|
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
|
$1,862.41
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,773.72 |
| Max. Negotiated Rate |
$1,862.41 |
| Rate for Payer: BCBS Complete |
$1,862.41
|
| Rate for Payer: Mclaren Medicaid |
$1,773.72
|
| Rate for Payer: Meridian Medicaid |
$1,862.41
|
| Rate for Payer: PHP Medicaid |
$1,773.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,773.72
|
| Rate for Payer: UHCCP Medicaid |
$1,773.72
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$20,952.07
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$19,954.35 |
| Max. Negotiated Rate |
$20,952.07 |
| Rate for Payer: BCBS Complete |
$20,952.07
|
| Rate for Payer: Mclaren Medicaid |
$19,954.35
|
| Rate for Payer: Meridian Medicaid |
$20,952.07
|
| Rate for Payer: PHP Medicaid |
$19,954.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,954.35
|
| Rate for Payer: UHCCP Medicaid |
$19,954.35
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,225.63
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$7,833.93 |
| Max. Negotiated Rate |
$8,225.63 |
| Rate for Payer: BCBS Complete |
$8,225.63
|
| Rate for Payer: Mclaren Medicaid |
$7,833.93
|
| Rate for Payer: Meridian Medicaid |
$8,225.63
|
| Rate for Payer: PHP Medicaid |
$7,833.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,833.93
|
| Rate for Payer: UHCCP Medicaid |
$7,833.93
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$6,932.29
|
|
|
Service Code
|
APR-DRG 0731
|
| 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: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$12,053.91
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$11,479.91 |
| Max. Negotiated Rate |
$12,053.91 |
| Rate for Payer: BCBS Complete |
$12,053.91
|
| Rate for Payer: Mclaren Medicaid |
$11,479.91
|
| Rate for Payer: Meridian Medicaid |
$12,053.91
|
| Rate for Payer: PHP Medicaid |
$11,479.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,479.91
|
| Rate for Payer: UHCCP Medicaid |
$11,479.91
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$15,571.78
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$14,830.27 |
| Max. Negotiated Rate |
$15,571.78 |
| Rate for Payer: BCBS Complete |
$15,571.78
|
| Rate for Payer: Mclaren Medicaid |
$14,830.27
|
| Rate for Payer: Meridian Medicaid |
$15,571.78
|
| Rate for Payer: PHP Medicaid |
$14,830.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,830.27
|
| Rate for Payer: UHCCP Medicaid |
$14,830.27
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 7571
|
| 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
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$6,518.42
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$6,208.02 |
| Max. Negotiated Rate |
$6,518.42 |
| Rate for Payer: BCBS Complete |
$6,518.42
|
| Rate for Payer: Mclaren Medicaid |
$6,208.02
|
| Rate for Payer: Meridian Medicaid |
$6,518.42
|
| Rate for Payer: PHP Medicaid |
$6,208.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,208.02
|
| Rate for Payer: UHCCP Medicaid |
$6,208.02
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$5,690.68
|
|
|
Service Code
|
APR-DRG 7572
|
| Min. Negotiated Rate |
$5,419.70 |
| Max. Negotiated Rate |
$5,690.68 |
| Rate for Payer: BCBS Complete |
$5,690.68
|
| Rate for Payer: Mclaren Medicaid |
$5,419.70
|
| Rate for Payer: Meridian Medicaid |
$5,690.68
|
| Rate for Payer: PHP Medicaid |
$5,419.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,419.70
|
| Rate for Payer: UHCCP Medicaid |
$5,419.70
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$8,484.29
|
|
|
Service Code
|
APR-DRG 3444
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$6,984.02
|
|
|
Service Code
|
APR-DRG 3443
|
| Min. Negotiated Rate |
$6,651.45 |
| Max. Negotiated Rate |
$6,984.02 |
| Rate for Payer: BCBS Complete |
$6,984.02
|
| Rate for Payer: Mclaren Medicaid |
$6,651.45
|
| Rate for Payer: Meridian Medicaid |
$6,984.02
|
| Rate for Payer: PHP Medicaid |
$6,651.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,651.45
|
| Rate for Payer: UHCCP Medicaid |
$6,651.45
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 3442
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,362.68
|
|
|
Service Code
|
APR-DRG 3441
|
| 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: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 8624
|
| Min. Negotiated Rate |
$6,109.48 |
| Max. Negotiated Rate |
$6,414.95 |
| Rate for Payer: BCBS Complete |
$6,414.95
|
| Rate for Payer: Mclaren Medicaid |
$6,109.48
|
| Rate for Payer: Meridian Medicaid |
$6,414.95
|
| Rate for Payer: PHP Medicaid |
$6,109.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,109.48
|
| Rate for Payer: UHCCP Medicaid |
$6,109.48
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$2,172.81
|
|
|
Service Code
|
APR-DRG 8621
|
| Min. Negotiated Rate |
$2,069.34 |
| Max. Negotiated Rate |
$2,172.81 |
| Rate for Payer: BCBS Complete |
$2,172.81
|
| Rate for Payer: Mclaren Medicaid |
$2,069.34
|
| Rate for Payer: Meridian Medicaid |
$2,172.81
|
| Rate for Payer: PHP Medicaid |
$2,069.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.34
|
| Rate for Payer: UHCCP Medicaid |
$2,069.34
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 8623
|
| Min. Negotiated Rate |
$6,109.48 |
| Max. Negotiated Rate |
$6,414.95 |
| Rate for Payer: BCBS Complete |
$6,414.95
|
| Rate for Payer: Mclaren Medicaid |
$6,109.48
|
| Rate for Payer: Meridian Medicaid |
$6,414.95
|
| Rate for Payer: PHP Medicaid |
$6,109.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,109.48
|
| Rate for Payer: UHCCP Medicaid |
$6,109.48
|
|
|
APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE
|
Facility
|
IP
|
$5,018.15
|
|
|
Service Code
|
APR-DRG 8622
|
| Min. Negotiated Rate |
$4,779.19 |
| Max. Negotiated Rate |
$5,018.15 |
| Rate for Payer: BCBS Complete |
$5,018.15
|
| Rate for Payer: Mclaren Medicaid |
$4,779.19
|
| Rate for Payer: Meridian Medicaid |
$5,018.15
|
| Rate for Payer: PHP Medicaid |
$4,779.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,779.19
|
| Rate for Payer: UHCCP Medicaid |
$4,779.19
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,570.15
|
|
|
Service Code
|
APR-DRG 2533
|
| Min. Negotiated Rate |
$6,257.29 |
| Max. Negotiated Rate |
$6,570.15 |
| Rate for Payer: BCBS Complete |
$6,570.15
|
| Rate for Payer: Mclaren Medicaid |
$6,257.29
|
| Rate for Payer: Meridian Medicaid |
$6,570.15
|
| Rate for Payer: PHP Medicaid |
$6,257.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,257.29
|
| Rate for Payer: UHCCP Medicaid |
$6,257.29
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,552.55
|
|
|
Service Code
|
APR-DRG 2532
|
| Min. Negotiated Rate |
$4,335.76 |
| Max. Negotiated Rate |
$4,552.55 |
| Rate for Payer: BCBS Complete |
$4,552.55
|
| Rate for Payer: Mclaren Medicaid |
$4,335.76
|
| Rate for Payer: Meridian Medicaid |
$4,552.55
|
| Rate for Payer: PHP Medicaid |
$4,335.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,335.76
|
| Rate for Payer: UHCCP Medicaid |
$4,335.76
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 2531
|
| Min. Negotiated Rate |
$3,941.60 |
| Max. Negotiated Rate |
$4,138.68 |
| Rate for Payer: BCBS Complete |
$4,138.68
|
| Rate for Payer: Mclaren Medicaid |
$3,941.60
|
| Rate for Payer: Meridian Medicaid |
$4,138.68
|
| Rate for Payer: PHP Medicaid |
$3,941.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,941.60
|
| Rate for Payer: UHCCP Medicaid |
$3,941.60
|
|
|
APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$8,742.96
|
|
|
Service Code
|
APR-DRG 2534
|
| Min. Negotiated Rate |
$8,326.63 |
| Max. Negotiated Rate |
$8,742.96 |
| Rate for Payer: BCBS Complete |
$8,742.96
|
| Rate for Payer: Mclaren Medicaid |
$8,326.63
|
| Rate for Payer: Meridian Medicaid |
$8,742.96
|
| Rate for Payer: PHP Medicaid |
$8,326.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,326.63
|
| Rate for Payer: UHCCP Medicaid |
$8,326.63
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 6633
|
| Min. Negotiated Rate |
$6,010.94 |
| Max. Negotiated Rate |
$6,311.49 |
| Rate for Payer: BCBS Complete |
$6,311.49
|
| Rate for Payer: Mclaren Medicaid |
$6,010.94
|
| Rate for Payer: Meridian Medicaid |
$6,311.49
|
| Rate for Payer: PHP Medicaid |
$6,010.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,010.94
|
| Rate for Payer: UHCCP Medicaid |
$6,010.94
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,932.83
|
|
|
Service Code
|
APR-DRG 6634
|
| Min. Negotiated Rate |
$9,459.84 |
| Max. Negotiated Rate |
$9,932.83 |
| Rate for Payer: BCBS Complete |
$9,932.83
|
| Rate for Payer: Mclaren Medicaid |
$9,459.84
|
| Rate for Payer: Meridian Medicaid |
$9,932.83
|
| Rate for Payer: PHP Medicaid |
$9,459.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,459.84
|
| Rate for Payer: UHCCP Medicaid |
$9,459.84
|
|
|
APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 6631
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|