|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,024.56
|
|
|
Service Code
|
APR-DRG 7741
|
| Min. Negotiated Rate |
$1,928.15 |
| Max. Negotiated Rate |
$2,024.56 |
| Rate for Payer: BCBS Complete |
$2,024.56
|
| Rate for Payer: Mclaren Medicaid |
$1,928.15
|
| Rate for Payer: Meridian Medicaid |
$2,024.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,928.15
|
| Rate for Payer: UHCCP Medicaid |
$1,928.15
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$8,271.76
|
|
|
Service Code
|
APR-DRG 0573
|
| Min. Negotiated Rate |
$7,877.87 |
| Max. Negotiated Rate |
$8,271.76 |
| Rate for Payer: BCBS Complete |
$8,271.76
|
| Rate for Payer: Mclaren Medicaid |
$7,877.87
|
| Rate for Payer: Meridian Medicaid |
$8,271.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,877.87
|
| Rate for Payer: UHCCP Medicaid |
$7,877.87
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 0571
|
| Min. Negotiated Rate |
$3,911.39 |
| Max. Negotiated Rate |
$4,106.96 |
| Rate for Payer: BCBS Complete |
$4,106.96
|
| Rate for Payer: Mclaren Medicaid |
$3,911.39
|
| Rate for Payer: Meridian Medicaid |
$4,106.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,911.39
|
| Rate for Payer: UHCCP Medicaid |
$3,911.39
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 0572
|
| Min. Negotiated Rate |
$5,619.18 |
| Max. Negotiated Rate |
$5,900.14 |
| Rate for Payer: BCBS Complete |
$5,900.14
|
| Rate for Payer: Mclaren Medicaid |
$5,619.18
|
| Rate for Payer: Meridian Medicaid |
$5,900.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,619.18
|
| Rate for Payer: UHCCP Medicaid |
$5,619.18
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$13,940.52
|
|
|
Service Code
|
APR-DRG 0574
|
| Min. Negotiated Rate |
$13,276.69 |
| Max. Negotiated Rate |
$13,940.52 |
| Rate for Payer: BCBS Complete |
$13,940.52
|
| Rate for Payer: Mclaren Medicaid |
$13,276.69
|
| Rate for Payer: Meridian Medicaid |
$13,940.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,276.69
|
| Rate for Payer: UHCCP Medicaid |
$13,276.69
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$9,602.19
|
|
|
Service Code
|
APR-DRG 3463
|
| Min. Negotiated Rate |
$9,144.94 |
| Max. Negotiated Rate |
$9,602.19 |
| Rate for Payer: BCBS Complete |
$9,602.19
|
| Rate for Payer: Mclaren Medicaid |
$9,144.94
|
| Rate for Payer: Meridian Medicaid |
$9,602.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,144.94
|
| Rate for Payer: UHCCP Medicaid |
$9,144.94
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$17,584.73
|
|
|
Service Code
|
APR-DRG 3464
|
| Min. Negotiated Rate |
$16,747.36 |
| Max. Negotiated Rate |
$17,584.73 |
| Rate for Payer: BCBS Complete |
$17,584.73
|
| Rate for Payer: Mclaren Medicaid |
$16,747.36
|
| Rate for Payer: Meridian Medicaid |
$17,584.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,747.36
|
| Rate for Payer: UHCCP Medicaid |
$16,747.36
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 3461
|
| Min. Negotiated Rate |
$4,352.11 |
| Max. Negotiated Rate |
$4,569.72 |
| Rate for Payer: BCBS Complete |
$4,569.72
|
| Rate for Payer: Mclaren Medicaid |
$4,352.11
|
| Rate for Payer: Meridian Medicaid |
$4,569.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,352.11
|
| Rate for Payer: UHCCP Medicaid |
$4,352.11
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$6,420.74
|
|
|
Service Code
|
APR-DRG 3462
|
| Min. Negotiated Rate |
$6,114.99 |
| Max. Negotiated Rate |
$6,420.74 |
| Rate for Payer: BCBS Complete |
$6,420.74
|
| Rate for Payer: Mclaren Medicaid |
$6,114.99
|
| Rate for Payer: Meridian Medicaid |
$6,420.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,114.99
|
| Rate for Payer: UHCCP Medicaid |
$6,114.99
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$11,511.06
|
|
|
Service Code
|
APR-DRG 3844
|
| Min. Negotiated Rate |
$10,962.91 |
| Max. Negotiated Rate |
$11,511.06 |
| Rate for Payer: BCBS Complete |
$11,511.06
|
| Rate for Payer: Mclaren Medicaid |
$10,962.91
|
| Rate for Payer: Meridian Medicaid |
$11,511.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,962.91
|
| Rate for Payer: UHCCP Medicaid |
$10,962.91
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 3841
|
| Min. Negotiated Rate |
$3,911.39 |
| Max. Negotiated Rate |
$4,106.96 |
| Rate for Payer: BCBS Complete |
$4,106.96
|
| Rate for Payer: Mclaren Medicaid |
$3,911.39
|
| Rate for Payer: Meridian Medicaid |
$4,106.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,911.39
|
| Rate for Payer: UHCCP Medicaid |
$3,911.39
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 3843
|
| Min. Negotiated Rate |
$6,831.16 |
| Max. Negotiated Rate |
$7,172.72 |
| Rate for Payer: BCBS Complete |
$7,172.72
|
| Rate for Payer: Mclaren Medicaid |
$6,831.16
|
| Rate for Payer: Meridian Medicaid |
$7,172.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,831.16
|
| Rate for Payer: UHCCP Medicaid |
$6,831.16
|
|
|
APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$5,032.47
|
|
|
Service Code
|
APR-DRG 3842
|
| Min. Negotiated Rate |
$4,792.83 |
| Max. Negotiated Rate |
$5,032.47 |
| Rate for Payer: BCBS Complete |
$5,032.47
|
| Rate for Payer: Mclaren Medicaid |
$4,792.83
|
| Rate for Payer: Meridian Medicaid |
$5,032.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,792.83
|
| Rate for Payer: UHCCP Medicaid |
$4,792.83
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$22,212.29
|
|
|
Service Code
|
APR-DRG 1651
|
| Min. Negotiated Rate |
$21,154.56 |
| Max. Negotiated Rate |
$22,212.29 |
| Rate for Payer: BCBS Complete |
$22,212.29
|
| Rate for Payer: Mclaren Medicaid |
$21,154.56
|
| Rate for Payer: Meridian Medicaid |
$22,212.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,154.56
|
| Rate for Payer: UHCCP Medicaid |
$21,154.56
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,815.29
|
|
|
Service Code
|
APR-DRG 1652
|
| Min. Negotiated Rate |
$23,633.61 |
| Max. Negotiated Rate |
$24,815.29 |
| Rate for Payer: BCBS Complete |
$24,815.29
|
| Rate for Payer: Mclaren Medicaid |
$23,633.61
|
| Rate for Payer: Meridian Medicaid |
$24,815.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,633.61
|
| Rate for Payer: UHCCP Medicaid |
$23,633.61
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$30,773.27
|
|
|
Service Code
|
APR-DRG 1653
|
| Min. Negotiated Rate |
$29,307.88 |
| Max. Negotiated Rate |
$30,773.27 |
| Rate for Payer: BCBS Complete |
$30,773.27
|
| Rate for Payer: Mclaren Medicaid |
$29,307.88
|
| Rate for Payer: Meridian Medicaid |
$30,773.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,307.88
|
| Rate for Payer: UHCCP Medicaid |
$29,307.88
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$41,416.66
|
|
|
Service Code
|
APR-DRG 1654
|
| Min. Negotiated Rate |
$39,444.44 |
| Max. Negotiated Rate |
$41,416.66 |
| Rate for Payer: BCBS Complete |
$41,416.66
|
| Rate for Payer: Mclaren Medicaid |
$39,444.44
|
| Rate for Payer: Meridian Medicaid |
$41,416.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$39,444.44
|
| Rate for Payer: UHCCP Medicaid |
$39,444.44
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,683.77
|
|
|
Service Code
|
APR-DRG 1661
|
| Min. Negotiated Rate |
$17,794.07 |
| Max. Negotiated Rate |
$18,683.77 |
| Rate for Payer: BCBS Complete |
$18,683.77
|
| Rate for Payer: Mclaren Medicaid |
$17,794.07
|
| Rate for Payer: Meridian Medicaid |
$18,683.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,794.07
|
| Rate for Payer: UHCCP Medicaid |
$17,794.07
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$36,904.79
|
|
|
Service Code
|
APR-DRG 1664
|
| Min. Negotiated Rate |
$35,147.42 |
| Max. Negotiated Rate |
$36,904.79 |
| Rate for Payer: BCBS Complete |
$36,904.79
|
| Rate for Payer: Mclaren Medicaid |
$35,147.42
|
| Rate for Payer: Meridian Medicaid |
$36,904.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$35,147.42
|
| Rate for Payer: UHCCP Medicaid |
$35,147.42
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$27,071.23
|
|
|
Service Code
|
APR-DRG 1663
|
| Min. Negotiated Rate |
$25,782.12 |
| Max. Negotiated Rate |
$27,071.23 |
| Rate for Payer: BCBS Complete |
$27,071.23
|
| Rate for Payer: Mclaren Medicaid |
$25,782.12
|
| Rate for Payer: Meridian Medicaid |
$27,071.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,782.12
|
| Rate for Payer: UHCCP Medicaid |
$25,782.12
|
|
|
APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,691.69
|
|
|
Service Code
|
APR-DRG 1662
|
| Min. Negotiated Rate |
$20,658.75 |
| Max. Negotiated Rate |
$21,691.69 |
| Rate for Payer: BCBS Complete |
$21,691.69
|
| Rate for Payer: Mclaren Medicaid |
$20,658.75
|
| Rate for Payer: Meridian Medicaid |
$21,691.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,658.75
|
| Rate for Payer: UHCCP Medicaid |
$20,658.75
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$25,393.74
|
|
|
Service Code
|
APR-DRG 9103
|
| Min. Negotiated Rate |
$24,184.51 |
| Max. Negotiated Rate |
$25,393.74 |
| Rate for Payer: BCBS Complete |
$25,393.74
|
| Rate for Payer: Mclaren Medicaid |
$24,184.51
|
| Rate for Payer: Meridian Medicaid |
$25,393.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,184.51
|
| Rate for Payer: UHCCP Medicaid |
$24,184.51
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$39,334.26
|
|
|
Service Code
|
APR-DRG 9104
|
| Min. Negotiated Rate |
$37,461.20 |
| Max. Negotiated Rate |
$39,334.26 |
| Rate for Payer: BCBS Complete |
$39,334.26
|
| Rate for Payer: Mclaren Medicaid |
$37,461.20
|
| Rate for Payer: Meridian Medicaid |
$39,334.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,461.20
|
| Rate for Payer: UHCCP Medicaid |
$37,461.20
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,444.48
|
|
|
Service Code
|
APR-DRG 9102
|
| Min. Negotiated Rate |
$14,709.03 |
| Max. Negotiated Rate |
$15,444.48 |
| Rate for Payer: BCBS Complete |
$15,444.48
|
| Rate for Payer: Mclaren Medicaid |
$14,709.03
|
| Rate for Payer: Meridian Medicaid |
$15,444.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,709.03
|
| Rate for Payer: UHCCP Medicaid |
$14,709.03
|
|
|
APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,403.28
|
|
|
Service Code
|
APR-DRG 9101
|
| Min. Negotiated Rate |
$13,717.41 |
| Max. Negotiated Rate |
$14,403.28 |
| Rate for Payer: BCBS Complete |
$14,403.28
|
| Rate for Payer: Mclaren Medicaid |
$13,717.41
|
| Rate for Payer: Meridian Medicaid |
$14,403.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,717.41
|
| Rate for Payer: UHCCP Medicaid |
$13,717.41
|
|