|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 0452
|
| 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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$13,651.30
|
|
|
Service Code
|
APR-DRG 0454
|
| Min. Negotiated Rate |
$13,001.24 |
| Max. Negotiated Rate |
$13,651.30 |
| Rate for Payer: BCBS Complete |
$13,651.30
|
| Rate for Payer: Mclaren Medicaid |
$13,001.24
|
| Rate for Payer: Meridian Medicaid |
$13,651.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,001.24
|
| Rate for Payer: UHCCP Medicaid |
$13,001.24
|
|
|
APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 0451
|
| 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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION
|
Facility
|
IP
|
$8,213.92
|
|
|
Service Code
|
APR-DRG 0453
|
| Min. Negotiated Rate |
$7,822.78 |
| Max. Negotiated Rate |
$8,213.92 |
| Rate for Payer: BCBS Complete |
$8,213.92
|
| Rate for Payer: Mclaren Medicaid |
$7,822.78
|
| Rate for Payer: Meridian Medicaid |
$8,213.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,822.78
|
| Rate for Payer: UHCCP Medicaid |
$7,822.78
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$6,247.21
|
|
|
Service Code
|
APR-DRG 1311
|
| Min. Negotiated Rate |
$5,949.72 |
| Max. Negotiated Rate |
$6,247.21 |
| Rate for Payer: BCBS Complete |
$6,247.21
|
| Rate for Payer: Mclaren Medicaid |
$5,949.72
|
| Rate for Payer: Meridian Medicaid |
$6,247.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,949.72
|
| Rate for Payer: UHCCP Medicaid |
$5,949.72
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$16,080.77
|
|
|
Service Code
|
APR-DRG 1314
|
| Min. Negotiated Rate |
$15,315.02 |
| Max. Negotiated Rate |
$16,080.77 |
| Rate for Payer: BCBS Complete |
$16,080.77
|
| Rate for Payer: Mclaren Medicaid |
$15,315.02
|
| Rate for Payer: Meridian Medicaid |
$16,080.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,315.02
|
| Rate for Payer: UHCCP Medicaid |
$15,315.02
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$10,238.48
|
|
|
Service Code
|
APR-DRG 1312
|
| Min. Negotiated Rate |
$9,750.93 |
| Max. Negotiated Rate |
$10,238.48 |
| Rate for Payer: BCBS Complete |
$10,238.48
|
| Rate for Payer: Mclaren Medicaid |
$9,750.93
|
| Rate for Payer: Meridian Medicaid |
$10,238.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,750.93
|
| Rate for Payer: UHCCP Medicaid |
$9,750.93
|
|
|
APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$13,709.15
|
|
|
Service Code
|
APR-DRG 1313
|
| Min. Negotiated Rate |
$13,056.33 |
| Max. Negotiated Rate |
$13,709.15 |
| Rate for Payer: BCBS Complete |
$13,709.15
|
| Rate for Payer: Mclaren Medicaid |
$13,056.33
|
| Rate for Payer: Meridian Medicaid |
$13,709.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,056.33
|
| Rate for Payer: UHCCP Medicaid |
$13,056.33
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$36,442.04
|
|
|
Service Code
|
APR-DRG 1794
|
| Min. Negotiated Rate |
$34,706.70 |
| Max. Negotiated Rate |
$36,442.04 |
| Rate for Payer: BCBS Complete |
$36,442.04
|
| Rate for Payer: Mclaren Medicaid |
$34,706.70
|
| Rate for Payer: Meridian Medicaid |
$36,442.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,706.70
|
| Rate for Payer: UHCCP Medicaid |
$34,706.70
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$22,906.42
|
|
|
Service Code
|
APR-DRG 1792
|
| Min. Negotiated Rate |
$21,815.64 |
| Max. Negotiated Rate |
$22,906.42 |
| Rate for Payer: BCBS Complete |
$22,906.42
|
| Rate for Payer: Mclaren Medicaid |
$21,815.64
|
| Rate for Payer: Meridian Medicaid |
$22,906.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,815.64
|
| Rate for Payer: UHCCP Medicaid |
$21,815.64
|
|
|
APR-DRG 42.00: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$19,377.91
|
|
|
Service Code
|
APR-DRG 1791
|
| 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: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$27,765.36
|
|
|
Service Code
|
APR-DRG 1793
|
| Min. Negotiated Rate |
$26,443.20 |
| Max. Negotiated Rate |
$27,765.36 |
| Rate for Payer: BCBS Complete |
$27,765.36
|
| Rate for Payer: Mclaren Medicaid |
$26,443.20
|
| Rate for Payer: Meridian Medicaid |
$27,765.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,443.20
|
| Rate for Payer: UHCCP Medicaid |
$26,443.20
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 0421
|
| Min. Negotiated Rate |
$4,297.02 |
| Max. Negotiated Rate |
$4,511.87 |
| Rate for Payer: BCBS Complete |
$4,511.87
|
| Rate for Payer: Mclaren Medicaid |
$4,297.02
|
| Rate for Payer: Meridian Medicaid |
$4,511.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,297.02
|
| Rate for Payer: UHCCP Medicaid |
$4,297.02
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 0422
|
| Min. Negotiated Rate |
$5,509.00 |
| Max. Negotiated Rate |
$5,784.45 |
| Rate for Payer: BCBS Complete |
$5,784.45
|
| Rate for Payer: Mclaren Medicaid |
$5,509.00
|
| Rate for Payer: Meridian Medicaid |
$5,784.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,509.00
|
| Rate for Payer: UHCCP Medicaid |
$5,509.00
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$8,156.07
|
|
|
Service Code
|
APR-DRG 0423
|
| Min. Negotiated Rate |
$7,767.69 |
| Max. Negotiated Rate |
$8,156.07 |
| Rate for Payer: BCBS Complete |
$8,156.07
|
| Rate for Payer: Mclaren Medicaid |
$7,767.69
|
| Rate for Payer: Meridian Medicaid |
$8,156.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,767.69
|
| Rate for Payer: UHCCP Medicaid |
$7,767.69
|
|
|
APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS
|
Facility
|
IP
|
$15,039.57
|
|
|
Service Code
|
APR-DRG 0424
|
| Min. Negotiated Rate |
$14,323.40 |
| Max. Negotiated Rate |
$15,039.57 |
| Rate for Payer: BCBS Complete |
$15,039.57
|
| Rate for Payer: Mclaren Medicaid |
$14,323.40
|
| Rate for Payer: Meridian Medicaid |
$15,039.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,323.40
|
| Rate for Payer: UHCCP Medicaid |
$14,323.40
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$2,718.69
|
|
|
Service Code
|
APR-DRG 1141
|
| Min. Negotiated Rate |
$2,589.23 |
| Max. Negotiated Rate |
$2,718.69 |
| Rate for Payer: BCBS Complete |
$2,718.69
|
| Rate for Payer: Mclaren Medicaid |
$2,589.23
|
| Rate for Payer: Meridian Medicaid |
$2,718.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,589.23
|
| Rate for Payer: UHCCP Medicaid |
$2,589.23
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$5,610.92
|
|
|
Service Code
|
APR-DRG 1143
|
| Min. Negotiated Rate |
$5,343.73 |
| Max. Negotiated Rate |
$5,610.92 |
| Rate for Payer: BCBS Complete |
$5,610.92
|
| Rate for Payer: Mclaren Medicaid |
$5,343.73
|
| Rate for Payer: Meridian Medicaid |
$5,610.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,343.73
|
| Rate for Payer: UHCCP Medicaid |
$5,343.73
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 1142
|
| Min. Negotiated Rate |
$3,580.85 |
| Max. Negotiated Rate |
$3,759.89 |
| Rate for Payer: BCBS Complete |
$3,759.89
|
| Rate for Payer: Mclaren Medicaid |
$3,580.85
|
| Rate for Payer: Meridian Medicaid |
$3,759.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,580.85
|
| Rate for Payer: UHCCP Medicaid |
$3,580.85
|
|
|
APR-DRG 42.00: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$15,560.17
|
|
|
Service Code
|
APR-DRG 1144
|
| Min. Negotiated Rate |
$14,819.21 |
| Max. Negotiated Rate |
$15,560.17 |
| Rate for Payer: BCBS Complete |
$15,560.17
|
| Rate for Payer: Mclaren Medicaid |
$14,819.21
|
| Rate for Payer: Meridian Medicaid |
$15,560.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,819.21
|
| Rate for Payer: UHCCP Medicaid |
$14,819.21
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$2,892.22
|
|
|
Service Code
|
APR-DRG 7512
|
| Min. Negotiated Rate |
$2,754.50 |
| Max. Negotiated Rate |
$2,892.22 |
| Rate for Payer: BCBS Complete |
$2,892.22
|
| Rate for Payer: Mclaren Medicaid |
$2,754.50
|
| Rate for Payer: Meridian Medicaid |
$2,892.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,754.50
|
| Rate for Payer: UHCCP Medicaid |
$2,754.50
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$2,140.25
|
|
|
Service Code
|
APR-DRG 7511
|
| Min. Negotiated Rate |
$2,038.33 |
| Max. Negotiated Rate |
$2,140.25 |
| Rate for Payer: BCBS Complete |
$2,140.25
|
| Rate for Payer: Mclaren Medicaid |
$2,038.33
|
| Rate for Payer: Meridian Medicaid |
$2,140.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,038.33
|
| Rate for Payer: UHCCP Medicaid |
$2,038.33
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$5,842.29
|
|
|
Service Code
|
APR-DRG 7513
|
| Min. Negotiated Rate |
$5,564.09 |
| Max. Negotiated Rate |
$5,842.29 |
| Rate for Payer: BCBS Complete |
$5,842.29
|
| Rate for Payer: Mclaren Medicaid |
$5,564.09
|
| Rate for Payer: Meridian Medicaid |
$5,842.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,564.09
|
| Rate for Payer: UHCCP Medicaid |
$5,564.09
|
|
|
APR-DRG 42.00: DEPRESSIVE DISORDERS
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 7514
|
| Min. Negotiated Rate |
$10,632.37 |
| Max. Negotiated Rate |
$11,163.99 |
| Rate for Payer: BCBS Complete |
$11,163.99
|
| Rate for Payer: Mclaren Medicaid |
$10,632.37
|
| Rate for Payer: Meridian Medicaid |
$11,163.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,632.37
|
| Rate for Payer: UHCCP Medicaid |
$10,632.37
|
|
|
APR-DRG 42.00: DIABETES
|
Facility
|
IP
|
$11,048.30
|
|
|
Service Code
|
APR-DRG 4204
|
| Min. Negotiated Rate |
$10,522.19 |
| Max. Negotiated Rate |
$11,048.30 |
| Rate for Payer: BCBS Complete |
$11,048.30
|
| Rate for Payer: Mclaren Medicaid |
$10,522.19
|
| Rate for Payer: Meridian Medicaid |
$11,048.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,522.19
|
| Rate for Payer: UHCCP Medicaid |
$10,522.19
|
|