|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$7,553.09
|
|
|
Service Code
|
APR-DRG 1454
|
| Min. Negotiated Rate |
$7,193.42 |
| Max. Negotiated Rate |
$7,553.09 |
| Rate for Payer: BCBS Complete |
$7,553.09
|
| Rate for Payer: Mclaren Medicaid |
$7,193.42
|
| Rate for Payer: Meridian Medicaid |
$7,553.09
|
| Rate for Payer: PHP Medicaid |
$7,193.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,193.42
|
| Rate for Payer: UHCCP Medicaid |
$7,193.42
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 1453
|
| Min. Negotiated Rate |
$4,385.03 |
| Max. Negotiated Rate |
$4,604.28 |
| Rate for Payer: BCBS Complete |
$4,604.28
|
| Rate for Payer: Mclaren Medicaid |
$4,385.03
|
| Rate for Payer: Meridian Medicaid |
$4,604.28
|
| Rate for Payer: PHP Medicaid |
$4,385.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,385.03
|
| Rate for Payer: UHCCP Medicaid |
$4,385.03
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 1452
|
| Min. Negotiated Rate |
$3,202.55 |
| Max. Negotiated Rate |
$3,362.68 |
| Rate for Payer: BCBS Complete |
$3,362.68
|
| Rate for Payer: Mclaren Medicaid |
$3,202.55
|
| Rate for Payer: Meridian Medicaid |
$3,362.68
|
| Rate for Payer: PHP Medicaid |
$3,202.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,202.55
|
| Rate for Payer: UHCCP Medicaid |
$3,202.55
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,586.68
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$2,463.50 |
| Max. Negotiated Rate |
$2,586.68 |
| Rate for Payer: BCBS Complete |
$2,586.68
|
| Rate for Payer: Mclaren Medicaid |
$2,463.50
|
| Rate for Payer: Meridian Medicaid |
$2,586.68
|
| Rate for Payer: PHP Medicaid |
$2,463.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,463.50
|
| Rate for Payer: UHCCP Medicaid |
$2,463.50
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$12,002.17
|
|
|
Service Code
|
APR-DRG 4694
|
| Min. Negotiated Rate |
$11,430.64 |
| Max. Negotiated Rate |
$12,002.17 |
| Rate for Payer: BCBS Complete |
$12,002.17
|
| Rate for Payer: Mclaren Medicaid |
$11,430.64
|
| Rate for Payer: Meridian Medicaid |
$12,002.17
|
| Rate for Payer: PHP Medicaid |
$11,430.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,430.64
|
| Rate for Payer: UHCCP Medicaid |
$11,430.64
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,621.34
|
|
|
Service Code
|
APR-DRG 4692
|
| Min. Negotiated Rate |
$3,448.90 |
| Max. Negotiated Rate |
$3,621.34 |
| Rate for Payer: BCBS Complete |
$3,621.34
|
| Rate for Payer: Mclaren Medicaid |
$3,448.90
|
| Rate for Payer: Meridian Medicaid |
$3,621.34
|
| Rate for Payer: PHP Medicaid |
$3,448.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,448.90
|
| Rate for Payer: UHCCP Medicaid |
$3,448.90
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 4693
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$30,574.50
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$29,118.57 |
| Max. Negotiated Rate |
$30,574.50 |
| Rate for Payer: BCBS Complete |
$30,574.50
|
| Rate for Payer: Mclaren Medicaid |
$29,118.57
|
| Rate for Payer: Meridian Medicaid |
$30,574.50
|
| Rate for Payer: PHP Medicaid |
$29,118.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$29,118.57
|
| Rate for Payer: UHCCP Medicaid |
$29,118.57
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$20,641.67
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$19,658.73 |
| Max. Negotiated Rate |
$20,641.67 |
| Rate for Payer: BCBS Complete |
$20,641.67
|
| Rate for Payer: Mclaren Medicaid |
$19,658.73
|
| Rate for Payer: Meridian Medicaid |
$20,641.67
|
| Rate for Payer: PHP Medicaid |
$19,658.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,658.73
|
| Rate for Payer: UHCCP Medicaid |
$19,658.73
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,397.89
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$7,045.61 |
| Max. Negotiated Rate |
$7,397.89 |
| Rate for Payer: BCBS Complete |
$7,397.89
|
| Rate for Payer: Mclaren Medicaid |
$7,045.61
|
| Rate for Payer: Meridian Medicaid |
$7,397.89
|
| Rate for Payer: PHP Medicaid |
$7,045.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,045.61
|
| Rate for Payer: UHCCP Medicaid |
$7,045.61
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$13,295.51
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$12,662.39 |
| Max. Negotiated Rate |
$13,295.51 |
| Rate for Payer: BCBS Complete |
$13,295.51
|
| Rate for Payer: Mclaren Medicaid |
$12,662.39
|
| Rate for Payer: Meridian Medicaid |
$13,295.51
|
| Rate for Payer: PHP Medicaid |
$12,662.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,662.39
|
| Rate for Payer: UHCCP Medicaid |
$12,662.39
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 1902
|
| Min. Negotiated Rate |
$4,729.92 |
| Max. Negotiated Rate |
$4,966.42 |
| Rate for Payer: BCBS Complete |
$4,966.42
|
| Rate for Payer: Mclaren Medicaid |
$4,729.92
|
| Rate for Payer: Meridian Medicaid |
$4,966.42
|
| Rate for Payer: PHP Medicaid |
$4,729.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,729.92
|
| Rate for Payer: UHCCP Medicaid |
$4,729.92
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$6,306.56 |
| Max. Negotiated Rate |
$6,621.89 |
| Rate for Payer: BCBS Complete |
$6,621.89
|
| Rate for Payer: Mclaren Medicaid |
$6,306.56
|
| Rate for Payer: Meridian Medicaid |
$6,621.89
|
| Rate for Payer: PHP Medicaid |
$6,306.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,306.56
|
| Rate for Payer: UHCCP Medicaid |
$6,306.56
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$11,070.97
|
|
|
Service Code
|
APR-DRG 1904
|
| Min. Negotiated Rate |
$10,543.78 |
| Max. Negotiated Rate |
$11,070.97 |
| Rate for Payer: BCBS Complete |
$11,070.97
|
| Rate for Payer: Mclaren Medicaid |
$10,543.78
|
| Rate for Payer: Meridian Medicaid |
$11,070.97
|
| Rate for Payer: PHP Medicaid |
$10,543.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,543.78
|
| Rate for Payer: UHCCP Medicaid |
$10,543.78
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,293.88
|
|
|
Service Code
|
APR-DRG 1901
|
| Min. Negotiated Rate |
$4,089.41 |
| Max. Negotiated Rate |
$4,293.88 |
| Rate for Payer: BCBS Complete |
$4,293.88
|
| Rate for Payer: Mclaren Medicaid |
$4,089.41
|
| Rate for Payer: Meridian Medicaid |
$4,293.88
|
| Rate for Payer: PHP Medicaid |
$4,089.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,089.41
|
| Rate for Payer: UHCCP Medicaid |
$4,089.41
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$1,396.80
|
|
|
Service Code
|
APR-DRG 7551
|
| Min. Negotiated Rate |
$1,330.29 |
| Max. Negotiated Rate |
$1,396.80 |
| Rate for Payer: BCBS Complete |
$1,396.80
|
| Rate for Payer: Mclaren Medicaid |
$1,330.29
|
| Rate for Payer: Meridian Medicaid |
$1,396.80
|
| Rate for Payer: PHP Medicaid |
$1,330.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,330.29
|
| Rate for Payer: UHCCP Medicaid |
$1,330.29
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,432.02
|
|
|
Service Code
|
APR-DRG 7554
|
| Min. Negotiated Rate |
$5,173.35 |
| Max. Negotiated Rate |
$5,432.02 |
| Rate for Payer: BCBS Complete |
$5,432.02
|
| Rate for Payer: Mclaren Medicaid |
$5,173.35
|
| Rate for Payer: Meridian Medicaid |
$5,432.02
|
| Rate for Payer: PHP Medicaid |
$5,173.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,173.35
|
| Rate for Payer: UHCCP Medicaid |
$5,173.35
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 7553
|
| Min. Negotiated Rate |
$3,744.52 |
| Max. Negotiated Rate |
$3,931.75 |
| Rate for Payer: BCBS Complete |
$3,931.75
|
| Rate for Payer: Mclaren Medicaid |
$3,744.52
|
| Rate for Payer: Meridian Medicaid |
$3,931.75
|
| Rate for Payer: PHP Medicaid |
$3,744.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,744.52
|
| Rate for Payer: UHCCP Medicaid |
$3,744.52
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$1,965.87
|
|
|
Service Code
|
APR-DRG 7552
|
| Min. Negotiated Rate |
$1,872.26 |
| Max. Negotiated Rate |
$1,965.87 |
| Rate for Payer: BCBS Complete |
$1,965.87
|
| Rate for Payer: Mclaren Medicaid |
$1,872.26
|
| Rate for Payer: Meridian Medicaid |
$1,965.87
|
| Rate for Payer: PHP Medicaid |
$1,872.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,872.26
|
| Rate for Payer: UHCCP Medicaid |
$1,872.26
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$26,280.62
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$25,029.16 |
| Max. Negotiated Rate |
$26,280.62 |
| Rate for Payer: BCBS Complete |
$26,280.62
|
| Rate for Payer: Mclaren Medicaid |
$25,029.16
|
| Rate for Payer: Meridian Medicaid |
$26,280.62
|
| Rate for Payer: PHP Medicaid |
$25,029.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,029.16
|
| Rate for Payer: UHCCP Medicaid |
$25,029.16
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$6,466.69
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$6,158.75 |
| Max. Negotiated Rate |
$6,466.69 |
| Rate for Payer: BCBS Complete |
$6,466.69
|
| Rate for Payer: Mclaren Medicaid |
$6,158.75
|
| Rate for Payer: Meridian Medicaid |
$6,466.69
|
| Rate for Payer: PHP Medicaid |
$6,158.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,158.75
|
| Rate for Payer: UHCCP Medicaid |
$6,158.75
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$8,846.43
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$8,425.17 |
| Max. Negotiated Rate |
$8,846.43 |
| Rate for Payer: BCBS Complete |
$8,846.43
|
| Rate for Payer: Mclaren Medicaid |
$8,425.17
|
| Rate for Payer: Meridian Medicaid |
$8,846.43
|
| Rate for Payer: PHP Medicaid |
$8,425.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,425.17
|
| Rate for Payer: UHCCP Medicaid |
$8,425.17
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$16,451.25
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$15,667.86 |
| Max. Negotiated Rate |
$16,451.25 |
| Rate for Payer: BCBS Complete |
$16,451.25
|
| Rate for Payer: Mclaren Medicaid |
$15,667.86
|
| Rate for Payer: Meridian Medicaid |
$16,451.25
|
| Rate for Payer: PHP Medicaid |
$15,667.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,667.86
|
| Rate for Payer: UHCCP Medicaid |
$15,667.86
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,155.74
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$3,005.47 |
| Max. Negotiated Rate |
$3,155.74 |
| Rate for Payer: BCBS Complete |
$3,155.74
|
| Rate for Payer: Mclaren Medicaid |
$3,005.47
|
| Rate for Payer: Meridian Medicaid |
$3,155.74
|
| Rate for Payer: PHP Medicaid |
$3,005.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,005.47
|
| Rate for Payer: UHCCP Medicaid |
$3,005.47
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,069.34
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$1,970.80 |
| Max. Negotiated Rate |
$2,069.34 |
| Rate for Payer: BCBS Complete |
$2,069.34
|
| Rate for Payer: Mclaren Medicaid |
$1,970.80
|
| Rate for Payer: Meridian Medicaid |
$2,069.34
|
| Rate for Payer: PHP Medicaid |
$1,970.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,970.80
|
| Rate for Payer: UHCCP Medicaid |
$1,970.80
|
|