|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 7704
|
| 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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$3,880.01
|
|
|
Service Code
|
APR-DRG 7703
|
| 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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,276.27
|
|
|
Service Code
|
APR-DRG 7702
|
| Min. Negotiated Rate |
$2,167.88 |
| Max. Negotiated Rate |
$2,276.27 |
| Rate for Payer: BCBS Complete |
$2,276.27
|
| Rate for Payer: Mclaren Medicaid |
$2,167.88
|
| Rate for Payer: Meridian Medicaid |
$2,276.27
|
| Rate for Payer: PHP Medicaid |
$2,167.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.88
|
| Rate for Payer: UHCCP Medicaid |
$2,167.88
|
|
|
APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,448.54
|
|
|
Service Code
|
APR-DRG 7701
|
| Min. Negotiated Rate |
$1,379.56 |
| Max. Negotiated Rate |
$1,448.54 |
| Rate for Payer: BCBS Complete |
$1,448.54
|
| Rate for Payer: Mclaren Medicaid |
$1,379.56
|
| Rate for Payer: Meridian Medicaid |
$1,448.54
|
| Rate for Payer: PHP Medicaid |
$1,379.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,379.56
|
| Rate for Payer: UHCCP Medicaid |
$1,379.56
|
|
|
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
|
$4,811.22
|
|
|
Service Code
|
APR-DRG 1101
|
| Min. Negotiated Rate |
$4,582.11 |
| Max. Negotiated Rate |
$4,811.22 |
| Rate for Payer: BCBS Complete |
$4,811.22
|
| Rate for Payer: Mclaren Medicaid |
$4,582.11
|
| Rate for Payer: Meridian Medicaid |
$4,811.22
|
| Rate for Payer: PHP Medicaid |
$4,582.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,582.11
|
| Rate for Payer: UHCCP Medicaid |
$4,582.11
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$12,933.38
|
|
|
Service Code
|
APR-DRG 1104
|
| Min. Negotiated Rate |
$12,317.50 |
| Max. Negotiated Rate |
$12,933.38 |
| Rate for Payer: BCBS Complete |
$12,933.38
|
| Rate for Payer: Mclaren Medicaid |
$12,317.50
|
| Rate for Payer: Meridian Medicaid |
$12,933.38
|
| Rate for Payer: PHP Medicaid |
$12,317.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,317.50
|
| Rate for Payer: UHCCP Medicaid |
$12,317.50
|
|
|
APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES
|
Facility
|
IP
|
$7,553.09
|
|
|
Service Code
|
APR-DRG 1103
|
| 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: EATING DISORDERS
|
Facility
|
IP
|
$17,537.66
|
|
|
Service Code
|
APR-DRG 7594
|
| Min. Negotiated Rate |
$16,702.53 |
| Max. Negotiated Rate |
$17,537.66 |
| Rate for Payer: BCBS Complete |
$17,537.66
|
| Rate for Payer: Mclaren Medicaid |
$16,702.53
|
| Rate for Payer: Meridian Medicaid |
$17,537.66
|
| Rate for Payer: PHP Medicaid |
$16,702.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,702.53
|
| Rate for Payer: UHCCP Medicaid |
$16,702.53
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$7,397.89
|
|
|
Service Code
|
APR-DRG 7592
|
| 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: EATING DISORDERS
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 7591
|
| Min. Negotiated Rate |
$5,271.89 |
| Max. Negotiated Rate |
$5,535.48 |
| Rate for Payer: BCBS Complete |
$5,535.48
|
| Rate for Payer: Mclaren Medicaid |
$5,271.89
|
| Rate for Payer: Meridian Medicaid |
$5,535.48
|
| Rate for Payer: PHP Medicaid |
$5,271.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,271.89
|
| Rate for Payer: UHCCP Medicaid |
$5,271.89
|
|
|
APR-DRG 42.00: EATING DISORDERS
|
Facility
|
IP
|
$10,450.17
|
|
|
Service Code
|
APR-DRG 7593
|
| Min. Negotiated Rate |
$9,952.54 |
| Max. Negotiated Rate |
$10,450.17 |
| Rate for Payer: BCBS Complete |
$10,450.17
|
| Rate for Payer: Mclaren Medicaid |
$9,952.54
|
| Rate for Payer: Meridian Medicaid |
$10,450.17
|
| Rate for Payer: PHP Medicaid |
$9,952.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,952.54
|
| Rate for Payer: UHCCP Medicaid |
$9,952.54
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$12,622.97
|
|
|
Service Code
|
APR-DRG 3243
|
| Min. Negotiated Rate |
$12,021.88 |
| Max. Negotiated Rate |
$12,622.97 |
| Rate for Payer: BCBS Complete |
$12,622.97
|
| Rate for Payer: Mclaren Medicaid |
$12,021.88
|
| Rate for Payer: Meridian Medicaid |
$12,622.97
|
| Rate for Payer: PHP Medicaid |
$12,021.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,021.88
|
| Rate for Payer: UHCCP Medicaid |
$12,021.88
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 3241
|
| 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: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,484.29
|
|
|
Service Code
|
APR-DRG 3242
|
| Min. Negotiated Rate |
$8,080.28 |
| Max. Negotiated Rate |
$8,484.29 |
| Rate for Payer: BCBS Complete |
$8,484.29
|
| Rate for Payer: Mclaren Medicaid |
$8,080.28
|
| Rate for Payer: Meridian Medicaid |
$8,484.29
|
| Rate for Payer: PHP Medicaid |
$8,080.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,080.28
|
| Rate for Payer: UHCCP Medicaid |
$8,080.28
|
|
|
APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$17,641.12
|
|
|
Service Code
|
APR-DRG 3244
|
| Min. Negotiated Rate |
$16,801.07 |
| Max. Negotiated Rate |
$17,641.12 |
| Rate for Payer: BCBS Complete |
$17,641.12
|
| Rate for Payer: Mclaren Medicaid |
$16,801.07
|
| Rate for Payer: Meridian Medicaid |
$17,641.12
|
| Rate for Payer: PHP Medicaid |
$16,801.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,801.07
|
| Rate for Payer: UHCCP Medicaid |
$16,801.07
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$10,657.10
|
|
|
Service Code
|
APR-DRG 3263
|
| Min. Negotiated Rate |
$10,149.62 |
| Max. Negotiated Rate |
$10,657.10 |
| Rate for Payer: BCBS Complete |
$10,657.10
|
| Rate for Payer: Mclaren Medicaid |
$10,149.62
|
| Rate for Payer: Meridian Medicaid |
$10,657.10
|
| Rate for Payer: PHP Medicaid |
$10,149.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,149.62
|
| Rate for Payer: UHCCP Medicaid |
$10,149.62
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$6,880.56
|
|
|
Service Code
|
APR-DRG 3261
|
| Min. Negotiated Rate |
$6,552.91 |
| Max. Negotiated Rate |
$6,880.56 |
| Rate for Payer: BCBS Complete |
$6,880.56
|
| Rate for Payer: Mclaren Medicaid |
$6,552.91
|
| Rate for Payer: Meridian Medicaid |
$6,880.56
|
| Rate for Payer: PHP Medicaid |
$6,552.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,552.91
|
| Rate for Payer: UHCCP Medicaid |
$6,552.91
|
|
|
APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,760.02
|
|
|
Service Code
|
APR-DRG 3262
|
| 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: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$16,761.65
|
|
|
Service Code
|
APR-DRG 3264
|
| Min. Negotiated Rate |
$15,963.48 |
| Max. Negotiated Rate |
$16,761.65 |
| Rate for Payer: BCBS Complete |
$16,761.65
|
| Rate for Payer: Mclaren Medicaid |
$15,963.48
|
| Rate for Payer: Meridian Medicaid |
$16,761.65
|
| Rate for Payer: PHP Medicaid |
$15,963.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,963.48
|
| Rate for Payer: UHCCP Medicaid |
$15,963.48
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,622.97
|
|
|
Service Code
|
APR-DRG 9112
|
| Min. Negotiated Rate |
$12,021.88 |
| Max. Negotiated Rate |
$12,622.97 |
| Rate for Payer: BCBS Complete |
$12,622.97
|
| Rate for Payer: Mclaren Medicaid |
$12,021.88
|
| Rate for Payer: Meridian Medicaid |
$12,622.97
|
| Rate for Payer: PHP Medicaid |
$12,021.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,021.88
|
| Rate for Payer: UHCCP Medicaid |
$12,021.88
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$9,674.16
|
|
|
Service Code
|
APR-DRG 9111
|
| Min. Negotiated Rate |
$9,213.49 |
| Max. Negotiated Rate |
$9,674.16 |
| Rate for Payer: BCBS Complete |
$9,674.16
|
| Rate for Payer: Mclaren Medicaid |
$9,213.49
|
| Rate for Payer: Meridian Medicaid |
$9,674.16
|
| Rate for Payer: PHP Medicaid |
$9,213.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,213.49
|
| Rate for Payer: UHCCP Medicaid |
$9,213.49
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$19,348.33
|
|
|
Service Code
|
APR-DRG 9113
|
| Min. Negotiated Rate |
$18,426.98 |
| Max. Negotiated Rate |
$19,348.33 |
| Rate for Payer: BCBS Complete |
$19,348.33
|
| Rate for Payer: Mclaren Medicaid |
$18,426.98
|
| Rate for Payer: Meridian Medicaid |
$19,348.33
|
| Rate for Payer: PHP Medicaid |
$18,426.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,426.98
|
| Rate for Payer: UHCCP Medicaid |
$18,426.98
|
|
|
APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$33,471.57
|
|
|
Service Code
|
APR-DRG 9114
|
| Min. Negotiated Rate |
$31,877.69 |
| Max. Negotiated Rate |
$33,471.57 |
| Rate for Payer: BCBS Complete |
$33,471.57
|
| Rate for Payer: Mclaren Medicaid |
$31,877.69
|
| Rate for Payer: Meridian Medicaid |
$33,471.57
|
| Rate for Payer: PHP Medicaid |
$31,877.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$31,877.69
|
| Rate for Payer: UHCCP Medicaid |
$31,877.69
|
|
|
APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$24,832.08
|
|
|
Service Code
|
APR-DRG 7924
|
| Min. Negotiated Rate |
$23,649.60 |
| Max. Negotiated Rate |
$24,832.08 |
| Rate for Payer: BCBS Complete |
$24,832.08
|
| Rate for Payer: Mclaren Medicaid |
$23,649.60
|
| Rate for Payer: Meridian Medicaid |
$24,832.08
|
| Rate for Payer: PHP Medicaid |
$23,649.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$23,649.60
|
| Rate for Payer: UHCCP Medicaid |
$23,649.60
|
|