|
APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS
|
Facility
|
IP
|
$17,278.99
|
|
|
Service Code
|
APR-DRG 1302
|
| Min. Negotiated Rate |
$16,456.18 |
| Max. Negotiated Rate |
$17,278.99 |
| Rate for Payer: BCBS Complete |
$17,278.99
|
| Rate for Payer: Mclaren Medicaid |
$16,456.18
|
| Rate for Payer: Meridian Medicaid |
$17,278.99
|
| Rate for Payer: PHP Medicaid |
$16,456.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,456.18
|
| Rate for Payer: UHCCP Medicaid |
$16,456.18
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 7612
|
| Min. Negotiated Rate |
$3,498.17 |
| Max. Negotiated Rate |
$3,673.08 |
| Rate for Payer: BCBS Complete |
$3,673.08
|
| Rate for Payer: Mclaren Medicaid |
$3,498.17
|
| Rate for Payer: Meridian Medicaid |
$3,673.08
|
| Rate for Payer: PHP Medicaid |
$3,498.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,498.17
|
| Rate for Payer: UHCCP Medicaid |
$3,498.17
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 7611
|
| Min. Negotiated Rate |
$3,301.09 |
| Max. Negotiated Rate |
$3,466.14 |
| Rate for Payer: BCBS Complete |
$3,466.14
|
| Rate for Payer: Mclaren Medicaid |
$3,301.09
|
| Rate for Payer: Meridian Medicaid |
$3,466.14
|
| Rate for Payer: PHP Medicaid |
$3,301.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,301.09
|
| Rate for Payer: UHCCP Medicaid |
$3,301.09
|
|
|
APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$11,484.84
|
|
|
Service Code
|
APR-DRG 7614
|
| 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: SCHIZOAFFECTIVE DISORDERS
|
Facility
|
IP
|
$6,673.62
|
|
|
Service Code
|
APR-DRG 7613
|
| Min. Negotiated Rate |
$6,355.83 |
| Max. Negotiated Rate |
$6,673.62 |
| Rate for Payer: BCBS Complete |
$6,673.62
|
| Rate for Payer: Mclaren Medicaid |
$6,355.83
|
| Rate for Payer: Meridian Medicaid |
$6,673.62
|
| Rate for Payer: PHP Medicaid |
$6,355.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,355.83
|
| Rate for Payer: UHCCP Medicaid |
$6,355.83
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 7501
|
| Min. Negotiated Rate |
$3,498.17 |
| Max. Negotiated Rate |
$3,673.08 |
| Rate for Payer: BCBS Complete |
$3,673.08
|
| Rate for Payer: Mclaren Medicaid |
$3,498.17
|
| Rate for Payer: Meridian Medicaid |
$3,673.08
|
| Rate for Payer: PHP Medicaid |
$3,498.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,498.17
|
| Rate for Payer: UHCCP Medicaid |
$3,498.17
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$11,122.70
|
|
|
Service Code
|
APR-DRG 7504
|
| Min. Negotiated Rate |
$10,593.05 |
| Max. Negotiated Rate |
$11,122.70 |
| Rate for Payer: BCBS Complete |
$11,122.70
|
| Rate for Payer: Mclaren Medicaid |
$10,593.05
|
| Rate for Payer: Meridian Medicaid |
$11,122.70
|
| Rate for Payer: PHP Medicaid |
$10,593.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,593.05
|
| Rate for Payer: UHCCP Medicaid |
$10,593.05
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$5,794.15
|
|
|
Service Code
|
APR-DRG 7503
|
| Min. Negotiated Rate |
$5,518.24 |
| Max. Negotiated Rate |
$5,794.15 |
| Rate for Payer: BCBS Complete |
$5,794.15
|
| Rate for Payer: Mclaren Medicaid |
$5,518.24
|
| Rate for Payer: Meridian Medicaid |
$5,794.15
|
| Rate for Payer: PHP Medicaid |
$5,518.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,518.24
|
| Rate for Payer: UHCCP Medicaid |
$5,518.24
|
|
|
APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 7502
|
| 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: SEIZURE
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 0532
|
| 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: SEIZURE
|
Facility
|
IP
|
$12,260.84
|
|
|
Service Code
|
APR-DRG 0534
|
| Min. Negotiated Rate |
$11,676.99 |
| Max. Negotiated Rate |
$12,260.84 |
| Rate for Payer: BCBS Complete |
$12,260.84
|
| Rate for Payer: Mclaren Medicaid |
$11,676.99
|
| Rate for Payer: Meridian Medicaid |
$12,260.84
|
| Rate for Payer: PHP Medicaid |
$11,676.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,676.99
|
| Rate for Payer: UHCCP Medicaid |
$11,676.99
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$3,310.94
|
|
|
Service Code
|
APR-DRG 0531
|
| 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
|
|
|
APR-DRG 42.00: SEIZURE
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 0533
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$4,242.15
|
|
|
Service Code
|
APR-DRG 7202
|
| 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: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$12,260.84
|
|
|
Service Code
|
APR-DRG 7204
|
| Min. Negotiated Rate |
$11,676.99 |
| Max. Negotiated Rate |
$12,260.84 |
| Rate for Payer: BCBS Complete |
$12,260.84
|
| Rate for Payer: Mclaren Medicaid |
$11,676.99
|
| Rate for Payer: Meridian Medicaid |
$12,260.84
|
| Rate for Payer: PHP Medicaid |
$11,676.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,676.99
|
| Rate for Payer: UHCCP Medicaid |
$11,676.99
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$6,259.75
|
|
|
Service Code
|
APR-DRG 7203
|
| Min. Negotiated Rate |
$5,961.67 |
| Max. Negotiated Rate |
$6,259.75 |
| Rate for Payer: BCBS Complete |
$6,259.75
|
| Rate for Payer: Mclaren Medicaid |
$5,961.67
|
| Rate for Payer: Meridian Medicaid |
$6,259.75
|
| Rate for Payer: PHP Medicaid |
$5,961.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,961.67
|
| Rate for Payer: UHCCP Medicaid |
$5,961.67
|
|
|
APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$3,673.08
|
|
|
Service Code
|
APR-DRG 7201
|
| Min. Negotiated Rate |
$3,498.17 |
| Max. Negotiated Rate |
$3,673.08 |
| Rate for Payer: BCBS Complete |
$3,673.08
|
| Rate for Payer: Mclaren Medicaid |
$3,498.17
|
| Rate for Payer: Meridian Medicaid |
$3,673.08
|
| Rate for Payer: PHP Medicaid |
$3,498.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,498.17
|
| Rate for Payer: UHCCP Medicaid |
$3,498.17
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$18,934.46
|
|
|
Service Code
|
APR-DRG 3224
|
| Min. Negotiated Rate |
$18,032.82 |
| Max. Negotiated Rate |
$18,934.46 |
| Rate for Payer: BCBS Complete |
$18,934.46
|
| Rate for Payer: Mclaren Medicaid |
$18,032.82
|
| Rate for Payer: Meridian Medicaid |
$18,934.46
|
| Rate for Payer: PHP Medicaid |
$18,032.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,032.82
|
| Rate for Payer: UHCCP Medicaid |
$18,032.82
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$10,812.30
|
|
|
Service Code
|
APR-DRG 3222
|
| Min. Negotiated Rate |
$10,297.43 |
| Max. Negotiated Rate |
$10,812.30 |
| Rate for Payer: BCBS Complete |
$10,812.30
|
| Rate for Payer: Mclaren Medicaid |
$10,297.43
|
| Rate for Payer: Meridian Medicaid |
$10,812.30
|
| Rate for Payer: PHP Medicaid |
$10,297.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,297.43
|
| Rate for Payer: UHCCP Medicaid |
$10,297.43
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$14,744.05
|
|
|
Service Code
|
APR-DRG 3223
|
| Min. Negotiated Rate |
$14,041.95 |
| Max. Negotiated Rate |
$14,744.05 |
| Rate for Payer: BCBS Complete |
$14,744.05
|
| Rate for Payer: Mclaren Medicaid |
$14,041.95
|
| Rate for Payer: Meridian Medicaid |
$14,744.05
|
| Rate for Payer: PHP Medicaid |
$14,041.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,041.95
|
| Rate for Payer: UHCCP Medicaid |
$14,041.95
|
|
|
APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$8,949.90
|
|
|
Service Code
|
APR-DRG 3221
|
| Min. Negotiated Rate |
$8,523.71 |
| Max. Negotiated Rate |
$8,949.90 |
| Rate for Payer: BCBS Complete |
$8,949.90
|
| Rate for Payer: Mclaren Medicaid |
$8,523.71
|
| Rate for Payer: Meridian Medicaid |
$8,949.90
|
| Rate for Payer: PHP Medicaid |
$8,523.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,523.71
|
| Rate for Payer: UHCCP Medicaid |
$8,523.71
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$7,087.49
|
|
|
Service Code
|
APR-DRG 3151
|
| Min. Negotiated Rate |
$6,749.99 |
| Max. Negotiated Rate |
$7,087.49 |
| Rate for Payer: BCBS Complete |
$7,087.49
|
| Rate for Payer: Mclaren Medicaid |
$6,749.99
|
| Rate for Payer: Meridian Medicaid |
$7,087.49
|
| Rate for Payer: PHP Medicaid |
$6,749.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,749.99
|
| Rate for Payer: UHCCP Medicaid |
$6,749.99
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$10,294.97
|
|
|
Service Code
|
APR-DRG 3152
|
| Min. Negotiated Rate |
$9,804.73 |
| Max. Negotiated Rate |
$10,294.97 |
| Rate for Payer: BCBS Complete |
$10,294.97
|
| Rate for Payer: Mclaren Medicaid |
$9,804.73
|
| Rate for Payer: Meridian Medicaid |
$10,294.97
|
| Rate for Payer: PHP Medicaid |
$9,804.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,804.73
|
| Rate for Payer: UHCCP Medicaid |
$9,804.73
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$21,883.27
|
|
|
Service Code
|
APR-DRG 3154
|
| Min. Negotiated Rate |
$20,841.21 |
| Max. Negotiated Rate |
$21,883.27 |
| Rate for Payer: BCBS Complete |
$21,883.27
|
| Rate for Payer: Mclaren Medicaid |
$20,841.21
|
| Rate for Payer: Meridian Medicaid |
$21,883.27
|
| Rate for Payer: PHP Medicaid |
$20,841.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,841.21
|
| Rate for Payer: UHCCP Medicaid |
$20,841.21
|
|
|
APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$13,968.04
|
|
|
Service Code
|
APR-DRG 3153
|
| Min. Negotiated Rate |
$13,302.90 |
| Max. Negotiated Rate |
$13,968.04 |
| Rate for Payer: BCBS Complete |
$13,968.04
|
| Rate for Payer: Mclaren Medicaid |
$13,302.90
|
| Rate for Payer: Meridian Medicaid |
$13,968.04
|
| Rate for Payer: PHP Medicaid |
$13,302.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,302.90
|
| Rate for Payer: UHCCP Medicaid |
$13,302.90
|
|