|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,668.76
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$5,398.82 |
| Max. Negotiated Rate |
$5,668.76 |
| Rate for Payer: BCBS Complete |
$5,668.76
|
| Rate for Payer: Mclaren Medicaid |
$5,398.82
|
| Rate for Payer: Meridian Medicaid |
$5,668.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,398.82
|
| Rate for Payer: UHCCP Medicaid |
$5,398.82
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$15,618.02
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$14,874.30 |
| Max. Negotiated Rate |
$15,618.02 |
| Rate for Payer: BCBS Complete |
$15,618.02
|
| Rate for Payer: Mclaren Medicaid |
$14,874.30
|
| Rate for Payer: Meridian Medicaid |
$15,618.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,874.30
|
| Rate for Payer: UHCCP Medicaid |
$14,874.30
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$6,652.12
|
|
|
Service Code
|
APR-DRG 7624
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 7623
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,007.91
|
|
|
Service Code
|
APR-DRG 7621
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,644.20
|
|
|
Service Code
|
APR-DRG 7622
|
| 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: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$14,287.59
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$13,607.23 |
| Max. Negotiated Rate |
$14,287.59 |
| Rate for Payer: BCBS Complete |
$14,287.59
|
| Rate for Payer: Mclaren Medicaid |
$13,607.23
|
| Rate for Payer: Meridian Medicaid |
$14,287.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,607.23
|
| Rate for Payer: UHCCP Medicaid |
$13,607.23
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$28,343.80
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$26,994.10 |
| Max. Negotiated Rate |
$28,343.80 |
| Rate for Payer: BCBS Complete |
$28,343.80
|
| Rate for Payer: Mclaren Medicaid |
$26,994.10
|
| Rate for Payer: Meridian Medicaid |
$28,343.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,994.10
|
| Rate for Payer: UHCCP Medicaid |
$26,994.10
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$30,888.96
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$29,418.06 |
| Max. Negotiated Rate |
$30,888.96 |
| Rate for Payer: BCBS Complete |
$30,888.96
|
| Rate for Payer: Mclaren Medicaid |
$29,418.06
|
| Rate for Payer: Meridian Medicaid |
$30,888.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,418.06
|
| Rate for Payer: UHCCP Medicaid |
$29,418.06
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$21,923.07
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$20,879.11 |
| Max. Negotiated Rate |
$21,923.07 |
| Rate for Payer: BCBS Complete |
$21,923.07
|
| Rate for Payer: Mclaren Medicaid |
$20,879.11
|
| Rate for Payer: Meridian Medicaid |
$21,923.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,879.11
|
| Rate for Payer: UHCCP Medicaid |
$20,879.11
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$39,854.86
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$37,957.01 |
| Max. Negotiated Rate |
$39,854.86 |
| Rate for Payer: BCBS Complete |
$39,854.86
|
| Rate for Payer: Mclaren Medicaid |
$37,957.01
|
| Rate for Payer: Meridian Medicaid |
$39,854.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$37,957.01
|
| Rate for Payer: UHCCP Medicaid |
$37,957.01
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$26,492.78
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$25,231.22 |
| Max. Negotiated Rate |
$26,492.78 |
| Rate for Payer: BCBS Complete |
$26,492.78
|
| Rate for Payer: Mclaren Medicaid |
$25,231.22
|
| Rate for Payer: Meridian Medicaid |
$26,492.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,231.22
|
| Rate for Payer: UHCCP Medicaid |
$25,231.22
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$15,849.39
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$15,094.66 |
| Max. Negotiated Rate |
$15,849.39 |
| Rate for Payer: BCBS Complete |
$15,849.39
|
| Rate for Payer: Mclaren Medicaid |
$15,094.66
|
| Rate for Payer: Meridian Medicaid |
$15,849.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,094.66
|
| Rate for Payer: UHCCP Medicaid |
$15,094.66
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$10,180.63
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$9,695.84 |
| Max. Negotiated Rate |
$10,180.63 |
| Rate for Payer: BCBS Complete |
$10,180.63
|
| Rate for Payer: Mclaren Medicaid |
$9,695.84
|
| Rate for Payer: Meridian Medicaid |
$10,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,695.84
|
| Rate for Payer: UHCCP Medicaid |
$9,695.84
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$6,189.36
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$5,894.63 |
| Max. Negotiated Rate |
$6,189.36 |
| Rate for Payer: BCBS Complete |
$6,189.36
|
| Rate for Payer: Mclaren Medicaid |
$5,894.63
|
| Rate for Payer: Meridian Medicaid |
$6,189.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,894.63
|
| Rate for Payer: UHCCP Medicaid |
$5,894.63
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$20,708.33
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$19,722.22 |
| Max. Negotiated Rate |
$20,708.33 |
| Rate for Payer: BCBS Complete |
$20,708.33
|
| Rate for Payer: Mclaren Medicaid |
$19,722.22
|
| Rate for Payer: Meridian Medicaid |
$20,708.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,722.22
|
| Rate for Payer: UHCCP Medicaid |
$19,722.22
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$10,122.79
|
|
|
Service Code
|
APR-DRG 0242
|
| Min. Negotiated Rate |
$9,640.75 |
| Max. Negotiated Rate |
$10,122.79 |
| Rate for Payer: BCBS Complete |
$10,122.79
|
| Rate for Payer: Mclaren Medicaid |
$9,640.75
|
| Rate for Payer: Meridian Medicaid |
$10,122.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,640.75
|
| Rate for Payer: UHCCP Medicaid |
$9,640.75
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,171.90
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$13,497.05 |
| Max. Negotiated Rate |
$14,171.90 |
| Rate for Payer: BCBS Complete |
$14,171.90
|
| Rate for Payer: Mclaren Medicaid |
$13,497.05
|
| Rate for Payer: Meridian Medicaid |
$14,171.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,497.05
|
| Rate for Payer: UHCCP Medicaid |
$13,497.05
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$13,593.46
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$12,946.15 |
| Max. Negotiated Rate |
$13,593.46 |
| Rate for Payer: BCBS Complete |
$13,593.46
|
| Rate for Payer: Mclaren Medicaid |
$12,946.15
|
| Rate for Payer: Meridian Medicaid |
$13,593.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,946.15
|
| Rate for Payer: UHCCP Medicaid |
$12,946.15
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,801.09
|
|
|
Service Code
|
APR-DRG 7733
|
| Min. Negotiated Rate |
$4,572.47 |
| Max. Negotiated Rate |
$4,801.09 |
| Rate for Payer: BCBS Complete |
$4,801.09
|
| Rate for Payer: Mclaren Medicaid |
$4,572.47
|
| Rate for Payer: Meridian Medicaid |
$4,801.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,572.47
|
| Rate for Payer: UHCCP Medicaid |
$4,572.47
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,586.36
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$3,415.58 |
| Max. Negotiated Rate |
$3,586.36 |
| Rate for Payer: BCBS Complete |
$3,586.36
|
| Rate for Payer: Mclaren Medicaid |
$3,415.58
|
| Rate for Payer: Meridian Medicaid |
$3,586.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,415.58
|
| Rate for Payer: UHCCP Medicaid |
$3,415.58
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,082.40
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,983.24 |
| Max. Negotiated Rate |
$2,082.40 |
| Rate for Payer: BCBS Complete |
$2,082.40
|
| Rate for Payer: Mclaren Medicaid |
$1,983.24
|
| Rate for Payer: Meridian Medicaid |
$2,082.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,983.24
|
| Rate for Payer: UHCCP Medicaid |
$1,983.24
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$9,197.28
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$8,759.31 |
| Max. Negotiated Rate |
$9,197.28 |
| Rate for Payer: BCBS Complete |
$9,197.28
|
| Rate for Payer: Mclaren Medicaid |
$8,759.31
|
| Rate for Payer: Meridian Medicaid |
$9,197.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,759.31
|
| Rate for Payer: UHCCP Medicaid |
$8,759.31
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$13,477.77
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$12,835.97 |
| Max. Negotiated Rate |
$13,477.77 |
| Rate for Payer: BCBS Complete |
$13,477.77
|
| Rate for Payer: Mclaren Medicaid |
$12,835.97
|
| Rate for Payer: Meridian Medicaid |
$13,477.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,835.97
|
| Rate for Payer: UHCCP Medicaid |
$12,835.97
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$23,427.02
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$22,311.45 |
| Max. Negotiated Rate |
$23,427.02 |
| Rate for Payer: BCBS Complete |
$23,427.02
|
| Rate for Payer: Mclaren Medicaid |
$22,311.45
|
| Rate for Payer: Meridian Medicaid |
$23,427.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,311.45
|
| Rate for Payer: UHCCP Medicaid |
$22,311.45
|
|