payer: Meridian Medicaid |
$3,637.39
|
Rate for Payer: Priority Health Choice Medicaid |
$3,464.18
|
|
INPATIENT APRDRG 7572: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$5,203.96
|
|
Service Code
|
APR-DRG 7572
|
Hospital Charge Code |
APRDRG 7572
|
Min. Negotiated Rate |
$4,956.15 |
Max. Negotiated Rate |
$5,203.96 |
Rate for Payer: BCBS Complete |
$5,203.96
|
Rate for Payer: Mclaren Medicaid |
$4,956.15
|
Rate for Payer: Meridian Medicaid |
$5,203.96
|
Rate for Payer: Priority Health Choice Medicaid |
$4,956.15
|
|
INPATIENT APRDRG 7573: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$7,050.33
|
|
Service Code
|
APR-DRG 7573
|
Hospital Charge Code |
APRDRG 7573
|
Min. Negotiated Rate |
$6,714.60 |
Max. Negotiated Rate |
$7,050.33 |
Rate for Payer: BCBS Complete |
$7,050.33
|
Rate for Payer: Mclaren Medicaid |
$6,714.60
|
Rate for Payer: Meridian Medicaid |
$7,050.33
|
Rate for Payer: Priority Health Choice Medicaid |
$6,714.60
|
|
INPATIENT APRDRG 7574: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$13,536.58
|
|
Service Code
|
APR-DRG 7574
|
Hospital Charge Code |
APRDRG 7574
|
Min. Negotiated Rate |
$12,891.98 |
Max. Negotiated Rate |
$13,536.58 |
Rate for Payer: BCBS Complete |
$13,536.58
|
Rate for Payer: Mclaren Medicaid |
$12,891.98
|
Rate for Payer: Meridian Medicaid |
$13,536.58
|
Rate for Payer: Priority Health Choice Medicaid |
$12,891.98
|
|
INPATIENT APRDRG 7591: EATING DISORDERS
|
Facility
|
IP
|
$4,607.96
|
|
Service Code
|
APR-DRG 7591
|
Hospital Charge Code |
APRDRG 7591
|
Min. Negotiated Rate |
$4,388.53 |
Max. Negotiated Rate |
$4,607.96 |
Rate for Payer: BCBS Complete |
$4,607.96
|
Rate for Payer: Mclaren Medicaid |
$4,388.53
|
Rate for Payer: Meridian Medicaid |
$4,607.96
|
Rate for Payer: Priority Health Choice Medicaid |
$4,388.53
|
|
INPATIENT APRDRG 7592: EATING DISORDERS
|
Facility
|
IP
|
$5,647.84
|
|
Service Code
|
APR-DRG 7592
|
Hospital Charge Code |
APRDRG 7592
|
Min. Negotiated Rate |
$5,378.90 |
Max. Negotiated Rate |
$5,647.84 |
Rate for Payer: BCBS Complete |
$5,647.84
|
Rate for Payer: Mclaren Medicaid |
$5,378.90
|
Rate for Payer: Meridian Medicaid |
$5,647.84
|
Rate for Payer: Priority Health Choice Medicaid |
$5,378.90
|
|
INPATIENT APRDRG 7593: EATING DISORDERS
|
Facility
|
IP
|
$9,250.82
|
|
Service Code
|
APR-DRG 7593
|
Hospital Charge Code |
APRDRG 7593
|
Min. Negotiated Rate |
$8,810.30 |
Max. Negotiated Rate |
$9,250.82 |
Rate for Payer: BCBS Complete |
$9,250.82
|
Rate for Payer: Mclaren Medicaid |
$8,810.30
|
Rate for Payer: Meridian Medicaid |
$9,250.82
|
Rate for Payer: Priority Health Choice Medicaid |
$8,810.30
|
|
INPATIENT APRDRG 7594: EATING DISORDERS
|
Facility
|
IP
|
$34,075.60
|
|
Service Code
|
APR-DRG 7594
|
Hospital Charge Code |
APRDRG 7594
|
Min. Negotiated Rate |
$32,452.95 |
Max. Negotiated Rate |
$34,075.60 |
Rate for Payer: BCBS Complete |
$34,075.60
|
Rate for Payer: Mclaren Medicaid |
$32,452.95
|
Rate for Payer: Meridian Medicaid |
$34,075.60
|
Rate for Payer: Priority Health Choice Medicaid |
$32,452.95
|
|
INPATIENT APRDRG 7601: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$2,122.68
|
|
Service Code
|
APR-DRG 7601
|
Hospital Charge Code |
APRDRG 7601
|
Min. Negotiated Rate |
$2,021.60 |
Max. Negotiated Rate |
$2,122.68 |
Rate for Payer: BCBS Complete |
$2,122.68
|
Rate for Payer: Mclaren Medicaid |
$2,021.60
|
Rate for Payer: Meridian Medicaid |
$2,122.68
|
Rate for Payer: Priority Health Choice Medicaid |
$2,021.60
|
|
INPATIENT APRDRG 7602: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$3,193.50
|
|
Service Code
|
APR-DRG 7602
|
Hospital Charge Code |
APRDRG 7602
|
Min. Negotiated Rate |
$3,041.43 |
Max. Negotiated Rate |
$3,193.50 |
Rate for Payer: BCBS Complete |
$3,193.50
|
Rate for Payer: Mclaren Medicaid |
$3,041.43
|
Rate for Payer: Meridian Medicaid |
$3,193.50
|
Rate for Payer: Priority Health Choice Medicaid |
$3,041.43
|
|
INPATIENT APRDRG 7603: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$4,925.16
|
|
Service Code
|
APR-DRG 7603
|
Hospital Charge Code |
APRDRG 7603
|
Min. Negotiated Rate |
$4,690.63 |
Max. Negotiated Rate |
$4,925.16 |
Rate for Payer: BCBS Complete |
$4,925.16
|
Rate for Payer: Mclaren Medicaid |
$4,690.63
|
Rate for Payer: Meridian Medicaid |
$4,925.16
|
Rate for Payer: Priority Health Choice Medicaid |
$4,690.63
|
|
INPATIENT APRDRG 7604: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$9,680.74
|
|
Service Code
|
APR-DRG 7604
|
Hospital Charge Code |
APRDRG 7604
|
Min. Negotiated Rate |
$9,219.75 |
Max. Negotiated Rate |
$9,680.74 |
Rate for Payer: BCBS Complete |
$9,680.74
|
Rate for Payer: Mclaren Medicaid |
$9,219.75
|
Rate for Payer: Meridian Medicaid |
$9,680.74
|
Rate for Payer: Priority Health Choice Medicaid |
$9,219.75
|
|
INPATIENT APRDRG 7701: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,714.70
|
|
Service Code
|
APR-DRG 7701
|
Hospital Charge Code |
APRDRG 7701
|
Min. Negotiated Rate |
$1,633.05 |
Max. Negotiated Rate |
$1,714.70 |
Rate for Payer: BCBS Complete |
$1,714.70
|
Rate for Payer: Mclaren Medicaid |
$1,633.05
|
Rate for Payer: Meridian Medicaid |
$1,714.70
|
Rate for Payer: Priority Health Choice Medicaid |
$1,633.05
|
|
INPATIENT APRDRG 7702: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,978.55
|
|
Service Code
|
APR-DRG 7702
|
Hospital Charge Code |
APRDRG 7702
|
Min. Negotiated Rate |
$1,884.33 |
Max. Negotiated Rate |
$1,978.55 |
Rate for Payer: BCBS Complete |
$1,978.55
|
Rate for Payer: Mclaren Medicaid |
$1,884.33
|
Rate for Payer: Meridian Medicaid |
$1,978.55
|
Rate for Payer: Priority Health Choice Medicaid |
$1,884.33
|
|
INPATIENT APRDRG 7703: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,638.89
|
|
Service Code
|
APR-DRG 7703
|
Hospital Charge Code |
APRDRG 7703
|
Min. Negotiated Rate |
$2,513.23 |
Max. Negotiated Rate |
$2,638.89 |
Rate for Payer: BCBS Complete |
$2,638.89
|
Rate for Payer: Mclaren Medicaid |
$2,513.23
|
Rate for Payer: Meridian Medicaid |
$2,638.89
|
Rate for Payer: Priority Health Choice Medicaid |
$2,513.23
|
|
INPATIENT APRDRG 7704: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$7,604.45
|
|
Service Code
|
APR-DRG 7704
|
Hospital Charge Code |
APRDRG 7704
|
Min. Negotiated Rate |
$7,242.33 |
Max. Negotiated Rate |
$7,604.45 |
Rate for Payer: BCBS Complete |
$7,604.45
|
Rate for Payer: Mclaren Medicaid |
$7,242.33
|
Rate for Payer: Meridian Medicaid |
$7,604.45
|
Rate for Payer: Priority Health Choice Medicaid |
$7,242.33
|
|
INPATIENT APRDRG 7731: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$1,666.33
|
|
Service Code
|
APR-DRG 7731
|
Hospital Charge Code |
APRDRG 7731
|
Min. Negotiated Rate |
$1,586.98 |
Max. Negotiated Rate |
$1,666.33 |
Rate for Payer: BCBS Complete |
$1,666.33
|
Rate for Payer: Mclaren Medicaid |
$1,586.98
|
Rate for Payer: Meridian Medicaid |
$1,666.33
|
Rate for Payer: Priority Health Choice Medicaid |
$1,586.98
|
|
INPATIENT APRDRG 7732: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$2,888.27
|
|
Service Code
|
APR-DRG 7732
|
Hospital Charge Code |
APRDRG 7732
|
Min. Negotiated Rate |
$2,750.73 |
Max. Negotiated Rate |
$2,888.27 |
Rate for Payer: BCBS Complete |
$2,888.27
|
Rate for Payer: Mclaren Medicaid |
$2,750.73
|
Rate for Payer: Meridian Medicaid |
$2,888.27
|
Rate for Payer: Priority Health Choice Medicaid |
$2,750.73
|
|
INPATIENT APRDRG 7733: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,897.23
|
|
Service Code
|
APR-DRG 7733
|
Hospital Charge Code |
APRDRG 7733
|
Min. Negotiated Rate |
$3,711.65 |
Max. Negotiated Rate |
$3,897.23 |
Rate for Payer: BCBS Complete |
$3,897.23
|
Rate for Payer: Mclaren Medicaid |
$3,711.65
|
Rate for Payer: Meridian Medicaid |
$3,897.23
|
Rate for Payer: Priority Health Choice Medicaid |
$3,711.65
|
|