|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$7,760.02
|
|
|
Service Code
|
APR-DRG 1414
|
| Min. Negotiated Rate |
$7,390.50 |
| Max. Negotiated Rate |
$7,760.02 |
| Rate for Payer: BCBS Complete |
$7,760.02
|
| Rate for Payer: Mclaren Medicaid |
$7,390.50
|
| Rate for Payer: Meridian Medicaid |
$7,760.02
|
| Rate for Payer: PHP Medicaid |
$7,390.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,390.50
|
| Rate for Payer: UHCCP Medicaid |
$7,390.50
|
|
|
APR-DRG 42.00: ASTHMA
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 1412
|
| 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: ASTHMA
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 1413
|
| 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: ASTHMA
|
Facility
|
IP
|
$2,328.01
|
|
|
Service Code
|
APR-DRG 1411
|
| Min. Negotiated Rate |
$2,217.15 |
| Max. Negotiated Rate |
$2,328.01 |
| Rate for Payer: BCBS Complete |
$2,328.01
|
| Rate for Payer: Mclaren Medicaid |
$2,217.15
|
| Rate for Payer: Meridian Medicaid |
$2,328.01
|
| Rate for Payer: PHP Medicaid |
$2,217.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,217.15
|
| Rate for Payer: UHCCP Medicaid |
$2,217.15
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$19,969.13
|
|
|
Service Code
|
APR-DRG 0081
|
| Min. Negotiated Rate |
$19,018.22 |
| Max. Negotiated Rate |
$19,969.13 |
| Rate for Payer: BCBS Complete |
$19,969.13
|
| Rate for Payer: Mclaren Medicaid |
$19,018.22
|
| Rate for Payer: Meridian Medicaid |
$19,969.13
|
| Rate for Payer: PHP Medicaid |
$19,018.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,018.22
|
| Rate for Payer: UHCCP Medicaid |
$19,018.22
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$23,642.21
|
|
|
Service Code
|
APR-DRG 0082
|
| Min. Negotiated Rate |
$22,516.39 |
| Max. Negotiated Rate |
$23,642.21 |
| Rate for Payer: BCBS Complete |
$23,642.21
|
| Rate for Payer: Mclaren Medicaid |
$22,516.39
|
| Rate for Payer: Meridian Medicaid |
$23,642.21
|
| Rate for Payer: PHP Medicaid |
$22,516.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,516.39
|
| Rate for Payer: UHCCP Medicaid |
$22,516.39
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$30,160.63
|
|
|
Service Code
|
APR-DRG 0083
|
| Min. Negotiated Rate |
$28,724.41 |
| Max. Negotiated Rate |
$30,160.63 |
| Rate for Payer: BCBS Complete |
$30,160.63
|
| Rate for Payer: Mclaren Medicaid |
$28,724.41
|
| Rate for Payer: Meridian Medicaid |
$30,160.63
|
| Rate for Payer: PHP Medicaid |
$28,724.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,724.41
|
| Rate for Payer: UHCCP Medicaid |
$28,724.41
|
|
|
APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$42,835.34
|
|
|
Service Code
|
APR-DRG 0084
|
| Min. Negotiated Rate |
$40,795.56 |
| Max. Negotiated Rate |
$42,835.34 |
| Rate for Payer: BCBS Complete |
$42,835.34
|
| Rate for Payer: Mclaren Medicaid |
$40,795.56
|
| Rate for Payer: Meridian Medicaid |
$42,835.34
|
| Rate for Payer: PHP Medicaid |
$40,795.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$40,795.56
|
| Rate for Payer: UHCCP Medicaid |
$40,795.56
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$16,968.59
|
|
|
Service Code
|
APR-DRG 0494
|
| Min. Negotiated Rate |
$16,160.56 |
| Max. Negotiated Rate |
$16,968.59 |
| Rate for Payer: BCBS Complete |
$16,968.59
|
| Rate for Payer: Mclaren Medicaid |
$16,160.56
|
| Rate for Payer: Meridian Medicaid |
$16,968.59
|
| Rate for Payer: PHP Medicaid |
$16,160.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,160.56
|
| Rate for Payer: UHCCP Medicaid |
$16,160.56
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,604.82
|
|
|
Service Code
|
APR-DRG 0492
|
| Min. Negotiated Rate |
$7,242.69 |
| Max. Negotiated Rate |
$7,604.82 |
| Rate for Payer: BCBS Complete |
$7,604.82
|
| Rate for Payer: Mclaren Medicaid |
$7,242.69
|
| Rate for Payer: Meridian Medicaid |
$7,604.82
|
| Rate for Payer: PHP Medicaid |
$7,242.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,242.69
|
| Rate for Payer: UHCCP Medicaid |
$7,242.69
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,967.50
|
|
|
Service Code
|
APR-DRG 0493
|
| Min. Negotiated Rate |
$10,445.24 |
| Max. Negotiated Rate |
$10,967.50 |
| Rate for Payer: BCBS Complete |
$10,967.50
|
| Rate for Payer: Mclaren Medicaid |
$10,445.24
|
| Rate for Payer: Meridian Medicaid |
$10,967.50
|
| Rate for Payer: PHP Medicaid |
$10,445.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,445.24
|
| Rate for Payer: UHCCP Medicaid |
$10,445.24
|
|
|
APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 0491
|
| Min. Negotiated Rate |
$5,912.40 |
| Max. Negotiated Rate |
$6,208.02 |
| Rate for Payer: BCBS Complete |
$6,208.02
|
| Rate for Payer: Mclaren Medicaid |
$5,912.40
|
| Rate for Payer: Meridian Medicaid |
$6,208.02
|
| Rate for Payer: PHP Medicaid |
$5,912.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,912.40
|
| Rate for Payer: UHCCP Medicaid |
$5,912.40
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$9,363.76
|
|
|
Service Code
|
APR-DRG 7534
|
| Min. Negotiated Rate |
$8,917.87 |
| Max. Negotiated Rate |
$9,363.76 |
| Rate for Payer: BCBS Complete |
$9,363.76
|
| Rate for Payer: Mclaren Medicaid |
$8,917.87
|
| Rate for Payer: Meridian Medicaid |
$9,363.76
|
| Rate for Payer: PHP Medicaid |
$8,917.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,917.87
|
| Rate for Payer: UHCCP Medicaid |
$8,917.87
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,224.54
|
|
|
Service Code
|
APR-DRG 7531
|
| Min. Negotiated Rate |
$2,118.61 |
| Max. Negotiated Rate |
$2,224.54 |
| Rate for Payer: BCBS Complete |
$2,224.54
|
| Rate for Payer: Mclaren Medicaid |
$2,118.61
|
| Rate for Payer: Meridian Medicaid |
$2,224.54
|
| Rate for Payer: PHP Medicaid |
$2,118.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,118.61
|
| Rate for Payer: UHCCP Medicaid |
$2,118.61
|
|
|
APR-DRG 42.00: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 7532
|
| 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: BIPOLAR DISORDERS
|
Facility
|
IP
|
$5,380.28
|
|
|
Service Code
|
APR-DRG 7533
|
| Min. Negotiated Rate |
$5,124.08 |
| Max. Negotiated Rate |
$5,380.28 |
| Rate for Payer: BCBS Complete |
$5,380.28
|
| Rate for Payer: Mclaren Medicaid |
$5,124.08
|
| Rate for Payer: Meridian Medicaid |
$5,380.28
|
| Rate for Payer: PHP Medicaid |
$5,124.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,124.08
|
| Rate for Payer: UHCCP Medicaid |
$5,124.08
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$9,208.56
|
|
|
Service Code
|
APR-DRG 1324
|
| Min. Negotiated Rate |
$8,770.06 |
| Max. Negotiated Rate |
$9,208.56 |
| Rate for Payer: BCBS Complete |
$9,208.56
|
| Rate for Payer: Mclaren Medicaid |
$8,770.06
|
| Rate for Payer: Meridian Medicaid |
$9,208.56
|
| Rate for Payer: PHP Medicaid |
$8,770.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,770.06
|
| Rate for Payer: UHCCP Medicaid |
$8,770.06
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,328.01
|
|
|
Service Code
|
APR-DRG 1321
|
| Min. Negotiated Rate |
$2,217.15 |
| Max. Negotiated Rate |
$2,328.01 |
| Rate for Payer: BCBS Complete |
$2,328.01
|
| Rate for Payer: Mclaren Medicaid |
$2,217.15
|
| Rate for Payer: Meridian Medicaid |
$2,328.01
|
| Rate for Payer: PHP Medicaid |
$2,217.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,217.15
|
| Rate for Payer: UHCCP Medicaid |
$2,217.15
|
|
|
APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$3,931.75
|
|
|
Service Code
|
APR-DRG 1322
|
| 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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$6,621.89
|
|
|
Service Code
|
APR-DRG 1323
|
| 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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$13,968.05
|
|
|
Service Code
|
APR-DRG 0564
|
| Min. Negotiated Rate |
$13,302.90 |
| Max. Negotiated Rate |
$13,968.05 |
| Rate for Payer: BCBS Complete |
$13,968.05
|
| Rate for Payer: Mclaren Medicaid |
$13,302.90
|
| Rate for Payer: Meridian Medicaid |
$13,968.05
|
| Rate for Payer: PHP Medicaid |
$13,302.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,302.90
|
| Rate for Payer: UHCCP Medicaid |
$13,302.90
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$5,121.62
|
|
|
Service Code
|
APR-DRG 0562
|
| Min. Negotiated Rate |
$4,877.73 |
| Max. Negotiated Rate |
$5,121.62 |
| Rate for Payer: BCBS Complete |
$5,121.62
|
| Rate for Payer: Mclaren Medicaid |
$4,877.73
|
| Rate for Payer: Meridian Medicaid |
$5,121.62
|
| Rate for Payer: PHP Medicaid |
$4,877.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,877.73
|
| Rate for Payer: UHCCP Medicaid |
$4,877.73
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$7,811.76
|
|
|
Service Code
|
APR-DRG 0563
|
| Min. Negotiated Rate |
$7,439.77 |
| Max. Negotiated Rate |
$7,811.76 |
| Rate for Payer: BCBS Complete |
$7,811.76
|
| Rate for Payer: Mclaren Medicaid |
$7,439.77
|
| Rate for Payer: Meridian Medicaid |
$7,811.76
|
| Rate for Payer: PHP Medicaid |
$7,439.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,439.77
|
| Rate for Payer: UHCCP Medicaid |
$7,439.77
|
|
|
APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 0561
|
| Min. Negotiated Rate |
$3,547.44 |
| Max. Negotiated Rate |
$3,724.81 |
| Rate for Payer: BCBS Complete |
$3,724.81
|
| Rate for Payer: Mclaren Medicaid |
$3,547.44
|
| Rate for Payer: Meridian Medicaid |
$3,724.81
|
| Rate for Payer: PHP Medicaid |
$3,547.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,547.44
|
| Rate for Payer: UHCCP Medicaid |
$3,547.44
|
|
|
APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 3631
|
| Min. Negotiated Rate |
$6,602.18 |
| Max. Negotiated Rate |
$6,932.29 |
| Rate for Payer: BCBS Complete |
$6,932.29
|
| Rate for Payer: Mclaren Medicaid |
$6,602.18
|
| Rate for Payer: Meridian Medicaid |
$6,932.29
|
| Rate for Payer: PHP Medicaid |
$6,602.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,602.18
|
| Rate for Payer: UHCCP Medicaid |
$6,602.18
|
|