|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$22,400.61
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$21,333.91 |
| Max. Negotiated Rate |
$22,400.61 |
| Rate for Payer: BCBS Complete |
$22,400.61
|
| Rate for Payer: Mclaren Medicaid |
$21,333.91
|
| Rate for Payer: Meridian Medicaid |
$22,400.61
|
| Rate for Payer: PHP Medicaid |
$21,333.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,333.91
|
| Rate for Payer: UHCCP Medicaid |
$21,333.91
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$16,244.32
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$15,470.78 |
| Max. Negotiated Rate |
$16,244.32 |
| Rate for Payer: BCBS Complete |
$16,244.32
|
| Rate for Payer: Mclaren Medicaid |
$15,470.78
|
| Rate for Payer: Meridian Medicaid |
$16,244.32
|
| Rate for Payer: PHP Medicaid |
$15,470.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,470.78
|
| Rate for Payer: UHCCP Medicaid |
$15,470.78
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$27,832.62
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$26,507.26 |
| Max. Negotiated Rate |
$27,832.62 |
| Rate for Payer: BCBS Complete |
$27,832.62
|
| Rate for Payer: Mclaren Medicaid |
$26,507.26
|
| Rate for Payer: Meridian Medicaid |
$27,832.62
|
| Rate for Payer: PHP Medicaid |
$26,507.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,507.26
|
| Rate for Payer: UHCCP Medicaid |
$26,507.26
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$13,450.71
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$12,810.20 |
| Max. Negotiated Rate |
$13,450.71 |
| Rate for Payer: BCBS Complete |
$13,450.71
|
| Rate for Payer: Mclaren Medicaid |
$12,810.20
|
| Rate for Payer: Meridian Medicaid |
$13,450.71
|
| Rate for Payer: PHP Medicaid |
$12,810.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,810.20
|
| Rate for Payer: UHCCP Medicaid |
$12,810.20
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$19,193.13
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$18,279.17 |
| Max. Negotiated Rate |
$19,193.13 |
| Rate for Payer: BCBS Complete |
$19,193.13
|
| Rate for Payer: Mclaren Medicaid |
$18,279.17
|
| Rate for Payer: Meridian Medicaid |
$19,193.13
|
| Rate for Payer: PHP Medicaid |
$18,279.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,279.17
|
| Rate for Payer: UHCCP Medicaid |
$18,279.17
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$10,398.43
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$9,903.27 |
| Max. Negotiated Rate |
$10,398.43 |
| Rate for Payer: BCBS Complete |
$10,398.43
|
| Rate for Payer: Mclaren Medicaid |
$9,903.27
|
| Rate for Payer: Meridian Medicaid |
$10,398.43
|
| Rate for Payer: PHP Medicaid |
$9,903.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,903.27
|
| Rate for Payer: UHCCP Medicaid |
$9,903.27
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 0242
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$19,296.60
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$18,377.71 |
| Max. Negotiated Rate |
$19,296.60 |
| Rate for Payer: BCBS Complete |
$19,296.60
|
| Rate for Payer: Mclaren Medicaid |
$18,377.71
|
| Rate for Payer: Meridian Medicaid |
$19,296.60
|
| Rate for Payer: PHP Medicaid |
$18,377.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,377.71
|
| Rate for Payer: UHCCP Medicaid |
$18,377.71
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,225.08
|
|
|
Service Code
|
APR-DRG 0241
|
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 0243
|
| 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: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 7733
|
| Min. Negotiated Rate |
$4,483.57 |
| Max. Negotiated Rate |
$4,707.75 |
| Rate for Payer: BCBS Complete |
$4,707.75
|
| Rate for Payer: Mclaren Medicaid |
$4,483.57
|
| Rate for Payer: Meridian Medicaid |
$4,707.75
|
| Rate for Payer: PHP Medicaid |
$4,483.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.57
|
| Rate for Payer: UHCCP Medicaid |
$4,483.57
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,655.47
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,576.64 |
| Max. Negotiated Rate |
$1,655.47 |
| Rate for Payer: BCBS Complete |
$1,655.47
|
| Rate for Payer: Mclaren Medicaid |
$1,576.64
|
| Rate for Payer: Meridian Medicaid |
$1,655.47
|
| Rate for Payer: PHP Medicaid |
$1,576.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,576.64
|
| Rate for Payer: UHCCP Medicaid |
$1,576.64
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$10,036.30
|
|
|
Service Code
|
APR-DRG 7734
|
| 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: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,431.47
|
|
|
Service Code
|
APR-DRG 7732
|
| 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: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$5,328.55
|
|
|
Service Code
|
APR-DRG 0731
|
| Min. Negotiated Rate |
$5,074.81 |
| Max. Negotiated Rate |
$5,328.55 |
| Rate for Payer: BCBS Complete |
$5,328.55
|
| Rate for Payer: Mclaren Medicaid |
$5,074.81
|
| Rate for Payer: Meridian Medicaid |
$5,328.55
|
| Rate for Payer: PHP Medicaid |
$5,074.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,074.81
|
| Rate for Payer: UHCCP Medicaid |
$5,074.81
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$10,760.57
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$10,248.16 |
| Max. Negotiated Rate |
$10,760.57 |
| Rate for Payer: BCBS Complete |
$10,760.57
|
| Rate for Payer: Mclaren Medicaid |
$10,248.16
|
| Rate for Payer: Meridian Medicaid |
$10,760.57
|
| Rate for Payer: PHP Medicaid |
$10,248.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,248.16
|
| Rate for Payer: UHCCP Medicaid |
$10,248.16
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$19,089.66
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$18,180.63 |
| Max. Negotiated Rate |
$19,089.66 |
| Rate for Payer: BCBS Complete |
$19,089.66
|
| Rate for Payer: Mclaren Medicaid |
$18,180.63
|
| Rate for Payer: Meridian Medicaid |
$19,089.66
|
| Rate for Payer: PHP Medicaid |
$18,180.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,180.63
|
| Rate for Payer: UHCCP Medicaid |
$18,180.63
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$7,190.96
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$6,848.53 |
| Max. Negotiated Rate |
$7,190.96 |
| Rate for Payer: BCBS Complete |
$7,190.96
|
| Rate for Payer: Mclaren Medicaid |
$6,848.53
|
| Rate for Payer: Meridian Medicaid |
$7,190.96
|
| Rate for Payer: PHP Medicaid |
$6,848.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,848.53
|
| Rate for Payer: UHCCP Medicaid |
$6,848.53
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$2,845.34
|
|
|
Service Code
|
APR-DRG 7571
|
| Min. Negotiated Rate |
$2,709.85 |
| Max. Negotiated Rate |
$2,845.34 |
| Rate for Payer: BCBS Complete |
$2,845.34
|
| Rate for Payer: Mclaren Medicaid |
$2,709.85
|
| Rate for Payer: Meridian Medicaid |
$2,845.34
|
| Rate for Payer: PHP Medicaid |
$2,709.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,709.85
|
| Rate for Payer: UHCCP Medicaid |
$2,709.85
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$6,104.55
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$5,813.86 |
| Max. Negotiated Rate |
$6,104.55 |
| Rate for Payer: BCBS Complete |
$6,104.55
|
| Rate for Payer: Mclaren Medicaid |
$5,813.86
|
| Rate for Payer: Meridian Medicaid |
$6,104.55
|
| Rate for Payer: PHP Medicaid |
$5,813.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,813.86
|
| Rate for Payer: UHCCP Medicaid |
$5,813.86
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 7572
|
| Min. Negotiated Rate |
$4,040.14 |
| Max. Negotiated Rate |
$4,242.15 |
| Rate for Payer: BCBS Complete |
$4,242.15
|
| Rate for Payer: Mclaren Medicaid |
$4,040.14
|
| Rate for Payer: Meridian Medicaid |
$4,242.15
|
| Rate for Payer: PHP Medicaid |
$4,040.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,040.14
|
| Rate for Payer: UHCCP Medicaid |
$4,040.14
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$15,002.72
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$14,288.30 |
| Max. Negotiated Rate |
$15,002.72 |
| Rate for Payer: BCBS Complete |
$15,002.72
|
| Rate for Payer: Mclaren Medicaid |
$14,288.30
|
| Rate for Payer: Meridian Medicaid |
$15,002.72
|
| Rate for Payer: PHP Medicaid |
$14,288.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,288.30
|
| Rate for Payer: UHCCP Medicaid |
$14,288.30
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$12,105.64
|
|
|
Service Code
|
APR-DRG 3444
|
| Min. Negotiated Rate |
$11,529.18 |
| Max. Negotiated Rate |
$12,105.64 |
| Rate for Payer: BCBS Complete |
$12,105.64
|
| Rate for Payer: Mclaren Medicaid |
$11,529.18
|
| Rate for Payer: Meridian Medicaid |
$12,105.64
|
| Rate for Payer: PHP Medicaid |
$11,529.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,529.18
|
| Rate for Payer: UHCCP Medicaid |
$11,529.18
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$7,604.82
|
|
|
Service Code
|
APR-DRG 3443
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 3441
|
| Min. Negotiated Rate |
$3,645.98 |
| Max. Negotiated Rate |
$3,828.28 |
| Rate for Payer: BCBS Complete |
$3,828.28
|
| Rate for Payer: Mclaren Medicaid |
$3,645.98
|
| Rate for Payer: Meridian Medicaid |
$3,828.28
|
| Rate for Payer: PHP Medicaid |
$3,645.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,645.98
|
| Rate for Payer: UHCCP Medicaid |
$3,645.98
|
|