INPATIENT APRDRG 7701: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,976.78
|
|
Service Code
|
APR-DRG 7701
|
Hospital Charge Code |
APRDRG 7701
|
Min. Negotiated Rate |
$1,882.65 |
Max. Negotiated Rate |
$1,976.78 |
Rate for Payer: BCBS Complete |
$1,976.78
|
Rate for Payer: Mclaren Medicaid |
$1,882.65
|
Rate for Payer: Meridian Medicaid |
$1,976.78
|
Rate for Payer: Priority Health Choice Medicaid |
$1,882.65
|
|
INPATIENT APRDRG 7702: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,280.95
|
|
Service Code
|
APR-DRG 7702
|
Hospital Charge Code |
APRDRG 7702
|
Min. Negotiated Rate |
$2,172.33 |
Max. Negotiated Rate |
$2,280.95 |
Rate for Payer: BCBS Complete |
$2,280.95
|
Rate for Payer: Mclaren Medicaid |
$2,172.33
|
Rate for Payer: Meridian Medicaid |
$2,280.95
|
Rate for Payer: Priority Health Choice Medicaid |
$2,172.33
|
|
INPATIENT APRDRG 7703: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$3,042.22
|
|
Service Code
|
APR-DRG 7703
|
Hospital Charge Code |
APRDRG 7703
|
Min. Negotiated Rate |
$2,897.35 |
Max. Negotiated Rate |
$3,042.22 |
Rate for Payer: BCBS Complete |
$3,042.22
|
Rate for Payer: Mclaren Medicaid |
$2,897.35
|
Rate for Payer: Meridian Medicaid |
$3,042.22
|
Rate for Payer: Priority Health Choice Medicaid |
$2,897.35
|
|
INPATIENT APRDRG 7704: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$8,766.72
|
|
Service Code
|
APR-DRG 7704
|
Hospital Charge Code |
APRDRG 7704
|
Min. Negotiated Rate |
$8,349.26 |
Max. Negotiated Rate |
$8,766.72 |
Rate for Payer: BCBS Complete |
$8,766.72
|
Rate for Payer: Mclaren Medicaid |
$8,349.26
|
Rate for Payer: Meridian Medicaid |
$8,766.72
|
Rate for Payer: Priority Health Choice Medicaid |
$8,349.26
|
|
INPATIENT APRDRG 7731: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$1,921.01
|
|
Service Code
|
APR-DRG 7731
|
Hospital Charge Code |
APRDRG 7731
|
Min. Negotiated Rate |
$1,829.53 |
Max. Negotiated Rate |
$1,921.01 |
Rate for Payer: BCBS Complete |
$1,921.01
|
Rate for Payer: Mclaren Medicaid |
$1,829.53
|
Rate for Payer: Meridian Medicaid |
$1,921.01
|
Rate for Payer: Priority Health Choice Medicaid |
$1,829.53
|
|
INPATIENT APRDRG 7732: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,329.71
|
|
Service Code
|
APR-DRG 7732
|
Hospital Charge Code |
APRDRG 7732
|
Min. Negotiated Rate |
$3,171.15 |
Max. Negotiated Rate |
$3,329.71 |
Rate for Payer: BCBS Complete |
$3,329.71
|
Rate for Payer: Mclaren Medicaid |
$3,171.15
|
Rate for Payer: Meridian Medicaid |
$3,329.71
|
Rate for Payer: Priority Health Choice Medicaid |
$3,171.15
|
|
INPATIENT APRDRG 7733: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,492.90
|
|
Service Code
|
APR-DRG 7733
|
Hospital Charge Code |
APRDRG 7733
|
Min. Negotiated Rate |
$4,278.95 |
Max. Negotiated Rate |
$4,492.90 |
Rate for Payer: BCBS Complete |
$4,492.90
|
Rate for Payer: Mclaren Medicaid |
$4,278.95
|
Rate for Payer: Meridian Medicaid |
$4,492.90
|
Rate for Payer: Priority Health Choice Medicaid |
$4,278.95
|
|
INPATIENT APRDRG 7734: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$14,026.64
|
|
Service Code
|
APR-DRG 7734
|
Hospital Charge Code |
APRDRG 7734
|
Min. Negotiated Rate |
$13,358.70 |
Max. Negotiated Rate |
$14,026.64 |
Rate for Payer: BCBS Complete |
$14,026.64
|
Rate for Payer: Mclaren Medicaid |
$13,358.70
|
Rate for Payer: Meridian Medicaid |
$14,026.64
|
Rate for Payer: Priority Health Choice Medicaid |
$13,358.70
|
|
INPATIENT APRDRG 7741: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,000.25
|
|
Service Code
|
APR-DRG 7741
|
Hospital Charge Code |
APRDRG 7741
|
Min. Negotiated Rate |
$2,857.38 |
Max. Negotiated Rate |
$3,000.25 |
Rate for Payer: BCBS Complete |
$3,000.25
|
Rate for Payer: Mclaren Medicaid |
$2,857.38
|
Rate for Payer: Meridian Medicaid |
$3,000.25
|
Rate for Payer: Priority Health Choice Medicaid |
$2,857.38
|
|
INPATIENT APRDRG 7742: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,511.98
|
|
Service Code
|
APR-DRG 7742
|
Hospital Charge Code |
APRDRG 7742
|
Min. Negotiated Rate |
$3,344.74 |
Max. Negotiated Rate |
$3,511.98 |
Rate for Payer: BCBS Complete |
$3,511.98
|
Rate for Payer: Mclaren Medicaid |
$3,344.74
|
Rate for Payer: Meridian Medicaid |
$3,511.98
|
Rate for Payer: Priority Health Choice Medicaid |
$3,344.74
|
|
INPATIENT APRDRG 7743: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,934.48
|
|
Service Code
|
APR-DRG 7743
|
Hospital Charge Code |
APRDRG 7743
|
Min. Negotiated Rate |
$4,699.50 |
Max. Negotiated Rate |
$4,934.48 |
Rate for Payer: BCBS Complete |
$4,934.48
|
Rate for Payer: Mclaren Medicaid |
$4,699.50
|
Rate for Payer: Meridian Medicaid |
$4,934.48
|
Rate for Payer: Priority Health Choice Medicaid |
$4,699.50
|
|
INPATIENT APRDRG 7744: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$11,650.24
|
|
Service Code
|
APR-DRG 7744
|
Hospital Charge Code |
APRDRG 7744
|
Min. Negotiated Rate |
$11,095.47 |
Max. Negotiated Rate |
$11,650.24 |
Rate for Payer: BCBS Complete |
$11,650.24
|
Rate for Payer: Mclaren Medicaid |
$11,095.47
|
Rate for Payer: Meridian Medicaid |
$11,650.24
|
Rate for Payer: Priority Health Choice Medicaid |
$11,095.47
|
|
INPATIENT APRDRG 7751: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,269.33
|
|
Service Code
|
APR-DRG 7751
|
Hospital Charge Code |
APRDRG 7751
|
Min. Negotiated Rate |
$3,113.65 |
Max. Negotiated Rate |
$3,269.33 |
Rate for Payer: BCBS Complete |
$3,269.33
|
Rate for Payer: Mclaren Medicaid |
$3,113.65
|
Rate for Payer: Meridian Medicaid |
$3,269.33
|
Rate for Payer: Priority Health Choice Medicaid |
$3,113.65
|
|
INPATIENT APRDRG 7752: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,974.84
|
|
Service Code
|
APR-DRG 7752
|
Hospital Charge Code |
APRDRG 7752
|
Min. Negotiated Rate |
$3,785.56 |
Max. Negotiated Rate |
$3,974.84 |
Rate for Payer: BCBS Complete |
$3,974.84
|
Rate for Payer: Mclaren Medicaid |
$3,785.56
|
Rate for Payer: Meridian Medicaid |
$3,974.84
|
Rate for Payer: Priority Health Choice Medicaid |
$3,785.56
|
|
INPATIENT APRDRG 7753: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,822.83
|
|
Service Code
|
APR-DRG 7753
|
Hospital Charge Code |
APRDRG 7753
|
Min. Negotiated Rate |
$5,545.55 |
Max. Negotiated Rate |
$5,822.83 |
Rate for Payer: BCBS Complete |
$5,822.83
|
Rate for Payer: Mclaren Medicaid |
$5,545.55
|
Rate for Payer: Meridian Medicaid |
$5,822.83
|
Rate for Payer: Priority Health Choice Medicaid |
$5,545.55
|
|
INPATIENT APRDRG 7754: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$11,851.49
|
|
Service Code
|
APR-DRG 7754
|
Hospital Charge Code |
APRDRG 7754
|
Min. Negotiated Rate |
$11,287.13 |
Max. Negotiated Rate |
$11,851.49 |
Rate for Payer: BCBS Complete |
$11,851.49
|
Rate for Payer: Mclaren Medicaid |
$11,287.13
|
Rate for Payer: Meridian Medicaid |
$11,851.49
|
Rate for Payer: Priority Health Choice Medicaid |
$11,287.13
|
|
INPATIENT APRDRG 7761: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,427.35
|
|
Service Code
|
APR-DRG 7761
|
Hospital Charge Code |
APRDRG 7761
|
Min. Negotiated Rate |
$4,216.52 |
Max. Negotiated Rate |
$4,427.35 |
Rate for Payer: BCBS Complete |
$4,427.35
|
Rate for Payer: Mclaren Medicaid |
$4,216.52
|
Rate for Payer: Meridian Medicaid |
$4,427.35
|
Rate for Payer: Priority Health Choice Medicaid |
$4,216.52
|
|
INPATIENT APRDRG 7762: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,379.62
|
|
Service Code
|
APR-DRG 7762
|
Hospital Charge Code |
APRDRG 7762
|
Min. Negotiated Rate |
$4,171.07 |
Max. Negotiated Rate |
$4,379.62 |
Rate for Payer: BCBS Complete |
$4,379.62
|
Rate for Payer: Mclaren Medicaid |
$4,171.07
|
Rate for Payer: Meridian Medicaid |
$4,379.62
|
Rate for Payer: Priority Health Choice Medicaid |
$4,171.07
|
|
INPATIENT APRDRG 7763: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,953.34
|
|
Service Code
|
APR-DRG 7763
|
Hospital Charge Code |
APRDRG 7763
|
Min. Negotiated Rate |
$5,669.85 |
Max. Negotiated Rate |
$5,953.34 |
Rate for Payer: BCBS Complete |
$5,953.34
|
Rate for Payer: Mclaren Medicaid |
$5,669.85
|
Rate for Payer: Meridian Medicaid |
$5,953.34
|
Rate for Payer: Priority Health Choice Medicaid |
$5,669.85
|
|
INPATIENT APRDRG 7764: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$11,352.40
|
|
Service Code
|
APR-DRG 7764
|
Hospital Charge Code |
APRDRG 7764
|
Min. Negotiated Rate |
$10,811.81 |
Max. Negotiated Rate |
$11,352.40 |
Rate for Payer: BCBS Complete |
$11,352.40
|
Rate for Payer: Mclaren Medicaid |
$10,811.81
|
Rate for Payer: Meridian Medicaid |
$11,352.40
|
Rate for Payer: Priority Health Choice Medicaid |
$10,811.81
|
|
INPATIENT APRDRG 7921: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,795.47
|
|
Service Code
|
APR-DRG 7921
|
Hospital Charge Code |
APRDRG 7921
|
Min. Negotiated Rate |
$8,376.64 |
Max. Negotiated Rate |
$8,795.47 |
Rate for Payer: BCBS Complete |
$8,795.47
|
Rate for Payer: Mclaren Medicaid |
$8,376.64
|
Rate for Payer: Meridian Medicaid |
$8,795.47
|
Rate for Payer: Priority Health Choice Medicaid |
$8,376.64
|
|
INPATIENT APRDRG 7922: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,243.16
|
|
Service Code
|
APR-DRG 7922
|
Hospital Charge Code |
APRDRG 7922
|
Min. Negotiated Rate |
$10,707.77 |
Max. Negotiated Rate |
$11,243.16 |
Rate for Payer: BCBS Complete |
$11,243.16
|
Rate for Payer: Mclaren Medicaid |
$10,707.77
|
Rate for Payer: Meridian Medicaid |
$11,243.16
|
Rate for Payer: Priority Health Choice Medicaid |
$10,707.77
|
|
INPATIENT APRDRG 7923: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$16,958.46
|
|
Service Code
|
APR-DRG 7923
|
Hospital Charge Code |
APRDRG 7923
|
Min. Negotiated Rate |
$16,150.91 |
Max. Negotiated Rate |
$16,958.46 |
Rate for Payer: BCBS Complete |
$16,958.46
|
Rate for Payer: Mclaren Medicaid |
$16,150.91
|
Rate for Payer: Meridian Medicaid |
$16,958.46
|
Rate for Payer: Priority Health Choice Medicaid |
$16,150.91
|
|
INPATIENT APRDRG 7924: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$33,111.37
|
|
Service Code
|
APR-DRG 7924
|
Hospital Charge Code |
APRDRG 7924
|
Min. Negotiated Rate |
$31,534.64 |
Max. Negotiated Rate |
$33,111.37 |
Rate for Payer: BCBS Complete |
$33,111.37
|
Rate for Payer: Mclaren Medicaid |
$31,534.64
|
Rate for Payer: Meridian Medicaid |
$33,111.37
|
Rate for Payer: Priority Health Choice Medicaid |
$31,534.64
|
|
INPATIENT APRDRG 7931: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,748.54
|
|
Service Code
|
APR-DRG 7931
|
Hospital Charge Code |
APRDRG 7931
|
Min. Negotiated Rate |
$6,427.18 |
Max. Negotiated Rate |
$6,748.54 |
Rate for Payer: BCBS Complete |
$6,748.54
|
Rate for Payer: Mclaren Medicaid |
$6,427.18
|
Rate for Payer: Meridian Medicaid |
$6,748.54
|
Rate for Payer: Priority Health Choice Medicaid |
$6,427.18
|
|