INPATIENT APRDRG 7561: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$3,269.98
|
|
Service Code
|
APR-DRG 7561
|
Hospital Charge Code |
APRDRG 7561
|
Min. Negotiated Rate |
$3,114.27 |
Max. Negotiated Rate |
$3,269.98 |
Rate for Payer: BCBS Complete |
$3,269.98
|
Rate for Payer: Mclaren Medicaid |
$3,114.27
|
Rate for Payer: Meridian Medicaid |
$3,269.98
|
Rate for Payer: PHP Medicaid |
$3,114.27
|
Rate for Payer: Priority Health Choice Medicaid |
$3,114.27
|
|
INPATIENT APRDRG 7562: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$4,318.14
|
|
Service Code
|
APR-DRG 7562
|
Hospital Charge Code |
APRDRG 7562
|
Min. Negotiated Rate |
$4,112.51 |
Max. Negotiated Rate |
$4,318.14 |
Rate for Payer: BCBS Complete |
$4,318.14
|
Rate for Payer: Mclaren Medicaid |
$4,112.51
|
Rate for Payer: Meridian Medicaid |
$4,318.14
|
Rate for Payer: PHP Medicaid |
$4,112.51
|
Rate for Payer: Priority Health Choice Medicaid |
$4,112.51
|
|
INPATIENT APRDRG 7563: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$4,904.71
|
|
Service Code
|
APR-DRG 7563
|
Hospital Charge Code |
APRDRG 7563
|
Min. Negotiated Rate |
$4,671.15 |
Max. Negotiated Rate |
$4,904.71 |
Rate for Payer: BCBS Complete |
$4,904.71
|
Rate for Payer: Mclaren Medicaid |
$4,671.15
|
Rate for Payer: Meridian Medicaid |
$4,904.71
|
Rate for Payer: PHP Medicaid |
$4,671.15
|
Rate for Payer: Priority Health Choice Medicaid |
$4,671.15
|
|
INPATIENT APRDRG 7564: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$11,506.66
|
|
Service Code
|
APR-DRG 7564
|
Hospital Charge Code |
APRDRG 7564
|
Min. Negotiated Rate |
$10,958.72 |
Max. Negotiated Rate |
$11,506.66 |
Rate for Payer: BCBS Complete |
$11,506.66
|
Rate for Payer: Mclaren Medicaid |
$10,958.72
|
Rate for Payer: Meridian Medicaid |
$11,506.66
|
Rate for Payer: PHP Medicaid |
$10,958.72
|
Rate for Payer: Priority Health Choice Medicaid |
$10,958.72
|
|
INPATIENT APRDRG 7571: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$3,736.16
|
|
Service Code
|
APR-DRG 7571
|
Hospital Charge Code |
APRDRG 7571
|
Min. Negotiated Rate |
$3,558.25 |
Max. Negotiated Rate |
$3,736.16 |
Rate for Payer: BCBS Complete |
$3,736.16
|
Rate for Payer: Mclaren Medicaid |
$3,558.25
|
Rate for Payer: Meridian Medicaid |
$3,736.16
|
Rate for Payer: PHP Medicaid |
$3,558.25
|
Rate for Payer: Priority Health Choice Medicaid |
$3,558.25
|
|
INPATIENT APRDRG 7572: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$5,345.29
|
|
Service Code
|
APR-DRG 7572
|
Hospital Charge Code |
APRDRG 7572
|
Min. Negotiated Rate |
$5,090.75 |
Max. Negotiated Rate |
$5,345.29 |
Rate for Payer: BCBS Complete |
$5,345.29
|
Rate for Payer: Mclaren Medicaid |
$5,090.75
|
Rate for Payer: Meridian Medicaid |
$5,345.29
|
Rate for Payer: PHP Medicaid |
$5,090.75
|
Rate for Payer: Priority Health Choice Medicaid |
$5,090.75
|
|
INPATIENT APRDRG 7573: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$7,241.80
|
|
Service Code
|
APR-DRG 7573
|
Hospital Charge Code |
APRDRG 7573
|
Min. Negotiated Rate |
$6,896.95 |
Max. Negotiated Rate |
$7,241.80 |
Rate for Payer: BCBS Complete |
$7,241.80
|
Rate for Payer: Mclaren Medicaid |
$6,896.95
|
Rate for Payer: Meridian Medicaid |
$7,241.80
|
Rate for Payer: PHP Medicaid |
$6,896.95
|
Rate for Payer: Priority Health Choice Medicaid |
$6,896.95
|
|
INPATIENT APRDRG 7574: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$13,904.19
|
|
Service Code
|
APR-DRG 7574
|
Hospital Charge Code |
APRDRG 7574
|
Min. Negotiated Rate |
$13,242.09 |
Max. Negotiated Rate |
$13,904.19 |
Rate for Payer: BCBS Complete |
$13,904.19
|
Rate for Payer: Mclaren Medicaid |
$13,242.09
|
Rate for Payer: Meridian Medicaid |
$13,904.19
|
Rate for Payer: PHP Medicaid |
$13,242.09
|
Rate for Payer: Priority Health Choice Medicaid |
$13,242.09
|
|
INPATIENT APRDRG 7591: EATING DISORDERS
|
Facility
|
IP
|
$4,733.10
|
|
Service Code
|
APR-DRG 7591
|
Hospital Charge Code |
APRDRG 7591
|
Min. Negotiated Rate |
$4,507.71 |
Max. Negotiated Rate |
$4,733.10 |
Rate for Payer: BCBS Complete |
$4,733.10
|
Rate for Payer: Mclaren Medicaid |
$4,507.71
|
Rate for Payer: Meridian Medicaid |
$4,733.10
|
Rate for Payer: PHP Medicaid |
$4,507.71
|
Rate for Payer: Priority Health Choice Medicaid |
$4,507.71
|
|
INPATIENT APRDRG 7592: EATING DISORDERS
|
Facility
|
IP
|
$5,801.23
|
|
Service Code
|
APR-DRG 7592
|
Hospital Charge Code |
APRDRG 7592
|
Min. Negotiated Rate |
$5,524.98 |
Max. Negotiated Rate |
$5,801.23 |
Rate for Payer: BCBS Complete |
$5,801.23
|
Rate for Payer: Mclaren Medicaid |
$5,524.98
|
Rate for Payer: Meridian Medicaid |
$5,801.23
|
Rate for Payer: PHP Medicaid |
$5,524.98
|
Rate for Payer: Priority Health Choice Medicaid |
$5,524.98
|
|
INPATIENT APRDRG 7593: EATING DISORDERS
|
Facility
|
IP
|
$9,502.05
|
|
Service Code
|
APR-DRG 7593
|
Hospital Charge Code |
APRDRG 7593
|
Min. Negotiated Rate |
$9,049.57 |
Max. Negotiated Rate |
$9,502.05 |
Rate for Payer: BCBS Complete |
$9,502.05
|
Rate for Payer: Mclaren Medicaid |
$9,049.57
|
Rate for Payer: Meridian Medicaid |
$9,502.05
|
Rate for Payer: PHP Medicaid |
$9,049.57
|
Rate for Payer: Priority Health Choice Medicaid |
$9,049.57
|
|
INPATIENT APRDRG 7594: EATING DISORDERS
|
Facility
|
IP
|
$35,001.02
|
|
Service Code
|
APR-DRG 7594
|
Hospital Charge Code |
APRDRG 7594
|
Min. Negotiated Rate |
$33,334.30 |
Max. Negotiated Rate |
$35,001.02 |
Rate for Payer: BCBS Complete |
$35,001.02
|
Rate for Payer: Mclaren Medicaid |
$33,334.30
|
Rate for Payer: Meridian Medicaid |
$35,001.02
|
Rate for Payer: PHP Medicaid |
$33,334.30
|
Rate for Payer: Priority Health Choice Medicaid |
$33,334.30
|
|
INPATIENT APRDRG 7601: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$2,180.32
|
|
Service Code
|
APR-DRG 7601
|
Hospital Charge Code |
APRDRG 7601
|
Min. Negotiated Rate |
$2,076.50 |
Max. Negotiated Rate |
$2,180.32 |
Rate for Payer: BCBS Complete |
$2,180.32
|
Rate for Payer: Mclaren Medicaid |
$2,076.50
|
Rate for Payer: Meridian Medicaid |
$2,180.32
|
Rate for Payer: PHP Medicaid |
$2,076.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,076.50
|
|
INPATIENT APRDRG 7602: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$3,280.22
|
|
Service Code
|
APR-DRG 7602
|
Hospital Charge Code |
APRDRG 7602
|
Min. Negotiated Rate |
$3,124.02 |
Max. Negotiated Rate |
$3,280.22 |
Rate for Payer: BCBS Complete |
$3,280.22
|
Rate for Payer: Mclaren Medicaid |
$3,124.02
|
Rate for Payer: Meridian Medicaid |
$3,280.22
|
Rate for Payer: PHP Medicaid |
$3,124.02
|
Rate for Payer: Priority Health Choice Medicaid |
$3,124.02
|
|
INPATIENT APRDRG 7603: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$5,058.91
|
|
Service Code
|
APR-DRG 7603
|
Hospital Charge Code |
APRDRG 7603
|
Min. Negotiated Rate |
$4,818.01 |
Max. Negotiated Rate |
$5,058.91 |
Rate for Payer: BCBS Complete |
$5,058.91
|
Rate for Payer: Mclaren Medicaid |
$4,818.01
|
Rate for Payer: Meridian Medicaid |
$5,058.91
|
Rate for Payer: PHP Medicaid |
$4,818.01
|
Rate for Payer: Priority Health Choice Medicaid |
$4,818.01
|
|
INPATIENT APRDRG 7604: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$9,943.65
|
|
Service Code
|
APR-DRG 7604
|
Hospital Charge Code |
APRDRG 7604
|
Min. Negotiated Rate |
$9,470.14 |
Max. Negotiated Rate |
$9,943.65 |
Rate for Payer: BCBS Complete |
$9,943.65
|
Rate for Payer: Mclaren Medicaid |
$9,470.14
|
Rate for Payer: Meridian Medicaid |
$9,943.65
|
Rate for Payer: PHP Medicaid |
$9,470.14
|
Rate for Payer: Priority Health Choice Medicaid |
$9,470.14
|
|
INPATIENT APRDRG 7701: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$1,761.27
|
|
Service Code
|
APR-DRG 7701
|
Hospital Charge Code |
APRDRG 7701
|
Min. Negotiated Rate |
$1,677.40 |
Max. Negotiated Rate |
$1,761.27 |
Rate for Payer: BCBS Complete |
$1,761.27
|
Rate for Payer: Mclaren Medicaid |
$1,677.40
|
Rate for Payer: Meridian Medicaid |
$1,761.27
|
Rate for Payer: PHP Medicaid |
$1,677.40
|
Rate for Payer: Priority Health Choice Medicaid |
$1,677.40
|
|
INPATIENT APRDRG 7702: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,032.28
|
|
Service Code
|
APR-DRG 7702
|
Hospital Charge Code |
APRDRG 7702
|
Min. Negotiated Rate |
$1,935.50 |
Max. Negotiated Rate |
$2,032.28 |
Rate for Payer: BCBS Complete |
$2,032.28
|
Rate for Payer: Mclaren Medicaid |
$1,935.50
|
Rate for Payer: Meridian Medicaid |
$2,032.28
|
Rate for Payer: PHP Medicaid |
$1,935.50
|
Rate for Payer: Priority Health Choice Medicaid |
$1,935.50
|
|
INPATIENT APRDRG 7703: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,710.55
|
|
Service Code
|
APR-DRG 7703
|
Hospital Charge Code |
APRDRG 7703
|
Min. Negotiated Rate |
$2,581.48 |
Max. Negotiated Rate |
$2,710.55 |
Rate for Payer: BCBS Complete |
$2,710.55
|
Rate for Payer: Mclaren Medicaid |
$2,581.48
|
Rate for Payer: Meridian Medicaid |
$2,710.55
|
Rate for Payer: PHP Medicaid |
$2,581.48
|
Rate for Payer: Priority Health Choice Medicaid |
$2,581.48
|
|
INPATIENT APRDRG 7704: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$7,810.96
|
|
Service Code
|
APR-DRG 7704
|
Hospital Charge Code |
APRDRG 7704
|
Min. Negotiated Rate |
$7,439.01 |
Max. Negotiated Rate |
$7,810.96 |
Rate for Payer: BCBS Complete |
$7,810.96
|
Rate for Payer: Mclaren Medicaid |
$7,439.01
|
Rate for Payer: Meridian Medicaid |
$7,810.96
|
Rate for Payer: PHP Medicaid |
$7,439.01
|
Rate for Payer: Priority Health Choice Medicaid |
$7,439.01
|
|
INPATIENT APRDRG 7731: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$1,711.57
|
|
Service Code
|
APR-DRG 7731
|
Hospital Charge Code |
APRDRG 7731
|
Min. Negotiated Rate |
$1,630.07 |
Max. Negotiated Rate |
$1,711.57 |
Rate for Payer: BCBS Complete |
$1,711.57
|
Rate for Payer: Mclaren Medicaid |
$1,630.07
|
Rate for Payer: Meridian Medicaid |
$1,711.57
|
Rate for Payer: PHP Medicaid |
$1,630.07
|
Rate for Payer: Priority Health Choice Medicaid |
$1,630.07
|
|
INPATIENT APRDRG 7732: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$2,966.70
|
|
Service Code
|
APR-DRG 7732
|
Hospital Charge Code |
APRDRG 7732
|
Min. Negotiated Rate |
$2,825.43 |
Max. Negotiated Rate |
$2,966.70 |
Rate for Payer: BCBS Complete |
$2,966.70
|
Rate for Payer: Mclaren Medicaid |
$2,825.43
|
Rate for Payer: Meridian Medicaid |
$2,966.70
|
Rate for Payer: PHP Medicaid |
$2,825.43
|
Rate for Payer: Priority Health Choice Medicaid |
$2,825.43
|
|
INPATIENT APRDRG 7733: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,003.07
|
|
Service Code
|
APR-DRG 7733
|
Hospital Charge Code |
APRDRG 7733
|
Min. Negotiated Rate |
$3,812.45 |
Max. Negotiated Rate |
$4,003.07 |
Rate for Payer: BCBS Complete |
$4,003.07
|
Rate for Payer: Mclaren Medicaid |
$3,812.45
|
Rate for Payer: Meridian Medicaid |
$4,003.07
|
Rate for Payer: PHP Medicaid |
$3,812.45
|
Rate for Payer: Priority Health Choice Medicaid |
$3,812.45
|
|
INPATIENT APRDRG 7734: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$12,497.44
|
|
Service Code
|
APR-DRG 7734
|
Hospital Charge Code |
APRDRG 7734
|
Min. Negotiated Rate |
$11,902.32 |
Max. Negotiated Rate |
$12,497.44 |
Rate for Payer: BCBS Complete |
$12,497.44
|
Rate for Payer: Mclaren Medicaid |
$11,902.32
|
Rate for Payer: Meridian Medicaid |
$12,497.44
|
Rate for Payer: PHP Medicaid |
$11,902.32
|
Rate for Payer: Priority Health Choice Medicaid |
$11,902.32
|
|
INPATIENT APRDRG 7741: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$2,673.15
|
|
Service Code
|
APR-DRG 7741
|
Hospital Charge Code |
APRDRG 7741
|
Min. Negotiated Rate |
$2,545.86 |
Max. Negotiated Rate |
$2,673.15 |
Rate for Payer: BCBS Complete |
$2,673.15
|
Rate for Payer: Mclaren Medicaid |
$2,545.86
|
Rate for Payer: Meridian Medicaid |
$2,673.15
|
Rate for Payer: PHP Medicaid |
$2,545.86
|
Rate for Payer: Priority Health Choice Medicaid |
$2,545.86
|
|