|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,123.60
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$2,974.86 |
| Max. Negotiated Rate |
$3,123.60 |
| Rate for Payer: BCBS Complete |
$3,123.60
|
| Rate for Payer: Mclaren Medicaid |
$2,974.86
|
| Rate for Payer: Meridian Medicaid |
$3,123.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,974.86
|
| Rate for Payer: UHCCP Medicaid |
$2,974.86
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$4,396.18
|
|
|
Service Code
|
APR-DRG 4692
|
| Min. Negotiated Rate |
$4,186.84 |
| Max. Negotiated Rate |
$4,396.18 |
| Rate for Payer: BCBS Complete |
$4,396.18
|
| Rate for Payer: Mclaren Medicaid |
$4,186.84
|
| Rate for Payer: Meridian Medicaid |
$4,396.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,186.84
|
| Rate for Payer: UHCCP Medicaid |
$4,186.84
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$18,915.15
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$18,014.43 |
| Max. Negotiated Rate |
$18,915.15 |
| Rate for Payer: BCBS Complete |
$18,915.15
|
| Rate for Payer: Mclaren Medicaid |
$18,014.43
|
| Rate for Payer: Meridian Medicaid |
$18,915.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,014.43
|
| Rate for Payer: UHCCP Medicaid |
$18,014.43
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$29,037.94
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$27,655.18 |
| Max. Negotiated Rate |
$29,037.94 |
| Rate for Payer: BCBS Complete |
$29,037.94
|
| Rate for Payer: Mclaren Medicaid |
$27,655.18
|
| Rate for Payer: Meridian Medicaid |
$29,037.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,655.18
|
| Rate for Payer: UHCCP Medicaid |
$27,655.18
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$37,945.99
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$36,139.04 |
| Max. Negotiated Rate |
$37,945.99 |
| Rate for Payer: BCBS Complete |
$37,945.99
|
| Rate for Payer: Mclaren Medicaid |
$36,139.04
|
| Rate for Payer: Meridian Medicaid |
$37,945.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$36,139.04
|
| Rate for Payer: UHCCP Medicaid |
$36,139.04
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$11,844.35 |
| Max. Negotiated Rate |
$12,436.57 |
| Rate for Payer: BCBS Complete |
$12,436.57
|
| Rate for Payer: Mclaren Medicaid |
$11,844.35
|
| Rate for Payer: Meridian Medicaid |
$12,436.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,844.35
|
| Rate for Payer: UHCCP Medicaid |
$11,844.35
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$6,652.12
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$6,335.35 |
| Max. Negotiated Rate |
$6,652.12 |
| Rate for Payer: BCBS Complete |
$6,652.12
|
| Rate for Payer: Mclaren Medicaid |
$6,335.35
|
| Rate for Payer: Meridian Medicaid |
$6,652.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,335.35
|
| Rate for Payer: UHCCP Medicaid |
$6,335.35
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,974.63
|
|
|
Service Code
|
APR-DRG 1902
|
| Min. Negotiated Rate |
$4,737.74 |
| Max. Negotiated Rate |
$4,974.63 |
| Rate for Payer: BCBS Complete |
$4,974.63
|
| Rate for Payer: Mclaren Medicaid |
$4,737.74
|
| Rate for Payer: Meridian Medicaid |
$4,974.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,737.74
|
| Rate for Payer: UHCCP Medicaid |
$4,737.74
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$13,824.84
|
|
|
Service Code
|
APR-DRG 1904
|
| Min. Negotiated Rate |
$13,166.51 |
| Max. Negotiated Rate |
$13,824.84 |
| Rate for Payer: BCBS Complete |
$13,824.84
|
| Rate for Payer: Mclaren Medicaid |
$13,166.51
|
| Rate for Payer: Meridian Medicaid |
$13,824.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,166.51
|
| Rate for Payer: UHCCP Medicaid |
$13,166.51
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,338.34
|
|
|
Service Code
|
APR-DRG 1901
|
| Min. Negotiated Rate |
$4,131.75 |
| Max. Negotiated Rate |
$4,338.34 |
| Rate for Payer: BCBS Complete |
$4,338.34
|
| Rate for Payer: Mclaren Medicaid |
$4,131.75
|
| Rate for Payer: Meridian Medicaid |
$4,338.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,131.75
|
| Rate for Payer: UHCCP Medicaid |
$4,131.75
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$6,478.58
|
|
|
Service Code
|
APR-DRG 7554
|
| Min. Negotiated Rate |
$6,170.08 |
| Max. Negotiated Rate |
$6,478.58 |
| Rate for Payer: BCBS Complete |
$6,478.58
|
| Rate for Payer: Mclaren Medicaid |
$6,170.08
|
| Rate for Payer: Meridian Medicaid |
$6,478.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,170.08
|
| Rate for Payer: UHCCP Medicaid |
$6,170.08
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$3,007.91
|
|
|
Service Code
|
APR-DRG 7551
|
| Min. Negotiated Rate |
$2,864.68 |
| Max. Negotiated Rate |
$3,007.91 |
| Rate for Payer: BCBS Complete |
$3,007.91
|
| Rate for Payer: Mclaren Medicaid |
$2,864.68
|
| Rate for Payer: Meridian Medicaid |
$3,007.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,864.68
|
| Rate for Payer: UHCCP Medicaid |
$2,864.68
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$3,644.20
|
|
|
Service Code
|
APR-DRG 7552
|
| Min. Negotiated Rate |
$3,470.67 |
| Max. Negotiated Rate |
$3,644.20 |
| Rate for Payer: BCBS Complete |
$3,644.20
|
| Rate for Payer: Mclaren Medicaid |
$3,470.67
|
| Rate for Payer: Meridian Medicaid |
$3,644.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,470.67
|
| Rate for Payer: UHCCP Medicaid |
$3,470.67
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 7553
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$19,377.91
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$18,455.15 |
| Max. Negotiated Rate |
$19,377.91 |
| Rate for Payer: BCBS Complete |
$19,377.91
|
| Rate for Payer: Mclaren Medicaid |
$18,455.15
|
| Rate for Payer: Meridian Medicaid |
$19,377.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,455.15
|
| Rate for Payer: UHCCP Medicaid |
$18,455.15
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$8,908.05
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$8,483.86 |
| Max. Negotiated Rate |
$8,908.05 |
| Rate for Payer: BCBS Complete |
$8,908.05
|
| Rate for Payer: Mclaren Medicaid |
$8,483.86
|
| Rate for Payer: Meridian Medicaid |
$8,908.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,483.86
|
| Rate for Payer: UHCCP Medicaid |
$8,483.86
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$11,844.35 |
| Max. Negotiated Rate |
$12,436.57 |
| Rate for Payer: BCBS Complete |
$12,436.57
|
| Rate for Payer: Mclaren Medicaid |
$11,844.35
|
| Rate for Payer: Meridian Medicaid |
$12,436.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,844.35
|
| Rate for Payer: UHCCP Medicaid |
$11,844.35
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$30,021.30
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$28,591.71 |
| Max. Negotiated Rate |
$30,021.30 |
| Rate for Payer: BCBS Complete |
$30,021.30
|
| Rate for Payer: Mclaren Medicaid |
$28,591.71
|
| Rate for Payer: Meridian Medicaid |
$30,021.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,591.71
|
| Rate for Payer: UHCCP Medicaid |
$28,591.71
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$3,140.13 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$3,297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,957.17
|
|
|
Service Code
|
APR-DRG 7754
|
| Min. Negotiated Rate |
$12,340.16 |
| Max. Negotiated Rate |
$12,957.17 |
| Rate for Payer: BCBS Complete |
$12,957.17
|
| Rate for Payer: Mclaren Medicaid |
$12,340.16
|
| Rate for Payer: Meridian Medicaid |
$12,957.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,340.16
|
| Rate for Payer: UHCCP Medicaid |
$12,340.16
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,991.27
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$3,801.21 |
| Max. Negotiated Rate |
$3,991.27 |
| Rate for Payer: BCBS Complete |
$3,991.27
|
| Rate for Payer: Mclaren Medicaid |
$3,801.21
|
| Rate for Payer: Meridian Medicaid |
$3,991.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,801.21
|
| Rate for Payer: UHCCP Medicaid |
$3,801.21
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$6,594.27
|
|
|
Service Code
|
APR-DRG 7753
|
| Min. Negotiated Rate |
$6,280.26 |
| Max. Negotiated Rate |
$6,594.27 |
| Rate for Payer: BCBS Complete |
$6,594.27
|
| Rate for Payer: Mclaren Medicaid |
$6,280.26
|
| Rate for Payer: Meridian Medicaid |
$6,594.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,280.26
|
| Rate for Payer: UHCCP Medicaid |
$6,280.26
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 2801
|
| Min. Negotiated Rate |
$3,360.49 |
| Max. Negotiated Rate |
$3,528.51 |
| Rate for Payer: BCBS Complete |
$3,528.51
|
| Rate for Payer: Mclaren Medicaid |
$3,360.49
|
| Rate for Payer: Meridian Medicaid |
$3,528.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,360.49
|
| Rate for Payer: UHCCP Medicaid |
$3,360.49
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$6,305.05
|
|
|
Service Code
|
APR-DRG 2803
|
| Min. Negotiated Rate |
$6,004.81 |
| Max. Negotiated Rate |
$6,305.05 |
| Rate for Payer: BCBS Complete |
$6,305.05
|
| Rate for Payer: Mclaren Medicaid |
$6,004.81
|
| Rate for Payer: Meridian Medicaid |
$6,305.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,004.81
|
| Rate for Payer: UHCCP Medicaid |
$6,004.81
|
|
|
APR-DRG 42.00: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$14,518.97
|
|
|
Service Code
|
APR-DRG 2804
|
| Min. Negotiated Rate |
$13,827.59 |
| Max. Negotiated Rate |
$14,518.97 |
| Rate for Payer: BCBS Complete |
$14,518.97
|
| Rate for Payer: Mclaren Medicaid |
$13,827.59
|
| Rate for Payer: Meridian Medicaid |
$14,518.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,827.59
|
| Rate for Payer: UHCCP Medicaid |
$13,827.59
|
|