|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 0582
|
| Min. Negotiated Rate |
$5,863.13 |
| Max. Negotiated Rate |
$6,156.29 |
| Rate for Payer: BCBS Complete |
$6,156.29
|
| Rate for Payer: Mclaren Medicaid |
$5,863.13
|
| Rate for Payer: Meridian Medicaid |
$6,156.29
|
| Rate for Payer: PHP Medicaid |
$5,863.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,863.13
|
| Rate for Payer: UHCCP Medicaid |
$5,863.13
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$11,484.84
|
|
|
Service Code
|
APR-DRG 0584
|
| Min. Negotiated Rate |
$10,937.94 |
| Max. Negotiated Rate |
$11,484.84 |
| Rate for Payer: BCBS Complete |
$11,484.84
|
| Rate for Payer: Mclaren Medicaid |
$10,937.94
|
| Rate for Payer: Meridian Medicaid |
$11,484.84
|
| Rate for Payer: PHP Medicaid |
$10,937.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,937.94
|
| Rate for Payer: UHCCP Medicaid |
$10,937.94
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 0581
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 2831
|
| 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
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$6,466.69
|
|
|
Service Code
|
APR-DRG 2833
|
| Min. Negotiated Rate |
$6,158.75 |
| Max. Negotiated Rate |
$6,466.69 |
| Rate for Payer: BCBS Complete |
$6,466.69
|
| Rate for Payer: Mclaren Medicaid |
$6,158.75
|
| Rate for Payer: Meridian Medicaid |
$6,466.69
|
| Rate for Payer: PHP Medicaid |
$6,158.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,158.75
|
| Rate for Payer: UHCCP Medicaid |
$6,158.75
|
|
|
APR-DRG 42.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 2832
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$12,053.91
|
|
|
Service Code
|
APR-DRG 2834
|
| 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: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,914.14
|
|
|
Service Code
|
APR-DRG 7761
|
| Min. Negotiated Rate |
$1,822.99 |
| Max. Negotiated Rate |
$1,914.14 |
| Rate for Payer: BCBS Complete |
$1,914.14
|
| Rate for Payer: Mclaren Medicaid |
$1,822.99
|
| Rate for Payer: Meridian Medicaid |
$1,914.14
|
| Rate for Payer: PHP Medicaid |
$1,822.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,822.99
|
| Rate for Payer: UHCCP Medicaid |
$1,822.99
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$9,363.76
|
|
|
Service Code
|
APR-DRG 7764
|
| 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 DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,586.68
|
|
|
Service Code
|
APR-DRG 7762
|
| Min. Negotiated Rate |
$2,463.50 |
| Max. Negotiated Rate |
$2,586.68 |
| Rate for Payer: BCBS Complete |
$2,586.68
|
| Rate for Payer: Mclaren Medicaid |
$2,463.50
|
| Rate for Payer: Meridian Medicaid |
$2,586.68
|
| Rate for Payer: PHP Medicaid |
$2,463.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,463.50
|
| Rate for Payer: UHCCP Medicaid |
$2,463.50
|
|
|
APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$11,433.10
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$10,888.67 |
| Max. Negotiated Rate |
$11,433.10 |
| Rate for Payer: BCBS Complete |
$11,433.10
|
| Rate for Payer: Mclaren Medicaid |
$10,888.67
|
| Rate for Payer: Meridian Medicaid |
$11,433.10
|
| Rate for Payer: PHP Medicaid |
$10,888.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,888.67
|
| Rate for Payer: UHCCP Medicaid |
$10,888.67
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 1152
|
| 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 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,156.29
|
|
|
Service Code
|
APR-DRG 1153
|
| Min. Negotiated Rate |
$5,863.13 |
| Max. Negotiated Rate |
$6,156.29 |
| Rate for Payer: BCBS Complete |
$6,156.29
|
| Rate for Payer: Mclaren Medicaid |
$5,863.13
|
| Rate for Payer: Meridian Medicaid |
$6,156.29
|
| Rate for Payer: PHP Medicaid |
$5,863.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,863.13
|
| Rate for Payer: UHCCP Medicaid |
$5,863.13
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$2,793.61
|
|
|
Service Code
|
APR-DRG 1151
|
| 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: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$20,072.60
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$19,116.76 |
| Max. Negotiated Rate |
$20,072.60 |
| Rate for Payer: BCBS Complete |
$20,072.60
|
| Rate for Payer: Mclaren Medicaid |
$19,116.76
|
| Rate for Payer: Meridian Medicaid |
$20,072.60
|
| Rate for Payer: PHP Medicaid |
$19,116.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,116.76
|
| Rate for Payer: UHCCP Medicaid |
$19,116.76
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$12,519.51
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$11,923.34 |
| Max. Negotiated Rate |
$12,519.51 |
| Rate for Payer: BCBS Complete |
$12,519.51
|
| Rate for Payer: Mclaren Medicaid |
$11,923.34
|
| Rate for Payer: Meridian Medicaid |
$12,519.51
|
| Rate for Payer: PHP Medicaid |
$11,923.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,923.34
|
| Rate for Payer: UHCCP Medicaid |
$11,923.34
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$8,173.89
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$7,784.66 |
| Max. Negotiated Rate |
$8,173.89 |
| Rate for Payer: BCBS Complete |
$8,173.89
|
| Rate for Payer: Mclaren Medicaid |
$7,784.66
|
| Rate for Payer: Meridian Medicaid |
$8,173.89
|
| Rate for Payer: PHP Medicaid |
$7,784.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,784.66
|
| Rate for Payer: UHCCP Medicaid |
$7,784.66
|
|
|
APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$10,967.50
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$10,445.24 |
| Max. Negotiated Rate |
$10,967.50 |
| Rate for Payer: BCBS Complete |
$10,967.50
|
| Rate for Payer: Mclaren Medicaid |
$10,445.24
|
| Rate for Payer: Meridian Medicaid |
$10,967.50
|
| Rate for Payer: PHP Medicaid |
$10,445.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,445.24
|
| Rate for Payer: UHCCP Medicaid |
$10,445.24
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,500.81
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$4,286.49 |
| Max. Negotiated Rate |
$4,500.81 |
| Rate for Payer: BCBS Complete |
$4,500.81
|
| Rate for Payer: Mclaren Medicaid |
$4,286.49
|
| Rate for Payer: Meridian Medicaid |
$4,500.81
|
| Rate for Payer: PHP Medicaid |
$4,286.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,286.49
|
| Rate for Payer: UHCCP Medicaid |
$4,286.49
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 4243
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 4241
|
| Min. Negotiated Rate |
$2,956.20 |
| Max. Negotiated Rate |
$3,104.01 |
| Rate for Payer: BCBS Complete |
$3,104.01
|
| Rate for Payer: Mclaren Medicaid |
$2,956.20
|
| Rate for Payer: Meridian Medicaid |
$3,104.01
|
| Rate for Payer: PHP Medicaid |
$2,956.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,956.20
|
| Rate for Payer: UHCCP Medicaid |
$2,956.20
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,052.82
|
|
|
Service Code
|
APR-DRG 2433
|
| Min. Negotiated Rate |
$5,764.59 |
| Max. Negotiated Rate |
$6,052.82 |
| Rate for Payer: BCBS Complete |
$6,052.82
|
| Rate for Payer: Mclaren Medicaid |
$5,764.59
|
| Rate for Payer: Meridian Medicaid |
$6,052.82
|
| Rate for Payer: PHP Medicaid |
$5,764.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,764.59
|
| Rate for Payer: UHCCP Medicaid |
$5,764.59
|
|
|
APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$3,153.28 |
| Max. Negotiated Rate |
$3,310.94 |
| Rate for Payer: BCBS Complete |
$3,310.94
|
| Rate for Payer: Mclaren Medicaid |
$3,153.28
|
| Rate for Payer: Meridian Medicaid |
$3,310.94
|
| Rate for Payer: PHP Medicaid |
$3,153.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,153.28
|
| Rate for Payer: UHCCP Medicaid |
$3,153.28
|
|