|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$14,866.04
|
|
|
Service Code
|
APR-DRG 8604
|
| Min. Negotiated Rate |
$14,158.13 |
| Max. Negotiated Rate |
$14,866.04 |
| Rate for Payer: BCBS Complete |
$14,866.04
|
| Rate for Payer: Mclaren Medicaid |
$14,158.13
|
| Rate for Payer: Meridian Medicaid |
$14,866.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,158.13
|
| Rate for Payer: UHCCP Medicaid |
$14,158.13
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$12,725.79
|
|
|
Service Code
|
APR-DRG 4443
|
| Min. Negotiated Rate |
$12,119.80 |
| Max. Negotiated Rate |
$12,725.79 |
| Rate for Payer: BCBS Complete |
$12,725.79
|
| Rate for Payer: Mclaren Medicaid |
$12,119.80
|
| Rate for Payer: Meridian Medicaid |
$12,725.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,119.80
|
| Rate for Payer: UHCCP Medicaid |
$12,119.80
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$10,238.48
|
|
|
Service Code
|
APR-DRG 4442
|
| 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: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$7,577.63
|
|
|
Service Code
|
APR-DRG 4441
|
| Min. Negotiated Rate |
$7,216.79 |
| Max. Negotiated Rate |
$7,577.63 |
| Rate for Payer: BCBS Complete |
$7,577.63
|
| Rate for Payer: Mclaren Medicaid |
$7,216.79
|
| Rate for Payer: Meridian Medicaid |
$7,577.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,216.79
|
| Rate for Payer: UHCCP Medicaid |
$7,216.79
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$21,807.38
|
|
|
Service Code
|
APR-DRG 4444
|
| Min. Negotiated Rate |
$20,768.93 |
| Max. Negotiated Rate |
$21,807.38 |
| Rate for Payer: BCBS Complete |
$21,807.38
|
| Rate for Payer: Mclaren Medicaid |
$20,768.93
|
| Rate for Payer: Meridian Medicaid |
$21,807.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,768.93
|
| Rate for Payer: UHCCP Medicaid |
$20,768.93
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$7,635.47
|
|
|
Service Code
|
APR-DRG 1333
|
| Min. Negotiated Rate |
$7,271.88 |
| Max. Negotiated Rate |
$7,635.47 |
| Rate for Payer: BCBS Complete |
$7,635.47
|
| Rate for Payer: Mclaren Medicaid |
$7,271.88
|
| Rate for Payer: Meridian Medicaid |
$7,635.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,271.88
|
| Rate for Payer: UHCCP Medicaid |
$7,271.88
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$5,263.85
|
|
|
Service Code
|
APR-DRG 1332
|
| Min. Negotiated Rate |
$5,013.19 |
| Max. Negotiated Rate |
$5,263.85 |
| Rate for Payer: BCBS Complete |
$5,263.85
|
| Rate for Payer: Mclaren Medicaid |
$5,013.19
|
| Rate for Payer: Meridian Medicaid |
$5,263.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,013.19
|
| Rate for Payer: UHCCP Medicaid |
$5,013.19
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$11,626.74
|
|
|
Service Code
|
APR-DRG 1334
|
| Min. Negotiated Rate |
$11,073.09 |
| Max. Negotiated Rate |
$11,626.74 |
| Rate for Payer: BCBS Complete |
$11,626.74
|
| Rate for Payer: Mclaren Medicaid |
$11,073.09
|
| Rate for Payer: Meridian Medicaid |
$11,626.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,073.09
|
| Rate for Payer: UHCCP Medicaid |
$11,073.09
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 1331
|
| Min. Negotiated Rate |
$3,691.03 |
| Max. Negotiated Rate |
$3,875.58 |
| Rate for Payer: BCBS Complete |
$3,875.58
|
| Rate for Payer: Mclaren Medicaid |
$3,691.03
|
| Rate for Payer: Meridian Medicaid |
$3,875.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,691.03
|
| Rate for Payer: UHCCP Medicaid |
$3,691.03
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$12,436.57
|
|
|
Service Code
|
APR-DRG 1364
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$6,883.50
|
|
|
Service Code
|
APR-DRG 1362
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,900.14
|
|
|
Service Code
|
APR-DRG 1361
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$8,560.99
|
|
|
Service Code
|
APR-DRG 1363
|
| Min. Negotiated Rate |
$8,153.32 |
| Max. Negotiated Rate |
$8,560.99 |
| Rate for Payer: BCBS Complete |
$8,560.99
|
| Rate for Payer: Mclaren Medicaid |
$8,153.32
|
| Rate for Payer: Meridian Medicaid |
$8,560.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,153.32
|
| Rate for Payer: UHCCP Medicaid |
$8,153.32
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$7,230.56
|
|
|
Service Code
|
APR-DRG 1443
|
| Min. Negotiated Rate |
$6,886.25 |
| Max. Negotiated Rate |
$7,230.56 |
| Rate for Payer: BCBS Complete |
$7,230.56
|
| Rate for Payer: Mclaren Medicaid |
$6,886.25
|
| Rate for Payer: Meridian Medicaid |
$7,230.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,886.25
|
| Rate for Payer: UHCCP Medicaid |
$6,886.25
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$10,238.48
|
|
|
Service Code
|
APR-DRG 1444
|
| 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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,297.14
|
|
|
Service Code
|
APR-DRG 1441
|
| Min. Negotiated Rate |
$3,140.13 |
| Max. Negotiated Rate |
$3,297.14 |
| Rate for Payer: BCBS Complete |
$3,297.14
|
| Rate for Payer: Mclaren Medicaid |
$3,140.13
|
| Rate for Payer: Meridian Medicaid |
$3,297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,140.13
|
| Rate for Payer: UHCCP Medicaid |
$3,140.13
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$5,379.54
|
|
|
Service Code
|
APR-DRG 1442
|
| Min. Negotiated Rate |
$5,123.37 |
| Max. Negotiated Rate |
$5,379.54 |
| Rate for Payer: BCBS Complete |
$5,379.54
|
| Rate for Payer: Mclaren Medicaid |
$5,123.37
|
| Rate for Payer: Meridian Medicaid |
$5,379.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,123.37
|
| Rate for Payer: UHCCP Medicaid |
$5,123.37
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$25,278.05
|
|
|
Service Code
|
APR-DRG 1303
|
| Min. Negotiated Rate |
$24,074.33 |
| Max. Negotiated Rate |
$25,278.05 |
| Rate for Payer: BCBS Complete |
$25,278.05
|
| Rate for Payer: Mclaren Medicaid |
$24,074.33
|
| Rate for Payer: Meridian Medicaid |
$25,278.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,074.33
|
| Rate for Payer: UHCCP Medicaid |
$24,074.33
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$19,320.06
|
|
|
Service Code
|
APR-DRG 1302
|
| Min. Negotiated Rate |
$18,400.06 |
| Max. Negotiated Rate |
$19,320.06 |
| Rate for Payer: BCBS Complete |
$19,320.06
|
| Rate for Payer: Mclaren Medicaid |
$18,400.06
|
| Rate for Payer: Meridian Medicaid |
$19,320.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,400.06
|
| Rate for Payer: UHCCP Medicaid |
$18,400.06
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$15,965.08
|
|
|
Service Code
|
APR-DRG 1301
|
| Min. Negotiated Rate |
$15,204.84 |
| Max. Negotiated Rate |
$15,965.08 |
| Rate for Payer: BCBS Complete |
$15,965.08
|
| Rate for Payer: Mclaren Medicaid |
$15,204.84
|
| Rate for Payer: Meridian Medicaid |
$15,965.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,204.84
|
| Rate for Payer: UHCCP Medicaid |
$15,204.84
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$28,285.96
|
|
|
Service Code
|
APR-DRG 1304
|
| Min. Negotiated Rate |
$26,939.01 |
| Max. Negotiated Rate |
$28,285.96 |
| Rate for Payer: BCBS Complete |
$28,285.96
|
| Rate for Payer: Mclaren Medicaid |
$26,939.01
|
| Rate for Payer: Meridian Medicaid |
$28,285.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,939.01
|
| Rate for Payer: UHCCP Medicaid |
$26,939.01
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$4,106.96
|
|
|
Service Code
|
APR-DRG 7612
|
| Min. Negotiated Rate |
$3,911.39 |
| Max. Negotiated Rate |
$4,106.96 |
| Rate for Payer: BCBS Complete |
$4,106.96
|
| Rate for Payer: Mclaren Medicaid |
$3,911.39
|
| Rate for Payer: Meridian Medicaid |
$4,106.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,911.39
|
| Rate for Payer: UHCCP Medicaid |
$3,911.39
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$7,461.94
|
|
|
Service Code
|
APR-DRG 7613
|
| Min. Negotiated Rate |
$7,106.61 |
| Max. Negotiated Rate |
$7,461.94 |
| Rate for Payer: BCBS Complete |
$7,461.94
|
| Rate for Payer: Mclaren Medicaid |
$7,106.61
|
| Rate for Payer: Meridian Medicaid |
$7,461.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,106.61
|
| Rate for Payer: UHCCP Medicaid |
$7,106.61
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$3,875.58
|
|
|
Service Code
|
APR-DRG 7611
|
| Min. Negotiated Rate |
$3,691.03 |
| Max. Negotiated Rate |
$3,875.58 |
| Rate for Payer: BCBS Complete |
$3,875.58
|
| Rate for Payer: Mclaren Medicaid |
$3,691.03
|
| Rate for Payer: Meridian Medicaid |
$3,875.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,691.03
|
| Rate for Payer: UHCCP Medicaid |
$3,691.03
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$12,841.48
|
|
|
Service Code
|
APR-DRG 7614
|
| Min. Negotiated Rate |
$12,229.98 |
| Max. Negotiated Rate |
$12,841.48 |
| Rate for Payer: BCBS Complete |
$12,841.48
|
| Rate for Payer: Mclaren Medicaid |
$12,229.98
|
| Rate for Payer: Meridian Medicaid |
$12,841.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,229.98
|
| Rate for Payer: UHCCP Medicaid |
$12,229.98
|
|