|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,518.42
|
|
|
Service Code
|
APR-DRG 8133
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,569.61
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$3,399.63 |
| Max. Negotiated Rate |
$3,569.61 |
| Rate for Payer: BCBS Complete |
$3,569.61
|
| Rate for Payer: Mclaren Medicaid |
$3,399.63
|
| Rate for Payer: Meridian Medicaid |
$3,569.61
|
| Rate for Payer: PHP Medicaid |
$3,399.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,399.63
|
| Rate for Payer: UHCCP Medicaid |
$3,399.63
|
|
|
APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 8132
|
| 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: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,518.96
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$9,065.68 |
| Max. Negotiated Rate |
$9,518.96 |
| Rate for Payer: BCBS Complete |
$9,518.96
|
| Rate for Payer: Mclaren Medicaid |
$9,065.68
|
| Rate for Payer: Meridian Medicaid |
$9,518.96
|
| Rate for Payer: PHP Medicaid |
$9,065.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,065.68
|
| Rate for Payer: UHCCP Medicaid |
$9,065.68
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$9,363.76
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$8,917.87 |
| Max. Negotiated Rate |
$9,363.76 |
| Rate for Payer: BCBS Complete |
$9,363.76
|
| Rate for Payer: Mclaren Medicaid |
$8,917.87
|
| Rate for Payer: Meridian Medicaid |
$9,363.76
|
| Rate for Payer: PHP Medicaid |
$8,917.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,917.87
|
| Rate for Payer: UHCCP Medicaid |
$8,917.87
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,243.78
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$12,613.12 |
| Max. Negotiated Rate |
$13,243.78 |
| Rate for Payer: BCBS Complete |
$13,243.78
|
| Rate for Payer: Mclaren Medicaid |
$12,613.12
|
| Rate for Payer: Meridian Medicaid |
$13,243.78
|
| Rate for Payer: PHP Medicaid |
$12,613.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,613.12
|
| Rate for Payer: UHCCP Medicaid |
$12,613.12
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$7,294.42
|
|
|
Service Code
|
APR-DRG 2291
|
| Min. Negotiated Rate |
$6,947.07 |
| Max. Negotiated Rate |
$7,294.42 |
| Rate for Payer: BCBS Complete |
$7,294.42
|
| Rate for Payer: Mclaren Medicaid |
$6,947.07
|
| Rate for Payer: Meridian Medicaid |
$7,294.42
|
| Rate for Payer: PHP Medicaid |
$6,947.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,947.07
|
| Rate for Payer: UHCCP Medicaid |
$6,947.07
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$16,916.85
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$16,111.29 |
| Max. Negotiated Rate |
$16,916.85 |
| Rate for Payer: BCBS Complete |
$16,916.85
|
| Rate for Payer: Mclaren Medicaid |
$16,111.29
|
| Rate for Payer: Meridian Medicaid |
$16,916.85
|
| Rate for Payer: PHP Medicaid |
$16,111.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,111.29
|
| Rate for Payer: UHCCP Medicaid |
$16,111.29
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,725.36
|
|
|
Service Code
|
APR-DRG 2543
|
| Min. Negotiated Rate |
$6,405.10 |
| Max. Negotiated Rate |
$6,725.36 |
| Rate for Payer: BCBS Complete |
$6,725.36
|
| Rate for Payer: Mclaren Medicaid |
$6,405.10
|
| Rate for Payer: Meridian Medicaid |
$6,725.36
|
| Rate for Payer: PHP Medicaid |
$6,405.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,405.10
|
| Rate for Payer: UHCCP Medicaid |
$6,405.10
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 2541
|
| Min. Negotiated Rate |
$3,547.44 |
| Max. Negotiated Rate |
$3,724.81 |
| Rate for Payer: BCBS Complete |
$3,724.81
|
| Rate for Payer: Mclaren Medicaid |
$3,547.44
|
| Rate for Payer: Meridian Medicaid |
$3,724.81
|
| Rate for Payer: PHP Medicaid |
$3,547.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,547.44
|
| Rate for Payer: UHCCP Medicaid |
$3,547.44
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$9,467.23
|
|
|
Service Code
|
APR-DRG 2544
|
| Min. Negotiated Rate |
$9,016.41 |
| Max. Negotiated Rate |
$9,467.23 |
| Rate for Payer: BCBS Complete |
$9,467.23
|
| Rate for Payer: Mclaren Medicaid |
$9,016.41
|
| Rate for Payer: Meridian Medicaid |
$9,467.23
|
| Rate for Payer: PHP Medicaid |
$9,016.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,016.41
|
| Rate for Payer: UHCCP Medicaid |
$9,016.41
|
|
|
APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 2542
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 0583
|
| Min. Negotiated Rate |
$7,341.23 |
| Max. Negotiated Rate |
$7,708.29 |
| Rate for Payer: BCBS Complete |
$7,708.29
|
| Rate for Payer: Mclaren Medicaid |
$7,341.23
|
| Rate for Payer: Meridian Medicaid |
$7,708.29
|
| Rate for Payer: PHP Medicaid |
$7,341.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,341.23
|
| Rate for Payer: UHCCP Medicaid |
$7,341.23
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,346.70
|
|
|
Service Code
|
APR-DRG 0584
|
| Min. Negotiated Rate |
$9,854.00 |
| Max. Negotiated Rate |
$10,346.70 |
| Rate for Payer: BCBS Complete |
$10,346.70
|
| Rate for Payer: Mclaren Medicaid |
$9,854.00
|
| Rate for Payer: Meridian Medicaid |
$10,346.70
|
| Rate for Payer: PHP Medicaid |
$9,854.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,854.00
|
| Rate for Payer: UHCCP Medicaid |
$9,854.00
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 0582
|
| 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: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$3,828.28
|
|
|
Service Code
|
APR-DRG 0581
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$10,243.23
|
|
|
Service Code
|
APR-DRG 2834
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 2833
|
| 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 DISORDERS OF THE LIVER
|
Facility
|
IP
|
$4,293.88
|
|
|
Service Code
|
APR-DRG 2832
|
| Min. Negotiated Rate |
$4,089.41 |
| Max. Negotiated Rate |
$4,293.88 |
| Rate for Payer: BCBS Complete |
$4,293.88
|
| Rate for Payer: Mclaren Medicaid |
$4,089.41
|
| Rate for Payer: Meridian Medicaid |
$4,293.88
|
| Rate for Payer: PHP Medicaid |
$4,089.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,089.41
|
| Rate for Payer: UHCCP Medicaid |
$4,089.41
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$2,741.88
|
|
|
Service Code
|
APR-DRG 2831
|
| Min. Negotiated Rate |
$2,611.31 |
| Max. Negotiated Rate |
$2,741.88 |
| Rate for Payer: BCBS Complete |
$2,741.88
|
| Rate for Payer: Mclaren Medicaid |
$2,611.31
|
| Rate for Payer: Meridian Medicaid |
$2,741.88
|
| Rate for Payer: PHP Medicaid |
$2,611.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,611.31
|
| Rate for Payer: UHCCP Medicaid |
$2,611.31
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 7762
|
| Min. Negotiated Rate |
$3,843.06 |
| Max. Negotiated Rate |
$4,035.21 |
| Rate for Payer: BCBS Complete |
$4,035.21
|
| Rate for Payer: Mclaren Medicaid |
$3,843.06
|
| Rate for Payer: Meridian Medicaid |
$4,035.21
|
| Rate for Payer: PHP Medicaid |
$3,843.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,843.06
|
| Rate for Payer: UHCCP Medicaid |
$3,843.06
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$5,845.89
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$5,567.51 |
| Max. Negotiated Rate |
$5,845.89 |
| Rate for Payer: BCBS Complete |
$5,845.89
|
| Rate for Payer: Mclaren Medicaid |
$5,567.51
|
| Rate for Payer: Meridian Medicaid |
$5,845.89
|
| Rate for Payer: PHP Medicaid |
$5,567.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,567.51
|
| Rate for Payer: UHCCP Medicaid |
$5,567.51
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$10,657.10
|
|
|
Service Code
|
APR-DRG 7764
|
| 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: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,259.21
|
|
|
Service Code
|
APR-DRG 7761
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 1152
|
| 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
|
|