|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$16,774.90
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$15,976.10 |
| Max. Negotiated Rate |
$16,774.90 |
| Rate for Payer: BCBS Complete |
$16,774.90
|
| Rate for Payer: Mclaren Medicaid |
$15,976.10
|
| Rate for Payer: Meridian Medicaid |
$16,774.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,976.10
|
| Rate for Payer: UHCCP Medicaid |
$15,976.10
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 7572
|
| Min. Negotiated Rate |
$4,517.38 |
| Max. Negotiated Rate |
$4,743.25 |
| Rate for Payer: BCBS Complete |
$4,743.25
|
| Rate for Payer: Mclaren Medicaid |
$4,517.38
|
| Rate for Payer: Meridian Medicaid |
$4,743.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,517.38
|
| Rate for Payer: UHCCP Medicaid |
$4,517.38
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$3,181.45
|
|
|
Service Code
|
APR-DRG 7571
|
| Min. Negotiated Rate |
$3,029.95 |
| Max. Negotiated Rate |
$3,181.45 |
| Rate for Payer: BCBS Complete |
$3,181.45
|
| Rate for Payer: Mclaren Medicaid |
$3,029.95
|
| Rate for Payer: Meridian Medicaid |
$3,181.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,029.95
|
| Rate for Payer: UHCCP Medicaid |
$3,029.95
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$5,726.61
|
|
|
Service Code
|
APR-DRG 3442
|
| Min. Negotiated Rate |
$5,453.91 |
| Max. Negotiated Rate |
$5,726.61 |
| Rate for Payer: BCBS Complete |
$5,726.61
|
| Rate for Payer: Mclaren Medicaid |
$5,453.91
|
| Rate for Payer: Meridian Medicaid |
$5,726.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,453.91
|
| Rate for Payer: UHCCP Medicaid |
$5,453.91
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 3441
|
| Min. Negotiated Rate |
$4,076.66 |
| Max. Negotiated Rate |
$4,280.49 |
| Rate for Payer: BCBS Complete |
$4,280.49
|
| Rate for Payer: Mclaren Medicaid |
$4,076.66
|
| Rate for Payer: Meridian Medicaid |
$4,280.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,076.66
|
| Rate for Payer: UHCCP Medicaid |
$4,076.66
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$13,535.61
|
|
|
Service Code
|
APR-DRG 3444
|
| Min. Negotiated Rate |
$12,891.06 |
| Max. Negotiated Rate |
$13,535.61 |
| Rate for Payer: BCBS Complete |
$13,535.61
|
| Rate for Payer: Mclaren Medicaid |
$12,891.06
|
| Rate for Payer: Meridian Medicaid |
$13,535.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,891.06
|
| Rate for Payer: UHCCP Medicaid |
$12,891.06
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 3443
|
| Min. Negotiated Rate |
$8,098.23 |
| Max. Negotiated Rate |
$8,503.14 |
| Rate for Payer: BCBS Complete |
$8,503.14
|
| Rate for Payer: Mclaren Medicaid |
$8,098.23
|
| Rate for Payer: Meridian Medicaid |
$8,503.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,098.23
|
| Rate for Payer: UHCCP Medicaid |
$8,098.23
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 8624
|
| Min. Negotiated Rate |
$6,225.17 |
| Max. Negotiated Rate |
$6,536.43 |
| Rate for Payer: BCBS Complete |
$6,536.43
|
| Rate for Payer: Mclaren Medicaid |
$6,225.17
|
| Rate for Payer: Meridian Medicaid |
$6,536.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,225.17
|
| Rate for Payer: UHCCP Medicaid |
$6,225.17
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$2,255.94
|
|
|
Service Code
|
APR-DRG 8621
|
| Min. Negotiated Rate |
$2,148.51 |
| Max. Negotiated Rate |
$2,255.94 |
| Rate for Payer: BCBS Complete |
$2,255.94
|
| Rate for Payer: Mclaren Medicaid |
$2,148.51
|
| Rate for Payer: Meridian Medicaid |
$2,255.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,148.51
|
| Rate for Payer: UHCCP Medicaid |
$2,148.51
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,148.16
|
|
|
Service Code
|
APR-DRG 8622
|
| Min. Negotiated Rate |
$4,903.01 |
| Max. Negotiated Rate |
$5,148.16 |
| Rate for Payer: BCBS Complete |
$5,148.16
|
| Rate for Payer: Mclaren Medicaid |
$4,903.01
|
| Rate for Payer: Meridian Medicaid |
$5,148.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,903.01
|
| Rate for Payer: UHCCP Medicaid |
$4,903.01
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 8623
|
| Min. Negotiated Rate |
$6,225.17 |
| Max. Negotiated Rate |
$6,536.43 |
| Rate for Payer: BCBS Complete |
$6,536.43
|
| Rate for Payer: Mclaren Medicaid |
$6,225.17
|
| Rate for Payer: Meridian Medicaid |
$6,536.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,225.17
|
| Rate for Payer: UHCCP Medicaid |
$6,225.17
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$11,858.12
|
|
|
Service Code
|
APR-DRG 2534
|
| Min. Negotiated Rate |
$11,293.45 |
| Max. Negotiated Rate |
$11,858.12 |
| Rate for Payer: BCBS Complete |
$11,858.12
|
| Rate for Payer: Mclaren Medicaid |
$11,293.45
|
| Rate for Payer: Meridian Medicaid |
$11,858.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,293.45
|
| Rate for Payer: UHCCP Medicaid |
$11,293.45
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,569.72
|
|
|
Service Code
|
APR-DRG 2532
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 2531
|
| 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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,883.50
|
|
|
Service Code
|
APR-DRG 2533
|
| Min. Negotiated Rate |
$6,555.71 |
| Max. Negotiated Rate |
$6,883.50 |
| Rate for Payer: BCBS Complete |
$6,883.50
|
| Rate for Payer: Mclaren Medicaid |
$6,555.71
|
| Rate for Payer: Meridian Medicaid |
$6,883.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,555.71
|
| Rate for Payer: UHCCP Medicaid |
$6,555.71
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,239.29
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$3,085.04 |
| Max. Negotiated Rate |
$3,239.29 |
| Rate for Payer: BCBS Complete |
$3,239.29
|
| Rate for Payer: Mclaren Medicaid |
$3,085.04
|
| Rate for Payer: Meridian Medicaid |
$3,239.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,085.04
|
| Rate for Payer: UHCCP Medicaid |
$3,085.04
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,362.90
|
|
|
Service Code
|
APR-DRG 6633
|
| Min. Negotiated Rate |
$6,059.90 |
| Max. Negotiated Rate |
$6,362.90 |
| Rate for Payer: BCBS Complete |
$6,362.90
|
| Rate for Payer: Mclaren Medicaid |
$6,059.90
|
| Rate for Payer: Meridian Medicaid |
$6,362.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,059.90
|
| Rate for Payer: UHCCP Medicaid |
$6,059.90
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 6634
|
| 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: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 6632
|
| 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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 3472
|
| Min. Negotiated Rate |
$5,068.28 |
| Max. Negotiated Rate |
$5,321.69 |
| Rate for Payer: BCBS Complete |
$5,321.69
|
| Rate for Payer: Mclaren Medicaid |
$5,068.28
|
| Rate for Payer: Meridian Medicaid |
$5,321.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,068.28
|
| Rate for Payer: UHCCP Medicaid |
$5,068.28
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$4,164.80
|
|
|
Service Code
|
APR-DRG 3471
|
| Min. Negotiated Rate |
$3,966.48 |
| Max. Negotiated Rate |
$4,164.80 |
| Rate for Payer: BCBS Complete |
$4,164.80
|
| Rate for Payer: Mclaren Medicaid |
$3,966.48
|
| Rate for Payer: Meridian Medicaid |
$4,164.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,966.48
|
| Rate for Payer: UHCCP Medicaid |
$3,966.48
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$7,519.78
|
|
|
Service Code
|
APR-DRG 3473
|
| Min. Negotiated Rate |
$7,161.70 |
| Max. Negotiated Rate |
$7,519.78 |
| Rate for Payer: BCBS Complete |
$7,519.78
|
| Rate for Payer: Mclaren Medicaid |
$7,161.70
|
| Rate for Payer: Meridian Medicaid |
$7,519.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,161.70
|
| Rate for Payer: UHCCP Medicaid |
$7,161.70
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 3474
|
| 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: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$17,931.79
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$17,077.90 |
| Max. Negotiated Rate |
$17,931.79 |
| Rate for Payer: BCBS Complete |
$17,931.79
|
| Rate for Payer: Mclaren Medicaid |
$17,077.90
|
| Rate for Payer: Meridian Medicaid |
$17,931.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,077.90
|
| Rate for Payer: UHCCP Medicaid |
$17,077.90
|
|
|
APR-DRG 42.00: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$8,792.36
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$8,373.68 |
| Max. Negotiated Rate |
$8,792.36 |
| Rate for Payer: BCBS Complete |
$8,792.36
|
| Rate for Payer: Mclaren Medicaid |
$8,373.68
|
| Rate for Payer: Meridian Medicaid |
$8,792.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,373.68
|
| Rate for Payer: UHCCP Medicaid |
$8,373.68
|
|