INPATIENT APRDRG 7404: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$36,000.00
|
|
Service Code
|
APR-DRG 7404
|
Hospital Charge Code |
APRDRG 7404
|
Min. Negotiated Rate |
$34,285.71 |
Max. Negotiated Rate |
$36,000.00 |
Rate for Payer: BCBS Complete |
$36,000.00
|
Rate for Payer: Mclaren Medicaid |
$34,285.71
|
Rate for Payer: Meridian Medicaid |
$36,000.00
|
Rate for Payer: PHP Medicaid |
$34,285.71
|
Rate for Payer: Priority Health Choice Medicaid |
$34,285.71
|
|
INPATIENT APRDRG 7501: SCHIZOPHRENIA
|
Facility
|
IP
|
$3,898.05
|
|
Service Code
|
APR-DRG 7501
|
Hospital Charge Code |
APRDRG 7501
|
Min. Negotiated Rate |
$3,712.43 |
Max. Negotiated Rate |
$3,898.05 |
Rate for Payer: BCBS Complete |
$3,898.05
|
Rate for Payer: Mclaren Medicaid |
$3,712.43
|
Rate for Payer: Meridian Medicaid |
$3,898.05
|
Rate for Payer: PHP Medicaid |
$3,712.43
|
Rate for Payer: Priority Health Choice Medicaid |
$3,712.43
|
|
INPATIENT APRDRG 7502: SCHIZOPHRENIA
|
Facility
|
IP
|
$4,583.50
|
|
Service Code
|
APR-DRG 7502
|
Hospital Charge Code |
APRDRG 7502
|
Min. Negotiated Rate |
$4,365.24 |
Max. Negotiated Rate |
$4,583.50 |
Rate for Payer: BCBS Complete |
$4,583.50
|
Rate for Payer: Mclaren Medicaid |
$4,365.24
|
Rate for Payer: Meridian Medicaid |
$4,583.50
|
Rate for Payer: PHP Medicaid |
$4,365.24
|
Rate for Payer: Priority Health Choice Medicaid |
$4,365.24
|
|
INPATIENT APRDRG 7503: SCHIZOPHRENIA
|
Facility
|
IP
|
$6,342.72
|
|
Service Code
|
APR-DRG 7503
|
Hospital Charge Code |
APRDRG 7503
|
Min. Negotiated Rate |
$6,040.69 |
Max. Negotiated Rate |
$6,342.72 |
Rate for Payer: BCBS Complete |
$6,342.72
|
Rate for Payer: Mclaren Medicaid |
$6,040.69
|
Rate for Payer: Meridian Medicaid |
$6,342.72
|
Rate for Payer: PHP Medicaid |
$6,040.69
|
Rate for Payer: Priority Health Choice Medicaid |
$6,040.69
|
|
INPATIENT APRDRG 7504: SCHIZOPHRENIA
|
Facility
|
IP
|
$13,141.39
|
|
Service Code
|
APR-DRG 7504
|
Hospital Charge Code |
APRDRG 7504
|
Min. Negotiated Rate |
$12,515.61 |
Max. Negotiated Rate |
$13,141.39 |
Rate for Payer: BCBS Complete |
$13,141.39
|
Rate for Payer: Mclaren Medicaid |
$12,515.61
|
Rate for Payer: Meridian Medicaid |
$13,141.39
|
Rate for Payer: PHP Medicaid |
$12,515.61
|
Rate for Payer: Priority Health Choice Medicaid |
$12,515.61
|
|
INPATIENT APRDRG 7511: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$2,620.39
|
|
Service Code
|
APR-DRG 7511
|
Hospital Charge Code |
APRDRG 7511
|
Min. Negotiated Rate |
$2,495.61 |
Max. Negotiated Rate |
$2,620.39 |
Rate for Payer: BCBS Complete |
$2,620.39
|
Rate for Payer: Mclaren Medicaid |
$2,495.61
|
Rate for Payer: Meridian Medicaid |
$2,620.39
|
Rate for Payer: PHP Medicaid |
$2,495.61
|
Rate for Payer: Priority Health Choice Medicaid |
$2,495.61
|
|
INPATIENT APRDRG 7512: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$3,167.01
|
|
Service Code
|
APR-DRG 7512
|
Hospital Charge Code |
APRDRG 7512
|
Min. Negotiated Rate |
$3,016.20 |
Max. Negotiated Rate |
$3,167.01 |
Rate for Payer: BCBS Complete |
$3,167.01
|
Rate for Payer: Mclaren Medicaid |
$3,016.20
|
Rate for Payer: Meridian Medicaid |
$3,167.01
|
Rate for Payer: PHP Medicaid |
$3,016.20
|
Rate for Payer: Priority Health Choice Medicaid |
$3,016.20
|
|
INPATIENT APRDRG 7513: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$4,692.11
|
|
Service Code
|
APR-DRG 7513
|
Hospital Charge Code |
APRDRG 7513
|
Min. Negotiated Rate |
$4,468.68 |
Max. Negotiated Rate |
$4,692.11 |
Rate for Payer: BCBS Complete |
$4,692.11
|
Rate for Payer: Mclaren Medicaid |
$4,468.68
|
Rate for Payer: Meridian Medicaid |
$4,692.11
|
Rate for Payer: PHP Medicaid |
$4,468.68
|
Rate for Payer: Priority Health Choice Medicaid |
$4,468.68
|
|
INPATIENT APRDRG 7514: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$9,736.17
|
|
Service Code
|
APR-DRG 7514
|
Hospital Charge Code |
APRDRG 7514
|
Min. Negotiated Rate |
$9,272.54 |
Max. Negotiated Rate |
$9,736.17 |
Rate for Payer: BCBS Complete |
$9,736.17
|
Rate for Payer: Mclaren Medicaid |
$9,272.54
|
Rate for Payer: Meridian Medicaid |
$9,736.17
|
Rate for Payer: PHP Medicaid |
$9,272.54
|
Rate for Payer: Priority Health Choice Medicaid |
$9,272.54
|
|
INPATIENT APRDRG 7521: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$1,762.30
|
|
Service Code
|
APR-DRG 7521
|
Hospital Charge Code |
APRDRG 7521
|
Min. Negotiated Rate |
$1,678.38 |
Max. Negotiated Rate |
$1,762.30 |
Rate for Payer: BCBS Complete |
$1,762.30
|
Rate for Payer: Mclaren Medicaid |
$1,678.38
|
Rate for Payer: Meridian Medicaid |
$1,762.30
|
Rate for Payer: PHP Medicaid |
$1,678.38
|
Rate for Payer: Priority Health Choice Medicaid |
$1,678.38
|
|
INPATIENT APRDRG 7522: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$2,558.91
|
|
Service Code
|
APR-DRG 7522
|
Hospital Charge Code |
APRDRG 7522
|
Min. Negotiated Rate |
$2,437.06 |
Max. Negotiated Rate |
$2,558.91 |
Rate for Payer: BCBS Complete |
$2,558.91
|
Rate for Payer: Mclaren Medicaid |
$2,437.06
|
Rate for Payer: Meridian Medicaid |
$2,558.91
|
Rate for Payer: PHP Medicaid |
$2,437.06
|
Rate for Payer: Priority Health Choice Medicaid |
$2,437.06
|
|
INPATIENT APRDRG 7523: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$7,057.89
|
|
Service Code
|
APR-DRG 7523
|
Hospital Charge Code |
APRDRG 7523
|
Min. Negotiated Rate |
$6,721.80 |
Max. Negotiated Rate |
$7,057.89 |
Rate for Payer: BCBS Complete |
$7,057.89
|
Rate for Payer: Mclaren Medicaid |
$6,721.80
|
Rate for Payer: Meridian Medicaid |
$7,057.89
|
Rate for Payer: PHP Medicaid |
$6,721.80
|
Rate for Payer: Priority Health Choice Medicaid |
$6,721.80
|
|
INPATIENT APRDRG 7524: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$13,101.94
|
|
Service Code
|
APR-DRG 7524
|
Hospital Charge Code |
APRDRG 7524
|
Min. Negotiated Rate |
$12,478.04 |
Max. Negotiated Rate |
$13,101.94 |
Rate for Payer: BCBS Complete |
$13,101.94
|
Rate for Payer: Mclaren Medicaid |
$12,478.04
|
Rate for Payer: Meridian Medicaid |
$13,101.94
|
Rate for Payer: PHP Medicaid |
$12,478.04
|
Rate for Payer: Priority Health Choice Medicaid |
$12,478.04
|
|
INPATIENT APRDRG 7531: BIPOLAR DISORDERS
|
Facility
|
IP
|
$2,339.65
|
|
Service Code
|
APR-DRG 7531
|
Hospital Charge Code |
APRDRG 7531
|
Min. Negotiated Rate |
$2,228.24 |
Max. Negotiated Rate |
$2,339.65 |
Rate for Payer: BCBS Complete |
$2,339.65
|
Rate for Payer: Mclaren Medicaid |
$2,228.24
|
Rate for Payer: Meridian Medicaid |
$2,339.65
|
Rate for Payer: PHP Medicaid |
$2,228.24
|
Rate for Payer: Priority Health Choice Medicaid |
$2,228.24
|
|
INPATIENT APRDRG 7532: BIPOLAR DISORDERS
|
Facility
|
IP
|
$3,072.24
|
|
Service Code
|
APR-DRG 7532
|
Hospital Charge Code |
APRDRG 7532
|
Min. Negotiated Rate |
$2,925.94 |
Max. Negotiated Rate |
$3,072.24 |
Rate for Payer: BCBS Complete |
$3,072.24
|
Rate for Payer: Mclaren Medicaid |
$2,925.94
|
Rate for Payer: Meridian Medicaid |
$3,072.24
|
Rate for Payer: PHP Medicaid |
$2,925.94
|
Rate for Payer: Priority Health Choice Medicaid |
$2,925.94
|
|
INPATIENT APRDRG 7533: BIPOLAR DISORDERS
|
Facility
|
IP
|
$6,397.03
|
|
Service Code
|
APR-DRG 7533
|
Hospital Charge Code |
APRDRG 7533
|
Min. Negotiated Rate |
$6,092.41 |
Max. Negotiated Rate |
$6,397.03 |
Rate for Payer: BCBS Complete |
$6,397.03
|
Rate for Payer: Mclaren Medicaid |
$6,092.41
|
Rate for Payer: Meridian Medicaid |
$6,397.03
|
Rate for Payer: PHP Medicaid |
$6,092.41
|
Rate for Payer: Priority Health Choice Medicaid |
$6,092.41
|
|
INPATIENT APRDRG 7534: BIPOLAR DISORDERS
|
Facility
|
IP
|
$11,149.08
|
|
Service Code
|
APR-DRG 7534
|
Hospital Charge Code |
APRDRG 7534
|
Min. Negotiated Rate |
$10,618.17 |
Max. Negotiated Rate |
$11,149.08 |
Rate for Payer: BCBS Complete |
$11,149.08
|
Rate for Payer: Mclaren Medicaid |
$10,618.17
|
Rate for Payer: Meridian Medicaid |
$11,149.08
|
Rate for Payer: PHP Medicaid |
$10,618.17
|
Rate for Payer: Priority Health Choice Medicaid |
$10,618.17
|
|
INPATIENT APRDRG 7541: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$2,454.41
|
|
Service Code
|
APR-DRG 7541
|
Hospital Charge Code |
APRDRG 7541
|
Min. Negotiated Rate |
$2,337.53 |
Max. Negotiated Rate |
$2,454.41 |
Rate for Payer: BCBS Complete |
$2,454.41
|
Rate for Payer: Mclaren Medicaid |
$2,337.53
|
Rate for Payer: Meridian Medicaid |
$2,454.41
|
Rate for Payer: PHP Medicaid |
$2,337.53
|
Rate for Payer: Priority Health Choice Medicaid |
$2,337.53
|
|
INPATIENT APRDRG 7542: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$3,451.84
|
|
Service Code
|
APR-DRG 7542
|
Hospital Charge Code |
APRDRG 7542
|
Min. Negotiated Rate |
$3,287.47 |
Max. Negotiated Rate |
$3,451.84 |
Rate for Payer: BCBS Complete |
$3,451.84
|
Rate for Payer: Mclaren Medicaid |
$3,287.47
|
Rate for Payer: Meridian Medicaid |
$3,451.84
|
Rate for Payer: PHP Medicaid |
$3,287.47
|
Rate for Payer: Priority Health Choice Medicaid |
$3,287.47
|
|
INPATIENT APRDRG 7543: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$4,556.35
|
|
Service Code
|
APR-DRG 7543
|
Hospital Charge Code |
APRDRG 7543
|
Min. Negotiated Rate |
$4,339.38 |
Max. Negotiated Rate |
$4,556.35 |
Rate for Payer: BCBS Complete |
$4,556.35
|
Rate for Payer: Mclaren Medicaid |
$4,339.38
|
Rate for Payer: Meridian Medicaid |
$4,556.35
|
Rate for Payer: PHP Medicaid |
$4,339.38
|
Rate for Payer: Priority Health Choice Medicaid |
$4,339.38
|
|
INPATIENT APRDRG 7544: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$11,016.90
|
|
Service Code
|
APR-DRG 7544
|
Hospital Charge Code |
APRDRG 7544
|
Min. Negotiated Rate |
$10,492.29 |
Max. Negotiated Rate |
$11,016.90 |
Rate for Payer: BCBS Complete |
$11,016.90
|
Rate for Payer: Mclaren Medicaid |
$10,492.29
|
Rate for Payer: Meridian Medicaid |
$11,016.90
|
Rate for Payer: PHP Medicaid |
$10,492.29
|
Rate for Payer: Priority Health Choice Medicaid |
$10,492.29
|
|
INPATIENT APRDRG 7551: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$3,014.34
|
|
Service Code
|
APR-DRG 7551
|
Hospital Charge Code |
APRDRG 7551
|
Min. Negotiated Rate |
$2,870.80 |
Max. Negotiated Rate |
$3,014.34 |
Rate for Payer: BCBS Complete |
$3,014.34
|
Rate for Payer: Mclaren Medicaid |
$2,870.80
|
Rate for Payer: Meridian Medicaid |
$3,014.34
|
Rate for Payer: PHP Medicaid |
$2,870.80
|
Rate for Payer: Priority Health Choice Medicaid |
$2,870.80
|
|
INPATIENT APRDRG 7552: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$3,915.47
|
|
Service Code
|
APR-DRG 7552
|
Hospital Charge Code |
APRDRG 7552
|
Min. Negotiated Rate |
$3,729.02 |
Max. Negotiated Rate |
$3,915.47 |
Rate for Payer: BCBS Complete |
$3,915.47
|
Rate for Payer: Mclaren Medicaid |
$3,729.02
|
Rate for Payer: Meridian Medicaid |
$3,915.47
|
Rate for Payer: PHP Medicaid |
$3,729.02
|
Rate for Payer: Priority Health Choice Medicaid |
$3,729.02
|
|
INPATIENT APRDRG 7553: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$6,254.09
|
|
Service Code
|
APR-DRG 7553
|
Hospital Charge Code |
APRDRG 7553
|
Min. Negotiated Rate |
$5,956.28 |
Max. Negotiated Rate |
$6,254.09 |
Rate for Payer: BCBS Complete |
$6,254.09
|
Rate for Payer: Mclaren Medicaid |
$5,956.28
|
Rate for Payer: Meridian Medicaid |
$6,254.09
|
Rate for Payer: PHP Medicaid |
$5,956.28
|
Rate for Payer: Priority Health Choice Medicaid |
$5,956.28
|
|
INPATIENT APRDRG 7554: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$6,460.04
|
|
Service Code
|
APR-DRG 7554
|
Hospital Charge Code |
APRDRG 7554
|
Min. Negotiated Rate |
$6,152.42 |
Max. Negotiated Rate |
$6,460.04 |
Rate for Payer: BCBS Complete |
$6,460.04
|
Rate for Payer: Mclaren Medicaid |
$6,152.42
|
Rate for Payer: Meridian Medicaid |
$6,460.04
|
Rate for Payer: PHP Medicaid |
$6,152.42
|
Rate for Payer: Priority Health Choice Medicaid |
$6,152.42
|
|