|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$8,225.63
|
|
|
Service Code
|
APR-DRG 1454
|
| Min. Negotiated Rate |
$7,833.93 |
| Max. Negotiated Rate |
$8,225.63 |
| Rate for Payer: BCBS Complete |
$8,225.63
|
| Rate for Payer: Mclaren Medicaid |
$7,833.93
|
| Rate for Payer: Meridian Medicaid |
$8,225.63
|
| Rate for Payer: PHP Medicaid |
$7,833.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,833.93
|
| Rate for Payer: UHCCP Medicaid |
$7,833.93
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 1451
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 1453
|
| 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 KIDNEY INJURY
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 4692
|
| 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: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$2,660.58 |
| Max. Negotiated Rate |
$2,793.61 |
| Rate for Payer: BCBS Complete |
$2,793.61
|
| Rate for Payer: Mclaren Medicaid |
$2,660.58
|
| Rate for Payer: Meridian Medicaid |
$2,793.61
|
| Rate for Payer: PHP Medicaid |
$2,660.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,660.58
|
| Rate for Payer: UHCCP Medicaid |
$2,660.58
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 4693
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$13,036.84
|
|
|
Service Code
|
APR-DRG 4694
|
| Min. Negotiated Rate |
$12,416.04 |
| Max. Negotiated Rate |
$13,036.84 |
| Rate for Payer: BCBS Complete |
$13,036.84
|
| Rate for Payer: Mclaren Medicaid |
$12,416.04
|
| Rate for Payer: Meridian Medicaid |
$13,036.84
|
| Rate for Payer: PHP Medicaid |
$12,416.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,416.04
|
| Rate for Payer: UHCCP Medicaid |
$12,416.04
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$16,916.85
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$16,111.29 |
| Max. Negotiated Rate |
$16,916.85 |
| Rate for Payer: BCBS Complete |
$16,916.85
|
| Rate for Payer: Mclaren Medicaid |
$16,111.29
|
| Rate for Payer: Meridian Medicaid |
$16,916.85
|
| Rate for Payer: PHP Medicaid |
$16,111.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,111.29
|
| Rate for Payer: UHCCP Medicaid |
$16,111.29
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$33,937.18
|
|
|
Service Code
|
APR-DRG 6904
|
| Min. Negotiated Rate |
$32,321.12 |
| Max. Negotiated Rate |
$33,937.18 |
| Rate for Payer: BCBS Complete |
$33,937.18
|
| Rate for Payer: Mclaren Medicaid |
$32,321.12
|
| Rate for Payer: Meridian Medicaid |
$33,937.18
|
| Rate for Payer: PHP Medicaid |
$32,321.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$32,321.12
|
| Rate for Payer: UHCCP Medicaid |
$32,321.12
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$10,593.05 |
| Max. Negotiated Rate |
$11,122.70 |
| Rate for Payer: BCBS Complete |
$11,122.70
|
| Rate for Payer: Mclaren Medicaid |
$10,593.05
|
| Rate for Payer: Meridian Medicaid |
$11,122.70
|
| Rate for Payer: PHP Medicaid |
$10,593.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,593.05
|
| Rate for Payer: UHCCP Medicaid |
$10,593.05
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$25,970.22
|
|
|
Service Code
|
APR-DRG 6903
|
| Min. Negotiated Rate |
$24,733.54 |
| Max. Negotiated Rate |
$25,970.22 |
| Rate for Payer: BCBS Complete |
$25,970.22
|
| Rate for Payer: Mclaren Medicaid |
$24,733.54
|
| Rate for Payer: Meridian Medicaid |
$25,970.22
|
| Rate for Payer: PHP Medicaid |
$24,733.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,733.54
|
| Rate for Payer: UHCCP Medicaid |
$24,733.54
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 1904
|
| Min. Negotiated Rate |
$11,775.53 |
| Max. Negotiated Rate |
$12,364.31 |
| Rate for Payer: BCBS Complete |
$12,364.31
|
| Rate for Payer: Mclaren Medicaid |
$11,775.53
|
| Rate for Payer: Meridian Medicaid |
$12,364.31
|
| Rate for Payer: PHP Medicaid |
$11,775.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,775.53
|
| Rate for Payer: UHCCP Medicaid |
$11,775.53
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 1902
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$5,949.35
|
|
|
Service Code
|
APR-DRG 1903
|
| Min. Negotiated Rate |
$5,666.05 |
| Max. Negotiated Rate |
$5,949.35 |
| Rate for Payer: BCBS Complete |
$5,949.35
|
| Rate for Payer: Mclaren Medicaid |
$5,666.05
|
| Rate for Payer: Meridian Medicaid |
$5,949.35
|
| Rate for Payer: PHP Medicaid |
$5,666.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,666.05
|
| Rate for Payer: UHCCP Medicaid |
$5,666.05
|
|
|
APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 1901
|
| Min. Negotiated Rate |
$3,695.25 |
| Max. Negotiated Rate |
$3,880.01 |
| Rate for Payer: BCBS Complete |
$3,880.01
|
| Rate for Payer: Mclaren Medicaid |
$3,695.25
|
| Rate for Payer: Meridian Medicaid |
$3,880.01
|
| Rate for Payer: PHP Medicaid |
$3,695.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,695.25
|
| Rate for Payer: UHCCP Medicaid |
$3,695.25
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 7554
|
| Min. Negotiated Rate |
$5,518.24 |
| Max. Negotiated Rate |
$5,794.15 |
| Rate for Payer: BCBS Complete |
$5,794.15
|
| Rate for Payer: Mclaren Medicaid |
$5,518.24
|
| Rate for Payer: Meridian Medicaid |
$5,794.15
|
| Rate for Payer: PHP Medicaid |
$5,518.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,518.24
|
| Rate for Payer: UHCCP Medicaid |
$5,518.24
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$2,690.14
|
|
|
Service Code
|
APR-DRG 7551
|
| Min. Negotiated Rate |
$2,562.04 |
| Max. Negotiated Rate |
$2,690.14 |
| Rate for Payer: BCBS Complete |
$2,690.14
|
| Rate for Payer: Mclaren Medicaid |
$2,562.04
|
| Rate for Payer: Meridian Medicaid |
$2,690.14
|
| Rate for Payer: PHP Medicaid |
$2,562.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,562.04
|
| Rate for Payer: UHCCP Medicaid |
$2,562.04
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$5,638.95
|
|
|
Service Code
|
APR-DRG 7553
|
| Min. Negotiated Rate |
$5,370.43 |
| Max. Negotiated Rate |
$5,638.95 |
| Rate for Payer: BCBS Complete |
$5,638.95
|
| Rate for Payer: Mclaren Medicaid |
$5,370.43
|
| Rate for Payer: Meridian Medicaid |
$5,638.95
|
| Rate for Payer: PHP Medicaid |
$5,370.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,370.43
|
| Rate for Payer: UHCCP Medicaid |
$5,370.43
|
|
|
APR-DRG 42.00: ADJUSTMENT DISORDERS
|
Facility
|
IP
|
$3,259.21
|
|
|
Service Code
|
APR-DRG 7552
|
| Min. Negotiated Rate |
$3,104.01 |
| Max. Negotiated Rate |
$3,259.21 |
| Rate for Payer: BCBS Complete |
$3,259.21
|
| Rate for Payer: Mclaren Medicaid |
$3,104.01
|
| Rate for Payer: Meridian Medicaid |
$3,259.21
|
| Rate for Payer: PHP Medicaid |
$3,104.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,104.01
|
| Rate for Payer: UHCCP Medicaid |
$3,104.01
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 4012
|
| Min. Negotiated Rate |
$10,593.05 |
| Max. Negotiated Rate |
$11,122.70 |
| Rate for Payer: BCBS Complete |
$11,122.70
|
| Rate for Payer: Mclaren Medicaid |
$10,593.05
|
| Rate for Payer: Meridian Medicaid |
$11,122.70
|
| Rate for Payer: PHP Medicaid |
$10,593.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,593.05
|
| Rate for Payer: UHCCP Medicaid |
$10,593.05
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$26,849.69
|
|
|
Service Code
|
APR-DRG 4014
|
| Min. Negotiated Rate |
$25,571.13 |
| Max. Negotiated Rate |
$26,849.69 |
| Rate for Payer: BCBS Complete |
$26,849.69
|
| Rate for Payer: Mclaren Medicaid |
$25,571.13
|
| Rate for Payer: Meridian Medicaid |
$26,849.69
|
| Rate for Payer: PHP Medicaid |
$25,571.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,571.13
|
| Rate for Payer: UHCCP Medicaid |
$25,571.13
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$17,330.72
|
|
|
Service Code
|
APR-DRG 4013
|
| Min. Negotiated Rate |
$16,505.45 |
| Max. Negotiated Rate |
$17,330.72 |
| Rate for Payer: BCBS Complete |
$17,330.72
|
| Rate for Payer: Mclaren Medicaid |
$16,505.45
|
| Rate for Payer: Meridian Medicaid |
$17,330.72
|
| Rate for Payer: PHP Medicaid |
$16,505.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,505.45
|
| Rate for Payer: UHCCP Medicaid |
$16,505.45
|
|
|
APR-DRG 42.00: ADRENAL PROCEDURES
|
Facility
|
IP
|
$7,966.96
|
|
|
Service Code
|
APR-DRG 4011
|
| Min. Negotiated Rate |
$7,587.58 |
| Max. Negotiated Rate |
$7,966.96 |
| Rate for Payer: BCBS Complete |
$7,966.96
|
| Rate for Payer: Mclaren Medicaid |
$7,587.58
|
| Rate for Payer: Meridian Medicaid |
$7,966.96
|
| Rate for Payer: PHP Medicaid |
$7,587.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,587.58
|
| Rate for Payer: UHCCP Medicaid |
$7,587.58
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 7751
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|
|
APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 7752
|
| Min. Negotiated Rate |
$3,399.63 |
| Max. Negotiated Rate |
$3,569.61 |
| Rate for Payer: BCBS Complete |
$3,569.61
|
| Rate for Payer: Mclaren Medicaid |
$3,399.63
|
| Rate for Payer: Meridian Medicaid |
$3,569.61
|
| Rate for Payer: PHP Medicaid |
$3,399.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,399.63
|
| Rate for Payer: UHCCP Medicaid |
$3,399.63
|
|