|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$13,940.52
|
|
|
Service Code
|
APR-DRG 8604
|
| Min. Negotiated Rate |
$13,276.69 |
| Max. Negotiated Rate |
$13,940.52 |
| Rate for Payer: BCBS Complete |
$13,940.52
|
| Rate for Payer: Mclaren Medicaid |
$13,276.69
|
| Rate for Payer: Meridian Medicaid |
$13,940.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,276.69
|
| Rate for Payer: UHCCP Medicaid |
$13,276.69
|
|
|
APR-DRG 42.00: REHABILITATION
|
Facility
|
IP
|
$6,536.43
|
|
|
Service Code
|
APR-DRG 8601
|
| 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: REHABILITATION
|
Facility
|
IP
|
$8,503.14
|
|
|
Service Code
|
APR-DRG 8602
|
| 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: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$23,195.64
|
|
|
Service Code
|
APR-DRG 4444
|
| Min. Negotiated Rate |
$22,091.09 |
| Max. Negotiated Rate |
$23,195.64 |
| Rate for Payer: BCBS Complete |
$23,195.64
|
| Rate for Payer: Mclaren Medicaid |
$22,091.09
|
| Rate for Payer: Meridian Medicaid |
$23,195.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,091.09
|
| Rate for Payer: UHCCP Medicaid |
$22,091.09
|
|
|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$14,518.97
|
|
|
Service Code
|
APR-DRG 4443
|
| Min. Negotiated Rate |
$13,827.59 |
| Max. Negotiated Rate |
$14,518.97 |
| Rate for Payer: BCBS Complete |
$14,518.97
|
| Rate for Payer: Mclaren Medicaid |
$13,827.59
|
| Rate for Payer: Meridian Medicaid |
$14,518.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,827.59
|
| Rate for Payer: UHCCP Medicaid |
$13,827.59
|
|
|
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
|
$7,404.10
|
|
|
Service Code
|
APR-DRG 4441
|
| Min. Negotiated Rate |
$7,051.52 |
| Max. Negotiated Rate |
$7,404.10 |
| Rate for Payer: BCBS Complete |
$7,404.10
|
| Rate for Payer: Mclaren Medicaid |
$7,051.52
|
| Rate for Payer: Meridian Medicaid |
$7,404.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,051.52
|
| Rate for Payer: UHCCP Medicaid |
$7,051.52
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 1331
|
| Min. Negotiated Rate |
$3,305.40 |
| Max. Negotiated Rate |
$3,470.67 |
| Rate for Payer: BCBS Complete |
$3,470.67
|
| Rate for Payer: Mclaren Medicaid |
$3,305.40
|
| Rate for Payer: Meridian Medicaid |
$3,470.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,305.40
|
| Rate for Payer: UHCCP Medicaid |
$3,305.40
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$6,825.65
|
|
|
Service Code
|
APR-DRG 1333
|
| Min. Negotiated Rate |
$6,500.62 |
| Max. Negotiated Rate |
$6,825.65 |
| Rate for Payer: BCBS Complete |
$6,825.65
|
| Rate for Payer: Mclaren Medicaid |
$6,500.62
|
| Rate for Payer: Meridian Medicaid |
$6,825.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,500.62
|
| Rate for Payer: UHCCP Medicaid |
$6,500.62
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 1334
|
| 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: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,627.56
|
|
|
Service Code
|
APR-DRG 1332
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 1361
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$11,973.81
|
|
|
Service Code
|
APR-DRG 1364
|
| Min. Negotiated Rate |
$11,403.63 |
| Max. Negotiated Rate |
$11,973.81 |
| Rate for Payer: BCBS Complete |
$11,973.81
|
| Rate for Payer: Mclaren Medicaid |
$11,403.63
|
| Rate for Payer: Meridian Medicaid |
$11,973.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,403.63
|
| Rate for Payer: UHCCP Medicaid |
$11,403.63
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,610.92
|
|
|
Service Code
|
APR-DRG 1362
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$7,809.01
|
|
|
Service Code
|
APR-DRG 1363
|
| 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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$10,701.23
|
|
|
Service Code
|
APR-DRG 1444
|
| Min. Negotiated Rate |
$10,191.65 |
| Max. Negotiated Rate |
$10,701.23 |
| Rate for Payer: BCBS Complete |
$10,701.23
|
| Rate for Payer: Mclaren Medicaid |
$10,191.65
|
| Rate for Payer: Meridian Medicaid |
$10,701.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,191.65
|
| Rate for Payer: UHCCP Medicaid |
$10,191.65
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 1442
|
| 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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 1441
|
| Min. Negotiated Rate |
$3,195.22 |
| Max. Negotiated Rate |
$3,354.98 |
| Rate for Payer: BCBS Complete |
$3,354.98
|
| Rate for Payer: Mclaren Medicaid |
$3,195.22
|
| Rate for Payer: Meridian Medicaid |
$3,354.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,195.22
|
| Rate for Payer: UHCCP Medicaid |
$3,195.22
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,709.96
|
|
|
Service Code
|
APR-DRG 1443
|
| Min. Negotiated Rate |
$6,390.44 |
| Max. Negotiated Rate |
$6,709.96 |
| Rate for Payer: BCBS Complete |
$6,709.96
|
| Rate for Payer: Mclaren Medicaid |
$6,390.44
|
| Rate for Payer: Meridian Medicaid |
$6,709.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,390.44
|
| Rate for Payer: UHCCP Medicaid |
$6,390.44
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$31,640.94
|
|
|
Service Code
|
APR-DRG 1304
|
| Min. Negotiated Rate |
$30,134.23 |
| Max. Negotiated Rate |
$31,640.94 |
| Rate for Payer: BCBS Complete |
$31,640.94
|
| Rate for Payer: Mclaren Medicaid |
$30,134.23
|
| Rate for Payer: Meridian Medicaid |
$31,640.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$30,134.23
|
| Rate for Payer: UHCCP Medicaid |
$30,134.23
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$16,196.46
|
|
|
Service Code
|
APR-DRG 1301
|
| Min. Negotiated Rate |
$15,425.20 |
| Max. Negotiated Rate |
$16,196.46 |
| Rate for Payer: BCBS Complete |
$16,196.46
|
| Rate for Payer: Mclaren Medicaid |
$15,425.20
|
| Rate for Payer: Meridian Medicaid |
$16,196.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,425.20
|
| Rate for Payer: UHCCP Medicaid |
$15,425.20
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$23,889.78
|
|
|
Service Code
|
APR-DRG 1303
|
| Min. Negotiated Rate |
$22,752.17 |
| Max. Negotiated Rate |
$23,889.78 |
| Rate for Payer: BCBS Complete |
$23,889.78
|
| Rate for Payer: Mclaren Medicaid |
$22,752.17
|
| Rate for Payer: Meridian Medicaid |
$23,889.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,752.17
|
| Rate for Payer: UHCCP Medicaid |
$22,752.17
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$19,551.44
|
|
|
Service Code
|
APR-DRG 1302
|
| Min. Negotiated Rate |
$18,620.42 |
| Max. Negotiated Rate |
$19,551.44 |
| Rate for Payer: BCBS Complete |
$19,551.44
|
| Rate for Payer: Mclaren Medicaid |
$18,620.42
|
| Rate for Payer: Meridian Medicaid |
$19,551.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,620.42
|
| Rate for Payer: UHCCP Medicaid |
$18,620.42
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$4,685.40
|
|
|
Service Code
|
APR-DRG 7612
|
| Min. Negotiated Rate |
$4,462.29 |
| Max. Negotiated Rate |
$4,685.40 |
| Rate for Payer: BCBS Complete |
$4,685.40
|
| Rate for Payer: Mclaren Medicaid |
$4,462.29
|
| Rate for Payer: Meridian Medicaid |
$4,685.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,462.29
|
| Rate for Payer: UHCCP Medicaid |
$4,462.29
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$8,618.83
|
|
|
Service Code
|
APR-DRG 7613
|
| Min. Negotiated Rate |
$8,208.41 |
| Max. Negotiated Rate |
$8,618.83 |
| Rate for Payer: BCBS Complete |
$8,618.83
|
| Rate for Payer: Mclaren Medicaid |
$8,208.41
|
| Rate for Payer: Meridian Medicaid |
$8,618.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,208.41
|
| Rate for Payer: UHCCP Medicaid |
$8,208.41
|
|