|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,121.07
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,020.07 |
| Max. Negotiated Rate |
$2,121.07 |
| Rate for Payer: BCBS Complete |
$2,121.07
|
| Rate for Payer: Mclaren Medicaid |
$2,020.07
|
| Rate for Payer: Meridian Medicaid |
$2,121.07
|
| Rate for Payer: PHP Medicaid |
$2,020.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,020.07
|
| Rate for Payer: UHCCP Medicaid |
$2,020.07
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$8,536.03
|
|
|
Service Code
|
APR-DRG 7704
|
| Min. Negotiated Rate |
$8,129.55 |
| Max. Negotiated Rate |
$8,536.03 |
| Rate for Payer: BCBS Complete |
$8,536.03
|
| Rate for Payer: Mclaren Medicaid |
$8,129.55
|
| Rate for Payer: Meridian Medicaid |
$8,536.03
|
| Rate for Payer: PHP Medicaid |
$8,129.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,129.55
|
| Rate for Payer: UHCCP Medicaid |
$8,129.55
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,758.94
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,675.18 |
| Max. Negotiated Rate |
$1,758.94 |
| Rate for Payer: BCBS Complete |
$1,758.94
|
| Rate for Payer: Mclaren Medicaid |
$1,675.18
|
| Rate for Payer: Meridian Medicaid |
$1,758.94
|
| Rate for Payer: PHP Medicaid |
$1,675.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,675.18
|
| Rate for Payer: UHCCP Medicaid |
$1,675.18
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 7703
|
| 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: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 1104
|
| 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: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$8,949.90
|
|
|
Service Code
|
APR-DRG 1103
|
| Min. Negotiated Rate |
$8,523.71 |
| Max. Negotiated Rate |
$8,949.90 |
| Rate for Payer: BCBS Complete |
$8,949.90
|
| Rate for Payer: Mclaren Medicaid |
$8,523.71
|
| Rate for Payer: Meridian Medicaid |
$8,949.90
|
| Rate for Payer: PHP Medicaid |
$8,523.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,523.71
|
| Rate for Payer: UHCCP Medicaid |
$8,523.71
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,483.75
|
|
|
Service Code
|
APR-DRG 1102
|
| Min. Negotiated Rate |
$5,222.62 |
| Max. Negotiated Rate |
$5,483.75 |
| Rate for Payer: BCBS Complete |
$5,483.75
|
| Rate for Payer: Mclaren Medicaid |
$5,222.62
|
| Rate for Payer: Meridian Medicaid |
$5,483.75
|
| Rate for Payer: PHP Medicaid |
$5,222.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,222.62
|
| Rate for Payer: UHCCP Medicaid |
$5,222.62
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$4,759.48
|
|
|
Service Code
|
APR-DRG 1101
|
| Min. Negotiated Rate |
$4,532.84 |
| Max. Negotiated Rate |
$4,759.48 |
| Rate for Payer: BCBS Complete |
$4,759.48
|
| Rate for Payer: Mclaren Medicaid |
$4,532.84
|
| Rate for Payer: Meridian Medicaid |
$4,759.48
|
| Rate for Payer: PHP Medicaid |
$4,532.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,532.84
|
| Rate for Payer: UHCCP Medicaid |
$4,532.84
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$18,313.66
|
|
|
Service Code
|
APR-DRG 7594
|
| Min. Negotiated Rate |
$17,441.58 |
| Max. Negotiated Rate |
$18,313.66 |
| Rate for Payer: BCBS Complete |
$18,313.66
|
| Rate for Payer: Mclaren Medicaid |
$17,441.58
|
| Rate for Payer: Meridian Medicaid |
$18,313.66
|
| Rate for Payer: PHP Medicaid |
$17,441.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,441.58
|
| Rate for Payer: UHCCP Medicaid |
$17,441.58
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$10,967.50
|
|
|
Service Code
|
APR-DRG 7593
|
| 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: EATING DISORDERS
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 7592
|
| 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
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$5,225.08
|
|
|
Service Code
|
APR-DRG 7591
|
| Min. Negotiated Rate |
$4,976.27 |
| Max. Negotiated Rate |
$5,225.08 |
| Rate for Payer: BCBS Complete |
$5,225.08
|
| Rate for Payer: Mclaren Medicaid |
$4,976.27
|
| Rate for Payer: Meridian Medicaid |
$5,225.08
|
| Rate for Payer: PHP Medicaid |
$4,976.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,976.27
|
| Rate for Payer: UHCCP Medicaid |
$4,976.27
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,208.56
|
|
|
Service Code
|
APR-DRG 3242
|
| 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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$7,553.09
|
|
|
Service Code
|
APR-DRG 3241
|
| 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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$13,709.38
|
|
|
Service Code
|
APR-DRG 3243
|
| Min. Negotiated Rate |
$13,056.55 |
| Max. Negotiated Rate |
$13,709.38 |
| Rate for Payer: BCBS Complete |
$13,709.38
|
| Rate for Payer: Mclaren Medicaid |
$13,056.55
|
| Rate for Payer: Meridian Medicaid |
$13,709.38
|
| Rate for Payer: PHP Medicaid |
$13,056.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,056.55
|
| Rate for Payer: UHCCP Medicaid |
$13,056.55
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$19,141.40
|
|
|
Service Code
|
APR-DRG 3244
|
| Min. Negotiated Rate |
$18,229.90 |
| Max. Negotiated Rate |
$19,141.40 |
| Rate for Payer: BCBS Complete |
$19,141.40
|
| Rate for Payer: Mclaren Medicaid |
$18,229.90
|
| Rate for Payer: Meridian Medicaid |
$19,141.40
|
| Rate for Payer: PHP Medicaid |
$18,229.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,229.90
|
| Rate for Payer: UHCCP Medicaid |
$18,229.90
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,536.57
|
|
|
Service Code
|
APR-DRG 3263
|
| Min. Negotiated Rate |
$10,987.21 |
| Max. Negotiated Rate |
$11,536.57 |
| Rate for Payer: BCBS Complete |
$11,536.57
|
| Rate for Payer: Mclaren Medicaid |
$10,987.21
|
| Rate for Payer: Meridian Medicaid |
$11,536.57
|
| Rate for Payer: PHP Medicaid |
$10,987.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,987.21
|
| Rate for Payer: UHCCP Medicaid |
$10,987.21
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,449.62
|
|
|
Service Code
|
APR-DRG 3261
|
| Min. Negotiated Rate |
$7,094.88 |
| Max. Negotiated Rate |
$7,449.62 |
| Rate for Payer: BCBS Complete |
$7,449.62
|
| Rate for Payer: Mclaren Medicaid |
$7,094.88
|
| Rate for Payer: Meridian Medicaid |
$7,449.62
|
| Rate for Payer: PHP Medicaid |
$7,094.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,094.88
|
| Rate for Payer: UHCCP Medicaid |
$7,094.88
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$8,380.83
|
|
|
Service Code
|
APR-DRG 3262
|
| Min. Negotiated Rate |
$7,981.74 |
| Max. Negotiated Rate |
$8,380.83 |
| Rate for Payer: BCBS Complete |
$8,380.83
|
| Rate for Payer: Mclaren Medicaid |
$7,981.74
|
| Rate for Payer: Meridian Medicaid |
$8,380.83
|
| Rate for Payer: PHP Medicaid |
$7,981.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,981.74
|
| Rate for Payer: UHCCP Medicaid |
$7,981.74
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$18,158.46
|
|
|
Service Code
|
APR-DRG 3264
|
| Min. Negotiated Rate |
$17,293.77 |
| Max. Negotiated Rate |
$18,158.46 |
| Rate for Payer: BCBS Complete |
$18,158.46
|
| Rate for Payer: Mclaren Medicaid |
$17,293.77
|
| Rate for Payer: Meridian Medicaid |
$18,158.46
|
| Rate for Payer: PHP Medicaid |
$17,293.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,293.77
|
| Rate for Payer: UHCCP Medicaid |
$17,293.77
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,312.57
|
|
|
Service Code
|
APR-DRG 9112
|
| Min. Negotiated Rate |
$11,726.26 |
| Max. Negotiated Rate |
$12,312.57 |
| Rate for Payer: BCBS Complete |
$12,312.57
|
| Rate for Payer: Mclaren Medicaid |
$11,726.26
|
| Rate for Payer: Meridian Medicaid |
$12,312.57
|
| Rate for Payer: PHP Medicaid |
$11,726.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,726.26
|
| Rate for Payer: UHCCP Medicaid |
$11,726.26
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$18,986.19
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$18,082.09 |
| Max. Negotiated Rate |
$18,986.19 |
| Rate for Payer: BCBS Complete |
$18,986.19
|
| Rate for Payer: Mclaren Medicaid |
$18,082.09
|
| Rate for Payer: Meridian Medicaid |
$18,986.19
|
| Rate for Payer: PHP Medicaid |
$18,082.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,082.09
|
| Rate for Payer: UHCCP Medicaid |
$18,082.09
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$35,127.05
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$33,454.33 |
| Max. Negotiated Rate |
$35,127.05 |
| Rate for Payer: BCBS Complete |
$35,127.05
|
| Rate for Payer: Mclaren Medicaid |
$33,454.33
|
| Rate for Payer: Meridian Medicaid |
$35,127.05
|
| Rate for Payer: PHP Medicaid |
$33,454.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,454.33
|
| Rate for Payer: UHCCP Medicaid |
$33,454.33
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,036.30
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$9,558.38 |
| Max. Negotiated Rate |
$10,036.30 |
| Rate for Payer: BCBS Complete |
$10,036.30
|
| Rate for Payer: Mclaren Medicaid |
$9,558.38
|
| Rate for Payer: Meridian Medicaid |
$10,036.30
|
| Rate for Payer: PHP Medicaid |
$9,558.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,558.38
|
| Rate for Payer: UHCCP Medicaid |
$9,558.38
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,812.30
|
|
|
Service Code
|
APR-DRG 7922
|
| Min. Negotiated Rate |
$10,297.43 |
| Max. Negotiated Rate |
$10,812.30 |
| Rate for Payer: BCBS Complete |
$10,812.30
|
| Rate for Payer: Mclaren Medicaid |
$10,297.43
|
| Rate for Payer: Meridian Medicaid |
$10,812.30
|
| Rate for Payer: PHP Medicaid |
$10,297.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,297.43
|
| Rate for Payer: UHCCP Medicaid |
$10,297.43
|
|