|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,776.55
|
|
|
Service Code
|
APR-DRG 4262
|
| 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: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 4264
|
| Min. Negotiated Rate |
$9,755.46 |
| Max. Negotiated Rate |
$10,243.23 |
| Rate for Payer: BCBS Complete |
$10,243.23
|
| Rate for Payer: Mclaren Medicaid |
$9,755.46
|
| Rate for Payer: Meridian Medicaid |
$10,243.23
|
| Rate for Payer: PHP Medicaid |
$9,755.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,755.46
|
| Rate for Payer: UHCCP Medicaid |
$9,755.46
|
|
|
APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 4261
|
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,069.88
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$4,828.46 |
| Max. Negotiated Rate |
$5,069.88 |
| Rate for Payer: BCBS Complete |
$5,069.88
|
| Rate for Payer: Mclaren Medicaid |
$4,828.46
|
| Rate for Payer: Meridian Medicaid |
$5,069.88
|
| Rate for Payer: PHP Medicaid |
$4,828.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,828.46
|
| Rate for Payer: UHCCP Medicaid |
$4,828.46
|
|
|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$7,966.96
|
|
|
Service Code
|
APR-DRG 0463
|
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$13,968.04
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$13,302.90 |
| Max. Negotiated Rate |
$13,968.04 |
| Rate for Payer: BCBS Complete |
$13,968.04
|
| Rate for Payer: Mclaren Medicaid |
$13,302.90
|
| Rate for Payer: Meridian Medicaid |
$13,968.04
|
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$6,208.02
|
|
|
Service Code
|
APR-DRG 0462
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 7623
|
| Min. Negotiated Rate |
$4,927.00 |
| Max. Negotiated Rate |
$5,173.35 |
| Rate for Payer: BCBS Complete |
$5,173.35
|
| Rate for Payer: Mclaren Medicaid |
$4,927.00
|
| Rate for Payer: Meridian Medicaid |
$5,173.35
|
| Rate for Payer: PHP Medicaid |
$4,927.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,927.00
|
| Rate for Payer: UHCCP Medicaid |
$4,927.00
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,259.21
|
|
|
Service Code
|
APR-DRG 7622
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$2,690.14
|
|
|
Service Code
|
APR-DRG 7621
|
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,949.35
|
|
|
Service Code
|
APR-DRG 7624
|
| 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: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$25,349.42
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$24,142.30 |
| Max. Negotiated Rate |
$25,349.42 |
| Rate for Payer: BCBS Complete |
$25,349.42
|
| Rate for Payer: Mclaren Medicaid |
$24,142.30
|
| Rate for Payer: Meridian Medicaid |
$25,349.42
|
| Rate for Payer: PHP Medicaid |
$24,142.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,142.30
|
| Rate for Payer: UHCCP Medicaid |
$24,142.30
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$12,778.17
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$12,169.69 |
| Max. Negotiated Rate |
$12,778.17 |
| Rate for Payer: BCBS Complete |
$12,778.17
|
| Rate for Payer: Mclaren Medicaid |
$12,169.69
|
| Rate for Payer: Meridian Medicaid |
$12,778.17
|
| Rate for Payer: PHP Medicaid |
$12,169.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,169.69
|
| Rate for Payer: UHCCP Medicaid |
$12,169.69
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$19,607.00
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$18,673.33 |
| Max. Negotiated Rate |
$19,607.00 |
| Rate for Payer: BCBS Complete |
$19,607.00
|
| Rate for Payer: Mclaren Medicaid |
$18,673.33
|
| Rate for Payer: Meridian Medicaid |
$19,607.00
|
| Rate for Payer: PHP Medicaid |
$18,673.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,673.33
|
| Rate for Payer: UHCCP Medicaid |
$18,673.33
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$27,625.69
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$26,310.18 |
| Max. Negotiated Rate |
$27,625.69 |
| Rate for Payer: BCBS Complete |
$27,625.69
|
| Rate for Payer: Mclaren Medicaid |
$26,310.18
|
| Rate for Payer: Meridian Medicaid |
$27,625.69
|
| Rate for Payer: PHP Medicaid |
$26,310.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,310.18
|
| Rate for Payer: UHCCP Medicaid |
$26,310.18
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$14,174.98
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$13,499.98 |
| Max. Negotiated Rate |
$14,174.98 |
| Rate for Payer: BCBS Complete |
$14,174.98
|
| Rate for Payer: Mclaren Medicaid |
$13,499.98
|
| Rate for Payer: Meridian Medicaid |
$14,174.98
|
| Rate for Payer: PHP Medicaid |
$13,499.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,499.98
|
| Rate for Payer: UHCCP Medicaid |
$13,499.98
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$35,644.38
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$33,947.03 |
| Max. Negotiated Rate |
$35,644.38 |
| Rate for Payer: BCBS Complete |
$35,644.38
|
| Rate for Payer: Mclaren Medicaid |
$33,947.03
|
| Rate for Payer: Meridian Medicaid |
$35,644.38
|
| Rate for Payer: PHP Medicaid |
$33,947.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,947.03
|
| Rate for Payer: UHCCP Medicaid |
$33,947.03
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$23,693.94
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$22,565.66 |
| Max. Negotiated Rate |
$23,693.94 |
| Rate for Payer: BCBS Complete |
$23,693.94
|
| Rate for Payer: Mclaren Medicaid |
$22,565.66
|
| Rate for Payer: Meridian Medicaid |
$23,693.94
|
| Rate for Payer: PHP Medicaid |
$22,565.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,565.66
|
| Rate for Payer: UHCCP Medicaid |
$22,565.66
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 0201
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,053.36
|
|
|
Service Code
|
APR-DRG 0242
|
| Min. Negotiated Rate |
$8,622.25 |
| Max. Negotiated Rate |
$9,053.36 |
| Rate for Payer: BCBS Complete |
$9,053.36
|
| Rate for Payer: Mclaren Medicaid |
$8,622.25
|
| Rate for Payer: Meridian Medicaid |
$9,053.36
|
| Rate for Payer: PHP Medicaid |
$8,622.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,622.25
|
| Rate for Payer: UHCCP Medicaid |
$8,622.25
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,674.71
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$12,071.15 |
| Max. Negotiated Rate |
$12,674.71 |
| Rate for Payer: BCBS Complete |
$12,674.71
|
| Rate for Payer: Mclaren Medicaid |
$12,071.15
|
| Rate for Payer: Meridian Medicaid |
$12,674.71
|
| Rate for Payer: PHP Medicaid |
$12,071.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,071.15
|
| Rate for Payer: UHCCP Medicaid |
$12,071.15
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 0241
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,520.59
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$17,638.66 |
| Max. Negotiated Rate |
$18,520.59 |
| Rate for Payer: BCBS Complete |
$18,520.59
|
| Rate for Payer: Mclaren Medicaid |
$17,638.66
|
| Rate for Payer: Meridian Medicaid |
$18,520.59
|
| Rate for Payer: PHP Medicaid |
$17,638.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,638.66
|
| Rate for Payer: UHCCP Medicaid |
$17,638.66
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,207.48
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$3,054.74 |
| Max. Negotiated Rate |
$3,207.48 |
| Rate for Payer: BCBS Complete |
$3,207.48
|
| Rate for Payer: Mclaren Medicaid |
$3,054.74
|
| Rate for Payer: Meridian Medicaid |
$3,207.48
|
| Rate for Payer: PHP Medicaid |
$3,054.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,054.74
|
| Rate for Payer: UHCCP Medicaid |
$3,054.74
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,157.37
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$11,578.45 |
| Max. Negotiated Rate |
$12,157.37 |
| Rate for Payer: BCBS Complete |
$12,157.37
|
| Rate for Payer: Mclaren Medicaid |
$11,578.45
|
| Rate for Payer: Meridian Medicaid |
$12,157.37
|
| Rate for Payer: PHP Medicaid |
$11,578.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,578.45
|
| Rate for Payer: UHCCP Medicaid |
$11,578.45
|
|