|
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
|
$14,866.04
|
|
|
Service Code
|
APR-DRG 7614
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$13,824.84
|
|
|
Service Code
|
APR-DRG 7504
|
| Min. Negotiated Rate |
$13,166.51 |
| Max. Negotiated Rate |
$13,824.84 |
| Rate for Payer: BCBS Complete |
$13,824.84
|
| Rate for Payer: Mclaren Medicaid |
$13,166.51
|
| Rate for Payer: Meridian Medicaid |
$13,824.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,166.51
|
| Rate for Payer: UHCCP Medicaid |
$13,166.51
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 7503
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$4,743.25
|
|
|
Service Code
|
APR-DRG 7502
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$3,470.67
|
|
|
Service Code
|
APR-DRG 7501
|
| 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: SEIZURE
|
Facility
|
IP
|
$4,511.87
|
|
|
Service Code
|
APR-DRG 0532
|
| 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: SEIZURE
|
Facility
|
IP
|
$3,354.98
|
|
|
Service Code
|
APR-DRG 0531
|
| 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: SEIZURE
|
Facility
|
IP
|
$7,172.72
|
|
|
Service Code
|
APR-DRG 0533
|
| 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: SEIZURE
|
Facility
|
IP
|
$13,535.61
|
|
|
Service Code
|
APR-DRG 0534
|
| 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: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$3,817.74
|
|
|
Service Code
|
APR-DRG 7201
|
| Min. Negotiated Rate |
$3,635.94 |
| Max. Negotiated Rate |
$3,817.74 |
| Rate for Payer: BCBS Complete |
$3,817.74
|
| Rate for Payer: Mclaren Medicaid |
$3,635.94
|
| Rate for Payer: Meridian Medicaid |
$3,817.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,635.94
|
| Rate for Payer: UHCCP Medicaid |
$3,635.94
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$8,445.30
|
|
|
Service Code
|
APR-DRG 7203
|
| Min. Negotiated Rate |
$8,043.14 |
| Max. Negotiated Rate |
$8,445.30 |
| Rate for Payer: BCBS Complete |
$8,445.30
|
| Rate for Payer: Mclaren Medicaid |
$8,043.14
|
| Rate for Payer: Meridian Medicaid |
$8,445.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,043.14
|
| Rate for Payer: UHCCP Medicaid |
$8,043.14
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$15,618.01
|
|
|
Service Code
|
APR-DRG 7204
|
| Min. Negotiated Rate |
$14,874.30 |
| Max. Negotiated Rate |
$15,618.01 |
| Rate for Payer: BCBS Complete |
$15,618.01
|
| Rate for Payer: Mclaren Medicaid |
$14,874.30
|
| Rate for Payer: Meridian Medicaid |
$15,618.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,874.30
|
| Rate for Payer: UHCCP Medicaid |
$14,874.30
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$5,321.69
|
|
|
Service Code
|
APR-DRG 7202
|
| 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: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$19,493.60
|
|
|
Service Code
|
APR-DRG 3224
|
| Min. Negotiated Rate |
$18,565.33 |
| Max. Negotiated Rate |
$19,493.60 |
| Rate for Payer: BCBS Complete |
$19,493.60
|
| Rate for Payer: Mclaren Medicaid |
$18,565.33
|
| Rate for Payer: Meridian Medicaid |
$19,493.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,565.33
|
| Rate for Payer: UHCCP Medicaid |
$18,565.33
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$15,213.10
|
|
|
Service Code
|
APR-DRG 3223
|
| Min. Negotiated Rate |
$14,488.67 |
| Max. Negotiated Rate |
$15,213.10 |
| Rate for Payer: BCBS Complete |
$15,213.10
|
| Rate for Payer: Mclaren Medicaid |
$14,488.67
|
| Rate for Payer: Meridian Medicaid |
$15,213.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,488.67
|
| Rate for Payer: UHCCP Medicaid |
$14,488.67
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$11,163.99
|
|
|
Service Code
|
APR-DRG 3222
|
| 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: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$9,197.28
|
|
|
Service Code
|
APR-DRG 3221
|
| 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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$10,643.39
|
|
|
Service Code
|
APR-DRG 3152
|
| Min. Negotiated Rate |
$10,136.56 |
| Max. Negotiated Rate |
$10,643.39 |
| Rate for Payer: BCBS Complete |
$10,643.39
|
| Rate for Payer: Mclaren Medicaid |
$10,136.56
|
| Rate for Payer: Meridian Medicaid |
$10,643.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,136.56
|
| Rate for Payer: UHCCP Medicaid |
$10,136.56
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$22,501.51
|
|
|
Service Code
|
APR-DRG 3154
|
| Min. Negotiated Rate |
$21,430.01 |
| Max. Negotiated Rate |
$22,501.51 |
| Rate for Payer: BCBS Complete |
$22,501.51
|
| Rate for Payer: Mclaren Medicaid |
$21,430.01
|
| Rate for Payer: Meridian Medicaid |
$22,501.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,430.01
|
| Rate for Payer: UHCCP Medicaid |
$21,430.01
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$7,288.41
|
|
|
Service Code
|
APR-DRG 3151
|
| 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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$14,403.28
|
|
|
Service Code
|
APR-DRG 3153
|
| Min. Negotiated Rate |
$13,717.41 |
| Max. Negotiated Rate |
$14,403.28 |
| Rate for Payer: BCBS Complete |
$14,403.28
|
| Rate for Payer: Mclaren Medicaid |
$13,717.41
|
| Rate for Payer: Meridian Medicaid |
$14,403.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,717.41
|
| Rate for Payer: UHCCP Medicaid |
$13,717.41
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$3,528.51
|
|
|
Service Code
|
APR-DRG 6621
|
| 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: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$14,056.21
|
|
|
Service Code
|
APR-DRG 6624
|
| Min. Negotiated Rate |
$13,386.87 |
| Max. Negotiated Rate |
$14,056.21 |
| Rate for Payer: BCBS Complete |
$14,056.21
|
| Rate for Payer: Mclaren Medicaid |
$13,386.87
|
| Rate for Payer: Meridian Medicaid |
$14,056.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,386.87
|
| Rate for Payer: UHCCP Medicaid |
$13,386.87
|
|
|
APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$4,858.94
|
|
|
Service Code
|
APR-DRG 6622
|
| Min. Negotiated Rate |
$4,627.56 |
| Max. Negotiated Rate |
$4,858.94 |
| Rate for Payer: BCBS Complete |
$4,858.94
|
| Rate for Payer: Mclaren Medicaid |
$4,627.56
|
| Rate for Payer: Meridian Medicaid |
$4,858.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,627.56
|
| Rate for Payer: UHCCP Medicaid |
$4,627.56
|
|