|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 1411
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$4,862.95
|
|
|
Service Code
|
APR-DRG 1413
|
| Min. Negotiated Rate |
$4,631.38 |
| Max. Negotiated Rate |
$4,862.95 |
| Rate for Payer: BCBS Complete |
$4,862.95
|
| Rate for Payer: Mclaren Medicaid |
$4,631.38
|
| Rate for Payer: Meridian Medicaid |
$4,862.95
|
| Rate for Payer: PHP Medicaid |
$4,631.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,631.38
|
| Rate for Payer: UHCCP Medicaid |
$4,631.38
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 1412
|
| 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: ASTHMA
|
Facility
|
IP
|
$9,001.63
|
|
|
Service Code
|
APR-DRG 1414
|
| Min. Negotiated Rate |
$8,572.98 |
| Max. Negotiated Rate |
$9,001.63 |
| Rate for Payer: BCBS Complete |
$9,001.63
|
| Rate for Payer: Mclaren Medicaid |
$8,572.98
|
| Rate for Payer: Meridian Medicaid |
$9,001.63
|
| Rate for Payer: PHP Medicaid |
$8,572.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,572.98
|
| Rate for Payer: UHCCP Medicaid |
$8,572.98
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$24,056.08
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$22,910.55 |
| Max. Negotiated Rate |
$24,056.08 |
| Rate for Payer: BCBS Complete |
$24,056.08
|
| Rate for Payer: Mclaren Medicaid |
$22,910.55
|
| Rate for Payer: Meridian Medicaid |
$24,056.08
|
| Rate for Payer: PHP Medicaid |
$22,910.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,910.55
|
| Rate for Payer: UHCCP Medicaid |
$22,910.55
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$49,819.36
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$47,447.01 |
| Max. Negotiated Rate |
$49,819.36 |
| Rate for Payer: BCBS Complete |
$49,819.36
|
| Rate for Payer: Mclaren Medicaid |
$47,447.01
|
| Rate for Payer: Meridian Medicaid |
$49,819.36
|
| Rate for Payer: PHP Medicaid |
$47,447.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$47,447.01
|
| Rate for Payer: UHCCP Medicaid |
$47,447.01
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$35,075.31
|
|
|
Service Code
|
APR-DRG 0083
|
| Min. Negotiated Rate |
$33,405.06 |
| Max. Negotiated Rate |
$35,075.31 |
| Rate for Payer: BCBS Complete |
$35,075.31
|
| Rate for Payer: Mclaren Medicaid |
$33,405.06
|
| Rate for Payer: Meridian Medicaid |
$35,075.31
|
| Rate for Payer: PHP Medicaid |
$33,405.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,405.06
|
| Rate for Payer: UHCCP Medicaid |
$33,405.06
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$19,037.93
|
|
|
Service Code
|
APR-DRG 0081
|
| Min. Negotiated Rate |
$18,131.36 |
| Max. Negotiated Rate |
$19,037.93 |
| Rate for Payer: BCBS Complete |
$19,037.93
|
| Rate for Payer: Mclaren Medicaid |
$18,131.36
|
| Rate for Payer: Meridian Medicaid |
$19,037.93
|
| Rate for Payer: PHP Medicaid |
$18,131.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,131.36
|
| Rate for Payer: UHCCP Medicaid |
$18,131.36
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,966.96
|
|
|
Service Code
|
APR-DRG 0491
|
| 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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 0492
|
| Min. Negotiated Rate |
$8,671.52 |
| Max. Negotiated Rate |
$9,105.10 |
| Rate for Payer: BCBS Complete |
$9,105.10
|
| Rate for Payer: Mclaren Medicaid |
$8,671.52
|
| Rate for Payer: Meridian Medicaid |
$9,105.10
|
| Rate for Payer: PHP Medicaid |
$8,671.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,671.52
|
| Rate for Payer: UHCCP Medicaid |
$8,671.52
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$17,020.32
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,209.83 |
| Max. Negotiated Rate |
$17,020.32 |
| Rate for Payer: BCBS Complete |
$17,020.32
|
| Rate for Payer: Mclaren Medicaid |
$16,209.83
|
| Rate for Payer: Meridian Medicaid |
$17,020.32
|
| Rate for Payer: PHP Medicaid |
$16,209.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,209.83
|
| Rate for Payer: UHCCP Medicaid |
$16,209.83
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$12,881.64
|
|
|
Service Code
|
APR-DRG 0493
|
| Min. Negotiated Rate |
$12,268.23 |
| Max. Negotiated Rate |
$12,881.64 |
| Rate for Payer: BCBS Complete |
$12,881.64
|
| Rate for Payer: Mclaren Medicaid |
$12,268.23
|
| Rate for Payer: Meridian Medicaid |
$12,881.64
|
| Rate for Payer: PHP Medicaid |
$12,268.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,268.23
|
| Rate for Payer: UHCCP Medicaid |
$12,268.23
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 7534
|
| Min. Negotiated Rate |
$9,509.11 |
| Max. Negotiated Rate |
$9,984.57 |
| Rate for Payer: BCBS Complete |
$9,984.57
|
| Rate for Payer: Mclaren Medicaid |
$9,509.11
|
| Rate for Payer: Meridian Medicaid |
$9,984.57
|
| Rate for Payer: PHP Medicaid |
$9,509.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,509.11
|
| Rate for Payer: UHCCP Medicaid |
$9,509.11
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 7532
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$5,949.35
|
|
|
Service Code
|
APR-DRG 7533
|
| 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: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,431.47
|
|
|
Service Code
|
APR-DRG 7531
|
| Min. Negotiated Rate |
$2,315.69 |
| Max. Negotiated Rate |
$2,431.47 |
| Rate for Payer: BCBS Complete |
$2,431.47
|
| Rate for Payer: Mclaren Medicaid |
$2,315.69
|
| Rate for Payer: Meridian Medicaid |
$2,431.47
|
| Rate for Payer: PHP Medicaid |
$2,315.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,315.69
|
| Rate for Payer: UHCCP Medicaid |
$2,315.69
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$8,639.49
|
|
|
Service Code
|
APR-DRG 1324
|
| Min. Negotiated Rate |
$8,228.09 |
| Max. Negotiated Rate |
$8,639.49 |
| Rate for Payer: BCBS Complete |
$8,639.49
|
| Rate for Payer: Mclaren Medicaid |
$8,228.09
|
| Rate for Payer: Meridian Medicaid |
$8,639.49
|
| Rate for Payer: PHP Medicaid |
$8,228.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,228.09
|
| Rate for Payer: UHCCP Medicaid |
$8,228.09
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 1321
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 1322
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$7,656.56
|
|
|
Service Code
|
APR-DRG 1323
|
| Min. Negotiated Rate |
$7,291.96 |
| Max. Negotiated Rate |
$7,656.56 |
| Rate for Payer: BCBS Complete |
$7,656.56
|
| Rate for Payer: Mclaren Medicaid |
$7,291.96
|
| Rate for Payer: Meridian Medicaid |
$7,656.56
|
| Rate for Payer: PHP Medicaid |
$7,291.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,291.96
|
| Rate for Payer: UHCCP Medicaid |
$7,291.96
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 0561
|
| Min. Negotiated Rate |
$3,596.71 |
| Max. Negotiated Rate |
$3,776.55 |
| Rate for Payer: BCBS Complete |
$3,776.55
|
| Rate for Payer: Mclaren Medicaid |
$3,596.71
|
| Rate for Payer: Meridian Medicaid |
$3,776.55
|
| Rate for Payer: PHP Medicaid |
$3,596.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,596.71
|
| Rate for Payer: UHCCP Medicaid |
$3,596.71
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$9,932.83
|
|
|
Service Code
|
APR-DRG 0564
|
| Min. Negotiated Rate |
$9,459.84 |
| Max. Negotiated Rate |
$9,932.83 |
| Rate for Payer: BCBS Complete |
$9,932.83
|
| Rate for Payer: Mclaren Medicaid |
$9,459.84
|
| Rate for Payer: Meridian Medicaid |
$9,932.83
|
| Rate for Payer: PHP Medicaid |
$9,459.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,459.84
|
| Rate for Payer: UHCCP Medicaid |
$9,459.84
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$4,966.42
|
|
|
Service Code
|
APR-DRG 0562
|
| 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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 0563
|
| Min. Negotiated Rate |
$7,932.47 |
| Max. Negotiated Rate |
$8,329.09 |
| Rate for Payer: BCBS Complete |
$8,329.09
|
| Rate for Payer: Mclaren Medicaid |
$7,932.47
|
| Rate for Payer: Meridian Medicaid |
$8,329.09
|
| Rate for Payer: PHP Medicaid |
$7,932.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.47
|
| Rate for Payer: UHCCP Medicaid |
$7,932.47
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$17,227.26
|
|
|
Service Code
|
APR-DRG 3634
|
| Min. Negotiated Rate |
$16,406.91 |
| Max. Negotiated Rate |
$17,227.26 |
| Rate for Payer: BCBS Complete |
$17,227.26
|
| Rate for Payer: Mclaren Medicaid |
$16,406.91
|
| Rate for Payer: Meridian Medicaid |
$17,227.26
|
| Rate for Payer: PHP Medicaid |
$16,406.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,406.91
|
| Rate for Payer: UHCCP Medicaid |
$16,406.91
|
|