INPATIENT APRDRG 0201: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$10,602.14
|
|
Service Code
|
APR-DRG 0201
|
Hospital Charge Code |
APRDRG 0201
|
Min. Negotiated Rate |
$10,097.28 |
Max. Negotiated Rate |
$10,602.14 |
Rate for Payer: BCBS Complete |
$10,602.14
|
Rate for Payer: Mclaren Medicaid |
$10,097.28
|
Rate for Payer: Meridian Medicaid |
$10,602.14
|
Rate for Payer: Priority Health Choice Medicaid |
$10,097.28
|
|
INPATIENT APRDRG 0202: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$14,798.11
|
|
Service Code
|
APR-DRG 0202
|
Hospital Charge Code |
APRDRG 0202
|
Min. Negotiated Rate |
$14,093.44 |
Max. Negotiated Rate |
$14,798.11 |
Rate for Payer: BCBS Complete |
$14,798.11
|
Rate for Payer: Mclaren Medicaid |
$14,093.44
|
Rate for Payer: Meridian Medicaid |
$14,798.11
|
Rate for Payer: Priority Health Choice Medicaid |
$14,093.44
|
|
INPATIENT APRDRG 0203: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$24,726.41
|
|
Service Code
|
APR-DRG 0203
|
Hospital Charge Code |
APRDRG 0203
|
Min. Negotiated Rate |
$23,548.96 |
Max. Negotiated Rate |
$24,726.41 |
Rate for Payer: BCBS Complete |
$24,726.41
|
Rate for Payer: Mclaren Medicaid |
$23,548.96
|
Rate for Payer: Meridian Medicaid |
$24,726.41
|
Rate for Payer: Priority Health Choice Medicaid |
$23,548.96
|
|
INPATIENT APRDRG 0204: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$41,275.01
|
|
Service Code
|
APR-DRG 0204
|
Hospital Charge Code |
APRDRG 0204
|
Min. Negotiated Rate |
$39,309.53 |
Max. Negotiated Rate |
$41,275.01 |
Rate for Payer: BCBS Complete |
$41,275.01
|
Rate for Payer: Mclaren Medicaid |
$39,309.53
|
Rate for Payer: Meridian Medicaid |
$41,275.01
|
Rate for Payer: Priority Health Choice Medicaid |
$39,309.53
|
|
INPATIENT APRDRG 0211: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$11,860.94
|
|
Service Code
|
APR-DRG 0211
|
Hospital Charge Code |
APRDRG 0211
|
Min. Negotiated Rate |
$11,296.13 |
Max. Negotiated Rate |
$11,860.94 |
Rate for Payer: BCBS Complete |
$11,860.94
|
Rate for Payer: Mclaren Medicaid |
$11,296.13
|
Rate for Payer: Meridian Medicaid |
$11,860.94
|
Rate for Payer: Priority Health Choice Medicaid |
$11,296.13
|
|
INPATIENT APRDRG 0212: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$17,767.82
|
|
Service Code
|
APR-DRG 0212
|
Hospital Charge Code |
APRDRG 0212
|
Min. Negotiated Rate |
$16,921.73 |
Max. Negotiated Rate |
$17,767.82 |
Rate for Payer: BCBS Complete |
$17,767.82
|
Rate for Payer: Mclaren Medicaid |
$16,921.73
|
Rate for Payer: Meridian Medicaid |
$17,767.82
|
Rate for Payer: Priority Health Choice Medicaid |
$16,921.73
|
|
INPATIENT APRDRG 0213: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$25,099.92
|
|
Service Code
|
APR-DRG 0213
|
Hospital Charge Code |
APRDRG 0213
|
Min. Negotiated Rate |
$23,904.69 |
Max. Negotiated Rate |
$25,099.92 |
Rate for Payer: BCBS Complete |
$25,099.92
|
Rate for Payer: Mclaren Medicaid |
$23,904.69
|
Rate for Payer: Meridian Medicaid |
$25,099.92
|
Rate for Payer: Priority Health Choice Medicaid |
$23,904.69
|
|
INPATIENT APRDRG 0214: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$31,153.72
|
|
Service Code
|
APR-DRG 0214
|
Hospital Charge Code |
APRDRG 0214
|
Min. Negotiated Rate |
$29,670.21 |
Max. Negotiated Rate |
$31,153.72 |
Rate for Payer: BCBS Complete |
$31,153.72
|
Rate for Payer: Mclaren Medicaid |
$29,670.21
|
Rate for Payer: Meridian Medicaid |
$31,153.72
|
Rate for Payer: Priority Health Choice Medicaid |
$29,670.21
|
|
INPATIENT APRDRG 0221: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,245.57
|
|
Service Code
|
APR-DRG 0221
|
Hospital Charge Code |
APRDRG 0221
|
Min. Negotiated Rate |
$7,852.92 |
Max. Negotiated Rate |
$8,245.57 |
Rate for Payer: BCBS Complete |
$8,245.57
|
Rate for Payer: Mclaren Medicaid |
$7,852.92
|
Rate for Payer: Meridian Medicaid |
$8,245.57
|
Rate for Payer: Priority Health Choice Medicaid |
$7,852.92
|
|
INPATIENT APRDRG 0222: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,578.97
|
|
Service Code
|
APR-DRG 0222
|
Hospital Charge Code |
APRDRG 0222
|
Min. Negotiated Rate |
$8,170.45 |
Max. Negotiated Rate |
$8,578.97 |
Rate for Payer: BCBS Complete |
$8,578.97
|
Rate for Payer: Mclaren Medicaid |
$8,170.45
|
Rate for Payer: Meridian Medicaid |
$8,578.97
|
Rate for Payer: Priority Health Choice Medicaid |
$8,170.45
|
|
INPATIENT APRDRG 0223: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,867.38
|
|
Service Code
|
APR-DRG 0223
|
Hospital Charge Code |
APRDRG 0223
|
Min. Negotiated Rate |
$8,445.12 |
Max. Negotiated Rate |
$8,867.38 |
Rate for Payer: BCBS Complete |
$8,867.38
|
Rate for Payer: Mclaren Medicaid |
$8,445.12
|
Rate for Payer: Meridian Medicaid |
$8,867.38
|
Rate for Payer: Priority Health Choice Medicaid |
$8,445.12
|
|
INPATIENT APRDRG 0224: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$23,411.24
|
|
Service Code
|
APR-DRG 0224
|
Hospital Charge Code |
APRDRG 0224
|
Min. Negotiated Rate |
$22,296.42 |
Max. Negotiated Rate |
$23,411.24 |
Rate for Payer: BCBS Complete |
$23,411.24
|
Rate for Payer: Mclaren Medicaid |
$22,296.42
|
Rate for Payer: Meridian Medicaid |
$23,411.24
|
Rate for Payer: Priority Health Choice Medicaid |
$22,296.42
|
|
INPATIENT APRDRG 0231: SPINAL PROCEDURES
|
Facility
|
IP
|
$9,745.06
|
|
Service Code
|
APR-DRG 0231
|
Hospital Charge Code |
APRDRG 0231
|
Min. Negotiated Rate |
$9,281.01 |
Max. Negotiated Rate |
$9,745.06 |
Rate for Payer: BCBS Complete |
$9,745.06
|
Rate for Payer: Mclaren Medicaid |
$9,281.01
|
Rate for Payer: Meridian Medicaid |
$9,745.06
|
Rate for Payer: Priority Health Choice Medicaid |
$9,281.01
|
|
INPATIENT APRDRG 0232: SPINAL PROCEDURES
|
Facility
|
IP
|
$13,414.63
|
|
Service Code
|
APR-DRG 0232
|
Hospital Charge Code |
APRDRG 0232
|
Min. Negotiated Rate |
$12,775.84 |
Max. Negotiated Rate |
$13,414.63 |
Rate for Payer: BCBS Complete |
$13,414.63
|
Rate for Payer: Mclaren Medicaid |
$12,775.84
|
Rate for Payer: Meridian Medicaid |
$13,414.63
|
Rate for Payer: Priority Health Choice Medicaid |
$12,775.84
|
|
INPATIENT APRDRG 0233: SPINAL PROCEDURES
|
Facility
|
IP
|
$21,529.01
|
|
Service Code
|
APR-DRG 0233
|
Hospital Charge Code |
APRDRG 0233
|
Min. Negotiated Rate |
$20,503.82 |
Max. Negotiated Rate |
$21,529.01 |
Rate for Payer: BCBS Complete |
$21,529.01
|
Rate for Payer: Mclaren Medicaid |
$20,503.82
|
Rate for Payer: Meridian Medicaid |
$21,529.01
|
Rate for Payer: Priority Health Choice Medicaid |
$20,503.82
|
|
INPATIENT APRDRG 0234: SPINAL PROCEDURES
|
Facility
|
IP
|
$28,844.85
|
|
Service Code
|
APR-DRG 0234
|
Hospital Charge Code |
APRDRG 0234
|
Min. Negotiated Rate |
$27,471.29 |
Max. Negotiated Rate |
$28,844.85 |
Rate for Payer: BCBS Complete |
$28,844.85
|
Rate for Payer: Mclaren Medicaid |
$27,471.29
|
Rate for Payer: Meridian Medicaid |
$28,844.85
|
Rate for Payer: Priority Health Choice Medicaid |
$27,471.29
|
|
INPATIENT APRDRG 0241: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,608.72
|
|
Service Code
|
APR-DRG 0241
|
Hospital Charge Code |
APRDRG 0241
|
Min. Negotiated Rate |
$5,341.64 |
Max. Negotiated Rate |
$5,608.72 |
Rate for Payer: BCBS Complete |
$5,608.72
|
Rate for Payer: Mclaren Medicaid |
$5,341.64
|
Rate for Payer: Meridian Medicaid |
$5,608.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,341.64
|
|
INPATIENT APRDRG 0242: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,320.59
|
|
Service Code
|
APR-DRG 0242
|
Hospital Charge Code |
APRDRG 0242
|
Min. Negotiated Rate |
$8,876.75 |
Max. Negotiated Rate |
$9,320.59 |
Rate for Payer: BCBS Complete |
$9,320.59
|
Rate for Payer: Mclaren Medicaid |
$8,876.75
|
Rate for Payer: Meridian Medicaid |
$9,320.59
|
Rate for Payer: Priority Health Choice Medicaid |
$8,876.75
|
|
INPATIENT APRDRG 0243: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,195.08
|
|
Service Code
|
APR-DRG 0243
|
Hospital Charge Code |
APRDRG 0243
|
Min. Negotiated Rate |
$12,566.74 |
Max. Negotiated Rate |
$13,195.08 |
Rate for Payer: BCBS Complete |
$13,195.08
|
Rate for Payer: Mclaren Medicaid |
$12,566.74
|
Rate for Payer: Meridian Medicaid |
$13,195.08
|
Rate for Payer: Priority Health Choice Medicaid |
$12,566.74
|
|
INPATIENT APRDRG 0244: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$22,488.55
|
|
Service Code
|
APR-DRG 0244
|
Hospital Charge Code |
APRDRG 0244
|
Min. Negotiated Rate |
$21,417.67 |
Max. Negotiated Rate |
$22,488.55 |
Rate for Payer: BCBS Complete |
$22,488.55
|
Rate for Payer: Mclaren Medicaid |
$21,417.67
|
Rate for Payer: Meridian Medicaid |
$22,488.55
|
Rate for Payer: Priority Health Choice Medicaid |
$21,417.67
|
|
INPATIENT APRDRG 0261: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$8,192.45
|
|
Service Code
|
APR-DRG 0261
|
Hospital Charge Code |
APRDRG 0261
|
Min. Negotiated Rate |
$7,802.33 |
Max. Negotiated Rate |
$8,192.45 |
Rate for Payer: BCBS Complete |
$8,192.45
|
Rate for Payer: Mclaren Medicaid |
$7,802.33
|
Rate for Payer: Meridian Medicaid |
$8,192.45
|
Rate for Payer: Priority Health Choice Medicaid |
$7,802.33
|
|
INPATIENT APRDRG 0262: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$10,591.30
|
|
Service Code
|
APR-DRG 0262
|
Hospital Charge Code |
APRDRG 0262
|
Min. Negotiated Rate |
$10,086.95 |
Max. Negotiated Rate |
$10,591.30 |
Rate for Payer: BCBS Complete |
$10,591.30
|
Rate for Payer: Mclaren Medicaid |
$10,086.95
|
Rate for Payer: Meridian Medicaid |
$10,591.30
|
Rate for Payer: Priority Health Choice Medicaid |
$10,086.95
|
|
INPATIENT APRDRG 0263: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$12,800.42
|
|
Service Code
|
APR-DRG 0263
|
Hospital Charge Code |
APRDRG 0263
|
Min. Negotiated Rate |
$12,190.88 |
Max. Negotiated Rate |
$12,800.42 |
Rate for Payer: BCBS Complete |
$12,800.42
|
Rate for Payer: Mclaren Medicaid |
$12,190.88
|
Rate for Payer: Meridian Medicaid |
$12,800.42
|
Rate for Payer: Priority Health Choice Medicaid |
$12,190.88
|
|
INPATIENT APRDRG 0264: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$20,505.50
|
|
Service Code
|
APR-DRG 0264
|
Hospital Charge Code |
APRDRG 0264
|
Min. Negotiated Rate |
$19,529.05 |
Max. Negotiated Rate |
$20,505.50 |
Rate for Payer: BCBS Complete |
$20,505.50
|
Rate for Payer: Mclaren Medicaid |
$19,529.05
|
Rate for Payer: Meridian Medicaid |
$20,505.50
|
Rate for Payer: Priority Health Choice Medicaid |
$19,529.05
|
|
INPATIENT APRDRG 0271: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$9,138.43
|
|
Service Code
|
APR-DRG 0271
|
Hospital Charge Code |
APRDRG 0271
|
Min. Negotiated Rate |
$8,703.27 |
Max. Negotiated Rate |
$9,138.43 |
Rate for Payer: BCBS Complete |
$9,138.43
|
Rate for Payer: Mclaren Medicaid |
$8,703.27
|
Rate for Payer: Meridian Medicaid |
$9,138.43
|
Rate for Payer: Priority Health Choice Medicaid |
$8,703.27
|
|