|
APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES
|
Facility
|
IP
|
$12,985.11
|
|
|
Service Code
|
APR-DRG 4443
|
| Min. Negotiated Rate |
$12,366.77 |
| Max. Negotiated Rate |
$12,985.11 |
| Rate for Payer: BCBS Complete |
$12,985.11
|
| Rate for Payer: Mclaren Medicaid |
$12,366.77
|
| Rate for Payer: Meridian Medicaid |
$12,985.11
|
| Rate for Payer: PHP Medicaid |
$12,366.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,366.77
|
| Rate for Payer: UHCCP Medicaid |
$12,366.77
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 1331
|
| 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: RESPIRATORY FAILURE
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 1334
|
| Min. Negotiated Rate |
$9,509.11 |
| Max. Negotiated Rate |
$9,984.57 |
| Rate for Payer: BCBS Complete |
$9,984.57
|
| Rate for Payer: Mclaren Medicaid |
$9,509.11
|
| Rate for Payer: Meridian Medicaid |
$9,984.57
|
| Rate for Payer: PHP Medicaid |
$9,509.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,509.11
|
| Rate for Payer: UHCCP Medicaid |
$9,509.11
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$6,104.55
|
|
|
Service Code
|
APR-DRG 1333
|
| Min. Negotiated Rate |
$5,813.86 |
| Max. Negotiated Rate |
$6,104.55 |
| Rate for Payer: BCBS Complete |
$6,104.55
|
| Rate for Payer: Mclaren Medicaid |
$5,813.86
|
| Rate for Payer: Meridian Medicaid |
$6,104.55
|
| Rate for Payer: PHP Medicaid |
$5,813.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,813.86
|
| Rate for Payer: UHCCP Medicaid |
$5,813.86
|
|
|
APR-DRG 42.00: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 1332
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,018.15
|
|
|
Service Code
|
APR-DRG 1362
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$10,708.83
|
|
|
Service Code
|
APR-DRG 1364
|
| Min. Negotiated Rate |
$10,198.89 |
| Max. Negotiated Rate |
$10,708.83 |
| Rate for Payer: BCBS Complete |
$10,708.83
|
| Rate for Payer: Mclaren Medicaid |
$10,198.89
|
| Rate for Payer: Meridian Medicaid |
$10,708.83
|
| Rate for Payer: PHP Medicaid |
$10,198.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,198.89
|
| Rate for Payer: UHCCP Medicaid |
$10,198.89
|
|
|
APR-DRG 42.00: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$6,984.02
|
|
|
Service Code
|
APR-DRG 1363
|
| 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: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 1361
|
| Min. Negotiated Rate |
$3,990.87 |
| Max. Negotiated Rate |
$4,190.41 |
| Rate for Payer: BCBS Complete |
$4,190.41
|
| Rate for Payer: Mclaren Medicaid |
$3,990.87
|
| Rate for Payer: Meridian Medicaid |
$4,190.41
|
| Rate for Payer: PHP Medicaid |
$3,990.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,990.87
|
| Rate for Payer: UHCCP Medicaid |
$3,990.87
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 1442
|
| 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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$9,570.70
|
|
|
Service Code
|
APR-DRG 1444
|
| Min. Negotiated Rate |
$9,114.95 |
| Max. Negotiated Rate |
$9,570.70 |
| Rate for Payer: BCBS Complete |
$9,570.70
|
| Rate for Payer: Mclaren Medicaid |
$9,114.95
|
| Rate for Payer: Meridian Medicaid |
$9,570.70
|
| Rate for Payer: PHP Medicaid |
$9,114.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,114.95
|
| Rate for Payer: UHCCP Medicaid |
$9,114.95
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 1441
|
| Min. Negotiated Rate |
$2,857.66 |
| Max. Negotiated Rate |
$3,000.54 |
| Rate for Payer: BCBS Complete |
$3,000.54
|
| Rate for Payer: Mclaren Medicaid |
$2,857.66
|
| Rate for Payer: Meridian Medicaid |
$3,000.54
|
| Rate for Payer: PHP Medicaid |
$2,857.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,857.66
|
| Rate for Payer: UHCCP Medicaid |
$2,857.66
|
|
|
APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES
|
Facility
|
IP
|
$6,001.09
|
|
|
Service Code
|
APR-DRG 1443
|
| Min. Negotiated Rate |
$5,715.32 |
| Max. Negotiated Rate |
$6,001.09 |
| Rate for Payer: BCBS Complete |
$6,001.09
|
| Rate for Payer: Mclaren Medicaid |
$5,715.32
|
| Rate for Payer: Meridian Medicaid |
$6,001.09
|
| Rate for Payer: PHP Medicaid |
$5,715.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,715.32
|
| Rate for Payer: UHCCP Medicaid |
$5,715.32
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$28,298.22
|
|
|
Service Code
|
APR-DRG 1304
|
| Min. Negotiated Rate |
$26,950.69 |
| Max. Negotiated Rate |
$28,298.22 |
| Rate for Payer: BCBS Complete |
$28,298.22
|
| Rate for Payer: Mclaren Medicaid |
$26,950.69
|
| Rate for Payer: Meridian Medicaid |
$28,298.22
|
| Rate for Payer: PHP Medicaid |
$26,950.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$26,950.69
|
| Rate for Payer: UHCCP Medicaid |
$26,950.69
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$21,365.94
|
|
|
Service Code
|
APR-DRG 1303
|
| Min. Negotiated Rate |
$20,348.51 |
| Max. Negotiated Rate |
$21,365.94 |
| Rate for Payer: BCBS Complete |
$21,365.94
|
| Rate for Payer: Mclaren Medicaid |
$20,348.51
|
| Rate for Payer: Meridian Medicaid |
$21,365.94
|
| Rate for Payer: PHP Medicaid |
$20,348.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,348.51
|
| Rate for Payer: UHCCP Medicaid |
$20,348.51
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$14,485.38
|
|
|
Service Code
|
APR-DRG 1301
|
| Min. Negotiated Rate |
$13,795.60 |
| Max. Negotiated Rate |
$14,485.38 |
| Rate for Payer: BCBS Complete |
$14,485.38
|
| Rate for Payer: Mclaren Medicaid |
$13,795.60
|
| Rate for Payer: Meridian Medicaid |
$14,485.38
|
| Rate for Payer: PHP Medicaid |
$13,795.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,795.60
|
| Rate for Payer: UHCCP Medicaid |
$13,795.60
|
|
|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$17,485.92
|
|
|
Service Code
|
APR-DRG 1302
|
| Min. Negotiated Rate |
$16,653.26 |
| Max. Negotiated Rate |
$17,485.92 |
| Rate for Payer: BCBS Complete |
$17,485.92
|
| Rate for Payer: Mclaren Medicaid |
$16,653.26
|
| Rate for Payer: Meridian Medicaid |
$17,485.92
|
| Rate for Payer: PHP Medicaid |
$16,653.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,653.26
|
| Rate for Payer: UHCCP Medicaid |
$16,653.26
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$3,983.48
|
|
|
Service Code
|
APR-DRG 7611
|
| Min. Negotiated Rate |
$3,793.79 |
| Max. Negotiated Rate |
$3,983.48 |
| Rate for Payer: BCBS Complete |
$3,983.48
|
| Rate for Payer: Mclaren Medicaid |
$3,793.79
|
| Rate for Payer: Meridian Medicaid |
$3,983.48
|
| Rate for Payer: PHP Medicaid |
$3,793.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,793.79
|
| Rate for Payer: UHCCP Medicaid |
$3,793.79
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 7612
|
| Min. Negotiated Rate |
$3,990.87 |
| Max. Negotiated Rate |
$4,190.41 |
| Rate for Payer: BCBS Complete |
$4,190.41
|
| Rate for Payer: Mclaren Medicaid |
$3,990.87
|
| Rate for Payer: Meridian Medicaid |
$4,190.41
|
| Rate for Payer: PHP Medicaid |
$3,990.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,990.87
|
| Rate for Payer: UHCCP Medicaid |
$3,990.87
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 7613
|
| 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: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$13,295.51
|
|
|
Service Code
|
APR-DRG 7614
|
| Min. Negotiated Rate |
$12,662.39 |
| Max. Negotiated Rate |
$13,295.51 |
| Rate for Payer: BCBS Complete |
$13,295.51
|
| Rate for Payer: Mclaren Medicaid |
$12,662.39
|
| Rate for Payer: Meridian Medicaid |
$13,295.51
|
| Rate for Payer: PHP Medicaid |
$12,662.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,662.39
|
| Rate for Payer: UHCCP Medicaid |
$12,662.39
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$12,364.31
|
|
|
Service Code
|
APR-DRG 7504
|
| Min. Negotiated Rate |
$11,775.53 |
| Max. Negotiated Rate |
$12,364.31 |
| Rate for Payer: BCBS Complete |
$12,364.31
|
| Rate for Payer: Mclaren Medicaid |
$11,775.53
|
| Rate for Payer: Meridian Medicaid |
$12,364.31
|
| Rate for Payer: PHP Medicaid |
$11,775.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,775.53
|
| Rate for Payer: UHCCP Medicaid |
$11,775.53
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$3,104.01
|
|
|
Service Code
|
APR-DRG 7501
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 7502
|
| 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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 7503
|
| 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
|
|