|
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
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$6,362.90
|
|
|
Service Code
|
APR-DRG 7572
|
| 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: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$6,941.34 |
| Max. Negotiated Rate |
$7,288.41 |
| Rate for Payer: BCBS Complete |
$7,288.41
|
| Rate for Payer: Mclaren Medicaid |
$6,941.34
|
| Rate for Payer: Meridian Medicaid |
$7,288.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,941.34
|
| Rate for Payer: UHCCP Medicaid |
$6,941.34
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$4,280.49
|
|
|
Service Code
|
APR-DRG 7571
|
| 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: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$17,411.19
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$16,582.09 |
| Max. Negotiated Rate |
$17,411.19 |
| Rate for Payer: BCBS Complete |
$17,411.19
|
| Rate for Payer: Mclaren Medicaid |
$16,582.09
|
| Rate for Payer: Meridian Medicaid |
$17,411.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,582.09
|
| Rate for Payer: UHCCP Medicaid |
$16,582.09
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$9,486.50
|
|
|
Service Code
|
APR-DRG 3444
|
| Min. Negotiated Rate |
$9,034.76 |
| Max. Negotiated Rate |
$9,486.50 |
| Rate for Payer: BCBS Complete |
$9,486.50
|
| Rate for Payer: Mclaren Medicaid |
$9,034.76
|
| Rate for Payer: Meridian Medicaid |
$9,486.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,034.76
|
| Rate for Payer: UHCCP Medicaid |
$9,034.76
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,759.89
|
|
|
Service Code
|
APR-DRG 3441
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$7,809.01
|
|
|
Service Code
|
APR-DRG 3443
|
| Min. Negotiated Rate |
$7,437.15 |
| Max. Negotiated Rate |
$7,809.01 |
| Rate for Payer: BCBS Complete |
$7,809.01
|
| Rate for Payer: Mclaren Medicaid |
$7,437.15
|
| Rate for Payer: Meridian Medicaid |
$7,809.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,437.15
|
| Rate for Payer: UHCCP Medicaid |
$7,437.15
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$5,784.45
|
|
|
Service Code
|
APR-DRG 3442
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 8623
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,610.92
|
|
|
Service Code
|
APR-DRG 8622
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 8624
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$2,429.47
|
|
|
Service Code
|
APR-DRG 8621
|
| Min. Negotiated Rate |
$2,313.78 |
| Max. Negotiated Rate |
$2,429.47 |
| Rate for Payer: BCBS Complete |
$2,429.47
|
| Rate for Payer: Mclaren Medicaid |
$2,313.78
|
| Rate for Payer: Meridian Medicaid |
$2,429.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,313.78
|
| Rate for Payer: UHCCP Medicaid |
$2,313.78
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$5,090.32
|
|
|
Service Code
|
APR-DRG 2532
|
| Min. Negotiated Rate |
$4,847.92 |
| Max. Negotiated Rate |
$5,090.32 |
| Rate for Payer: BCBS Complete |
$5,090.32
|
| Rate for Payer: Mclaren Medicaid |
$4,847.92
|
| Rate for Payer: Meridian Medicaid |
$5,090.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,847.92
|
| Rate for Payer: UHCCP Medicaid |
$4,847.92
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$9,775.72
|
|
|
Service Code
|
APR-DRG 2534
|
| Min. Negotiated Rate |
$9,310.21 |
| Max. Negotiated Rate |
$9,775.72 |
| Rate for Payer: BCBS Complete |
$9,775.72
|
| Rate for Payer: Mclaren Medicaid |
$9,310.21
|
| Rate for Payer: Meridian Medicaid |
$9,775.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,310.21
|
| Rate for Payer: UHCCP Medicaid |
$9,310.21
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,627.56
|
|
|
Service Code
|
APR-DRG 2531
|
| Min. Negotiated Rate |
$4,407.20 |
| Max. Negotiated Rate |
$4,627.56 |
| Rate for Payer: BCBS Complete |
$4,627.56
|
| Rate for Payer: Mclaren Medicaid |
$4,407.20
|
| Rate for Payer: Meridian Medicaid |
$4,627.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,407.20
|
| Rate for Payer: UHCCP Medicaid |
$4,407.20
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$7,346.25
|
|
|
Service Code
|
APR-DRG 2533
|
| Min. Negotiated Rate |
$6,996.43 |
| Max. Negotiated Rate |
$7,346.25 |
| Rate for Payer: BCBS Complete |
$7,346.25
|
| Rate for Payer: Mclaren Medicaid |
$6,996.43
|
| Rate for Payer: Meridian Medicaid |
$7,346.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,996.43
|
| Rate for Payer: UHCCP Medicaid |
$6,996.43
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,412.83
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$3,250.31 |
| Max. Negotiated Rate |
$3,412.83 |
| Rate for Payer: BCBS Complete |
$3,412.83
|
| Rate for Payer: Mclaren Medicaid |
$3,250.31
|
| Rate for Payer: Meridian Medicaid |
$3,412.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,250.31
|
| Rate for Payer: UHCCP Medicaid |
$3,250.31
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,916.78
|
|
|
Service Code
|
APR-DRG 6632
|
| Min. Negotiated Rate |
$4,682.65 |
| Max. Negotiated Rate |
$4,916.78 |
| Rate for Payer: BCBS Complete |
$4,916.78
|
| Rate for Payer: Mclaren Medicaid |
$4,682.65
|
| Rate for Payer: Meridian Medicaid |
$4,916.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,682.65
|
| Rate for Payer: UHCCP Medicaid |
$4,682.65
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$11,106.14
|
|
|
Service Code
|
APR-DRG 6634
|
| Min. Negotiated Rate |
$10,577.28 |
| Max. Negotiated Rate |
$11,106.14 |
| Rate for Payer: BCBS Complete |
$11,106.14
|
| Rate for Payer: Mclaren Medicaid |
$10,577.28
|
| Rate for Payer: Meridian Medicaid |
$11,106.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,577.28
|
| Rate for Payer: UHCCP Medicaid |
$10,577.28
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$7,057.03
|
|
|
Service Code
|
APR-DRG 6633
|
| Min. Negotiated Rate |
$6,720.98 |
| Max. Negotiated Rate |
$7,057.03 |
| Rate for Payer: BCBS Complete |
$7,057.03
|
| Rate for Payer: Mclaren Medicaid |
$6,720.98
|
| Rate for Payer: Meridian Medicaid |
$7,057.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,720.98
|
| Rate for Payer: UHCCP Medicaid |
$6,720.98
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$9,891.41
|
|
|
Service Code
|
APR-DRG 3474
|
| Min. Negotiated Rate |
$9,420.39 |
| Max. Negotiated Rate |
$9,891.41 |
| Rate for Payer: BCBS Complete |
$9,891.41
|
| Rate for Payer: Mclaren Medicaid |
$9,420.39
|
| Rate for Payer: Meridian Medicaid |
$9,891.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,420.39
|
| Rate for Payer: UHCCP Medicaid |
$9,420.39
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$6,131.52
|
|
|
Service Code
|
APR-DRG 3472
|
| Min. Negotiated Rate |
$5,839.54 |
| Max. Negotiated Rate |
$6,131.52 |
| Rate for Payer: BCBS Complete |
$6,131.52
|
| Rate for Payer: Mclaren Medicaid |
$5,839.54
|
| Rate for Payer: Meridian Medicaid |
$6,131.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,839.54
|
| Rate for Payer: UHCCP Medicaid |
$5,839.54
|
|
|
APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 3471
|
| 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
|
$8,040.39
|
|
|
Service Code
|
APR-DRG 3473
|
| Min. Negotiated Rate |
$7,657.51 |
| Max. Negotiated Rate |
$8,040.39 |
| Rate for Payer: BCBS Complete |
$8,040.39
|
| Rate for Payer: Mclaren Medicaid |
$7,657.51
|
| Rate for Payer: Meridian Medicaid |
$8,040.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,657.51
|
| Rate for Payer: UHCCP Medicaid |
$7,657.51
|
|