INPATIENT APRDRG 7734: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$12,167.01
|
|
Service Code
|
APR-DRG 7734
|
Hospital Charge Code |
APRDRG 7734
|
Min. Negotiated Rate |
$11,587.63 |
Max. Negotiated Rate |
$12,167.01 |
Rate for Payer: BCBS Complete |
$12,167.01
|
Rate for Payer: Mclaren Medicaid |
$11,587.63
|
Rate for Payer: Meridian Medicaid |
$12,167.01
|
Rate for Payer: Priority Health Choice Medicaid |
$11,587.63
|
|
INPATIENT APRDRG 7741: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$2,602.48
|
|
Service Code
|
APR-DRG 7741
|
Hospital Charge Code |
APRDRG 7741
|
Min. Negotiated Rate |
$2,478.55 |
Max. Negotiated Rate |
$2,602.48 |
Rate for Payer: BCBS Complete |
$2,602.48
|
Rate for Payer: Mclaren Medicaid |
$2,478.55
|
Rate for Payer: Meridian Medicaid |
$2,602.48
|
Rate for Payer: Priority Health Choice Medicaid |
$2,478.55
|
|
INPATIENT APRDRG 7742: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,046.36
|
|
Service Code
|
APR-DRG 7742
|
Hospital Charge Code |
APRDRG 7742
|
Min. Negotiated Rate |
$2,901.30 |
Max. Negotiated Rate |
$3,046.36 |
Rate for Payer: BCBS Complete |
$3,046.36
|
Rate for Payer: Mclaren Medicaid |
$2,901.30
|
Rate for Payer: Meridian Medicaid |
$3,046.36
|
Rate for Payer: Priority Health Choice Medicaid |
$2,901.30
|
|
INPATIENT APRDRG 7743: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,280.27
|
|
Service Code
|
APR-DRG 7743
|
Hospital Charge Code |
APRDRG 7743
|
Min. Negotiated Rate |
$4,076.45 |
Max. Negotiated Rate |
$4,280.27 |
Rate for Payer: BCBS Complete |
$4,280.27
|
Rate for Payer: Mclaren Medicaid |
$4,076.45
|
Rate for Payer: Meridian Medicaid |
$4,280.27
|
Rate for Payer: Priority Health Choice Medicaid |
$4,076.45
|
|
INPATIENT APRDRG 7744: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$10,105.67
|
|
Service Code
|
APR-DRG 7744
|
Hospital Charge Code |
APRDRG 7744
|
Min. Negotiated Rate |
$9,624.45 |
Max. Negotiated Rate |
$10,105.67 |
Rate for Payer: BCBS Complete |
$10,105.67
|
Rate for Payer: Mclaren Medicaid |
$9,624.45
|
Rate for Payer: Meridian Medicaid |
$10,105.67
|
Rate for Payer: Priority Health Choice Medicaid |
$9,624.45
|
|
INPATIENT APRDRG 7751: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$2,835.89
|
|
Service Code
|
APR-DRG 7751
|
Hospital Charge Code |
APRDRG 7751
|
Min. Negotiated Rate |
$2,700.85 |
Max. Negotiated Rate |
$2,835.89 |
Rate for Payer: BCBS Complete |
$2,835.89
|
Rate for Payer: Mclaren Medicaid |
$2,700.85
|
Rate for Payer: Meridian Medicaid |
$2,835.89
|
Rate for Payer: Priority Health Choice Medicaid |
$2,700.85
|
|
INPATIENT APRDRG 7752: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,447.86
|
|
Service Code
|
APR-DRG 7752
|
Hospital Charge Code |
APRDRG 7752
|
Min. Negotiated Rate |
$3,283.68 |
Max. Negotiated Rate |
$3,447.86 |
Rate for Payer: BCBS Complete |
$3,447.86
|
Rate for Payer: Mclaren Medicaid |
$3,283.68
|
Rate for Payer: Meridian Medicaid |
$3,447.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,283.68
|
|
INPATIENT APRDRG 7753: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,050.85
|
|
Service Code
|
APR-DRG 7753
|
Hospital Charge Code |
APRDRG 7753
|
Min. Negotiated Rate |
$4,810.33 |
Max. Negotiated Rate |
$5,050.85 |
Rate for Payer: BCBS Complete |
$5,050.85
|
Rate for Payer: Mclaren Medicaid |
$4,810.33
|
Rate for Payer: Meridian Medicaid |
$5,050.85
|
Rate for Payer: Priority Health Choice Medicaid |
$4,810.33
|
|
INPATIENT APRDRG 7754: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$10,280.24
|
|
Service Code
|
APR-DRG 7754
|
Hospital Charge Code |
APRDRG 7754
|
Min. Negotiated Rate |
$9,790.70 |
Max. Negotiated Rate |
$10,280.24 |
Rate for Payer: BCBS Complete |
$10,280.24
|
Rate for Payer: Mclaren Medicaid |
$9,790.70
|
Rate for Payer: Meridian Medicaid |
$10,280.24
|
Rate for Payer: Priority Health Choice Medicaid |
$9,790.70
|
|
INPATIENT APRDRG 7761: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,840.38
|
|
Service Code
|
APR-DRG 7761
|
Hospital Charge Code |
APRDRG 7761
|
Min. Negotiated Rate |
$3,657.50 |
Max. Negotiated Rate |
$3,840.38 |
Rate for Payer: BCBS Complete |
$3,840.38
|
Rate for Payer: Mclaren Medicaid |
$3,657.50
|
Rate for Payer: Meridian Medicaid |
$3,840.38
|
Rate for Payer: Priority Health Choice Medicaid |
$3,657.50
|
|
INPATIENT APRDRG 7762: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,798.98
|
|
Service Code
|
APR-DRG 7762
|
Hospital Charge Code |
APRDRG 7762
|
Min. Negotiated Rate |
$3,618.08 |
Max. Negotiated Rate |
$3,798.98 |
Rate for Payer: BCBS Complete |
$3,798.98
|
Rate for Payer: Mclaren Medicaid |
$3,618.08
|
Rate for Payer: Meridian Medicaid |
$3,798.98
|
Rate for Payer: Priority Health Choice Medicaid |
$3,618.08
|
|
INPATIENT APRDRG 7763: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,164.06
|
|
Service Code
|
APR-DRG 7763
|
Hospital Charge Code |
APRDRG 7763
|
Min. Negotiated Rate |
$4,918.15 |
Max. Negotiated Rate |
$5,164.06 |
Rate for Payer: BCBS Complete |
$5,164.06
|
Rate for Payer: Mclaren Medicaid |
$4,918.15
|
Rate for Payer: Meridian Medicaid |
$5,164.06
|
Rate for Payer: Priority Health Choice Medicaid |
$4,918.15
|
|
INPATIENT APRDRG 7764: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$9,847.32
|
|
Service Code
|
APR-DRG 7764
|
Hospital Charge Code |
APRDRG 7764
|
Min. Negotiated Rate |
$9,378.40 |
Max. Negotiated Rate |
$9,847.32 |
Rate for Payer: BCBS Complete |
$9,847.32
|
Rate for Payer: Mclaren Medicaid |
$9,378.40
|
Rate for Payer: Meridian Medicaid |
$9,847.32
|
Rate for Payer: Priority Health Choice Medicaid |
$9,378.40
|
|
INPATIENT APRDRG 7921: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,629.38
|
|
Service Code
|
APR-DRG 7921
|
Hospital Charge Code |
APRDRG 7921
|
Min. Negotiated Rate |
$7,266.08 |
Max. Negotiated Rate |
$7,629.38 |
Rate for Payer: BCBS Complete |
$7,629.38
|
Rate for Payer: Mclaren Medicaid |
$7,266.08
|
Rate for Payer: Meridian Medicaid |
$7,629.38
|
Rate for Payer: Priority Health Choice Medicaid |
$7,266.08
|
|
INPATIENT APRDRG 7922: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,752.56
|
|
Service Code
|
APR-DRG 7922
|
Hospital Charge Code |
APRDRG 7922
|
Min. Negotiated Rate |
$9,288.15 |
Max. Negotiated Rate |
$9,752.56 |
Rate for Payer: BCBS Complete |
$9,752.56
|
Rate for Payer: Mclaren Medicaid |
$9,288.15
|
Rate for Payer: Meridian Medicaid |
$9,752.56
|
Rate for Payer: Priority Health Choice Medicaid |
$9,288.15
|
|
INPATIENT APRDRG 7923: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$14,710.13
|
|
Service Code
|
APR-DRG 7923
|
Hospital Charge Code |
APRDRG 7923
|
Min. Negotiated Rate |
$14,009.65 |
Max. Negotiated Rate |
$14,710.13 |
Rate for Payer: BCBS Complete |
$14,710.13
|
Rate for Payer: Mclaren Medicaid |
$14,009.65
|
Rate for Payer: Meridian Medicaid |
$14,710.13
|
Rate for Payer: Priority Health Choice Medicaid |
$14,009.65
|
|
INPATIENT APRDRG 7924: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$28,721.52
|
|
Service Code
|
APR-DRG 7924
|
Hospital Charge Code |
APRDRG 7924
|
Min. Negotiated Rate |
$27,353.83 |
Max. Negotiated Rate |
$28,721.52 |
Rate for Payer: BCBS Complete |
$28,721.52
|
Rate for Payer: Mclaren Medicaid |
$27,353.83
|
Rate for Payer: Meridian Medicaid |
$28,721.52
|
Rate for Payer: Priority Health Choice Medicaid |
$27,353.83
|
|
INPATIENT APRDRG 7931: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$5,853.83
|
|
Service Code
|
APR-DRG 7931
|
Hospital Charge Code |
APRDRG 7931
|
Min. Negotiated Rate |
$5,575.08 |
Max. Negotiated Rate |
$5,853.83 |
Rate for Payer: BCBS Complete |
$5,853.83
|
Rate for Payer: Mclaren Medicaid |
$5,575.08
|
Rate for Payer: Meridian Medicaid |
$5,853.83
|
Rate for Payer: Priority Health Choice Medicaid |
$5,575.08
|
|
INPATIENT APRDRG 7932: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,889.23
|
|
Service Code
|
APR-DRG 7932
|
Hospital Charge Code |
APRDRG 7932
|
Min. Negotiated Rate |
$7,513.55 |
Max. Negotiated Rate |
$7,889.23 |
Rate for Payer: BCBS Complete |
$7,889.23
|
Rate for Payer: Mclaren Medicaid |
$7,513.55
|
Rate for Payer: Meridian Medicaid |
$7,889.23
|
Rate for Payer: Priority Health Choice Medicaid |
$7,513.55
|
|
INPATIENT APRDRG 7933: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$12,065.76
|
|
Service Code
|
APR-DRG 7933
|
Hospital Charge Code |
APRDRG 7933
|
Min. Negotiated Rate |
$11,491.20 |
Max. Negotiated Rate |
$12,065.76 |
Rate for Payer: BCBS Complete |
$12,065.76
|
Rate for Payer: Mclaren Medicaid |
$11,491.20
|
Rate for Payer: Meridian Medicaid |
$12,065.76
|
Rate for Payer: Priority Health Choice Medicaid |
$11,491.20
|
|
INPATIENT APRDRG 7934: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$23,723.05
|
|
Service Code
|
APR-DRG 7934
|
Hospital Charge Code |
APRDRG 7934
|
Min. Negotiated Rate |
$22,593.38 |
Max. Negotiated Rate |
$23,723.05 |
Rate for Payer: BCBS Complete |
$23,723.05
|
Rate for Payer: Mclaren Medicaid |
$22,593.38
|
Rate for Payer: Meridian Medicaid |
$23,723.05
|
Rate for Payer: Priority Health Choice Medicaid |
$22,593.38
|
|
INPATIENT APRDRG 7941: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,748.60
|
|
Service Code
|
APR-DRG 7941
|
Hospital Charge Code |
APRDRG 7941
|
Min. Negotiated Rate |
$4,522.48 |
Max. Negotiated Rate |
$4,748.60 |
Rate for Payer: BCBS Complete |
$4,748.60
|
Rate for Payer: Mclaren Medicaid |
$4,522.48
|
Rate for Payer: Meridian Medicaid |
$4,748.60
|
Rate for Payer: Priority Health Choice Medicaid |
$4,522.48
|
|
INPATIENT APRDRG 7942: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,258.82
|
|
Service Code
|
APR-DRG 7942
|
Hospital Charge Code |
APRDRG 7942
|
Min. Negotiated Rate |
$5,960.78 |
Max. Negotiated Rate |
$6,258.82 |
Rate for Payer: BCBS Complete |
$6,258.82
|
Rate for Payer: Mclaren Medicaid |
$5,960.78
|
Rate for Payer: Meridian Medicaid |
$6,258.82
|
Rate for Payer: Priority Health Choice Medicaid |
$5,960.78
|
|
INPATIENT APRDRG 7943: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,406.42
|
|
Service Code
|
APR-DRG 7943
|
Hospital Charge Code |
APRDRG 7943
|
Min. Negotiated Rate |
$8,958.50 |
Max. Negotiated Rate |
$9,406.42 |
Rate for Payer: BCBS Complete |
$9,406.42
|
Rate for Payer: Mclaren Medicaid |
$8,958.50
|
Rate for Payer: Meridian Medicaid |
$9,406.42
|
Rate for Payer: Priority Health Choice Medicaid |
$8,958.50
|
|
INPATIENT APRDRG 7944: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$17,750.02
|
|
Service Code
|
APR-DRG 7944
|
Hospital Charge Code |
APRDRG 7944
|
Min. Negotiated Rate |
$16,904.78 |
Max. Negotiated Rate |
$17,750.02 |
Rate for Payer: BCBS Complete |
$17,750.02
|
Rate for Payer: Mclaren Medicaid |
$16,904.78
|
Rate for Payer: Meridian Medicaid |
$17,750.02
|
Rate for Payer: Priority Health Choice Medicaid |
$16,904.78
|
|