INPATIENT APRDRG 0272: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$10,335.97
|
|
Service Code
|
APR-DRG 0272
|
Hospital Charge Code |
APRDRG 0272
|
Min. Negotiated Rate |
$9,843.78 |
Max. Negotiated Rate |
$10,335.97 |
Rate for Payer: BCBS Complete |
$10,335.97
|
Rate for Payer: Mclaren Medicaid |
$9,843.78
|
Rate for Payer: Meridian Medicaid |
$10,335.97
|
Rate for Payer: Priority Health Choice Medicaid |
$9,843.78
|
|
INPATIENT APRDRG 0273: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$17,129.75
|
|
Service Code
|
APR-DRG 0273
|
Hospital Charge Code |
APRDRG 0273
|
Min. Negotiated Rate |
$16,314.05 |
Max. Negotiated Rate |
$17,129.75 |
Rate for Payer: BCBS Complete |
$17,129.75
|
Rate for Payer: Mclaren Medicaid |
$16,314.05
|
Rate for Payer: Meridian Medicaid |
$17,129.75
|
Rate for Payer: Priority Health Choice Medicaid |
$16,314.05
|
|
INPATIENT APRDRG 0274: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$29,936.13
|
|
Service Code
|
APR-DRG 0274
|
Hospital Charge Code |
APRDRG 0274
|
Min. Negotiated Rate |
$28,510.60 |
Max. Negotiated Rate |
$29,936.13 |
Rate for Payer: BCBS Complete |
$29,936.13
|
Rate for Payer: Mclaren Medicaid |
$28,510.60
|
Rate for Payer: Meridian Medicaid |
$29,936.13
|
Rate for Payer: Priority Health Choice Medicaid |
$28,510.60
|
|
INPATIENT APRDRG 0291: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$15,506.66
|
|
Service Code
|
APR-DRG 0291
|
Hospital Charge Code |
APRDRG 0291
|
Min. Negotiated Rate |
$14,768.25 |
Max. Negotiated Rate |
$15,506.66 |
Rate for Payer: BCBS Complete |
$15,506.66
|
Rate for Payer: Mclaren Medicaid |
$14,768.25
|
Rate for Payer: Meridian Medicaid |
$15,506.66
|
Rate for Payer: Priority Health Choice Medicaid |
$14,768.25
|
|
INPATIENT APRDRG 0292: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$19,254.84
|
|
Service Code
|
APR-DRG 0292
|
Hospital Charge Code |
APRDRG 0292
|
Min. Negotiated Rate |
$18,337.94 |
Max. Negotiated Rate |
$19,254.84 |
Rate for Payer: BCBS Complete |
$19,254.84
|
Rate for Payer: Mclaren Medicaid |
$18,337.94
|
Rate for Payer: Meridian Medicaid |
$19,254.84
|
Rate for Payer: Priority Health Choice Medicaid |
$18,337.94
|
|
INPATIENT APRDRG 0293: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$21,687.31
|
|
Service Code
|
APR-DRG 0293
|
Hospital Charge Code |
APRDRG 0293
|
Min. Negotiated Rate |
$20,654.58 |
Max. Negotiated Rate |
$21,687.31 |
Rate for Payer: BCBS Complete |
$21,687.31
|
Rate for Payer: Mclaren Medicaid |
$20,654.58
|
Rate for Payer: Meridian Medicaid |
$21,687.31
|
Rate for Payer: Priority Health Choice Medicaid |
$20,654.58
|
|
INPATIENT APRDRG 0294: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$21,010.75
|
|
Service Code
|
APR-DRG 0294
|
Hospital Charge Code |
APRDRG 0294
|
Min. Negotiated Rate |
$20,010.24 |
Max. Negotiated Rate |
$21,010.75 |
Rate for Payer: BCBS Complete |
$21,010.75
|
Rate for Payer: Mclaren Medicaid |
$20,010.24
|
Rate for Payer: Meridian Medicaid |
$21,010.75
|
Rate for Payer: Priority Health Choice Medicaid |
$20,010.24
|
|
INPATIENT APRDRG 0301: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,354.73
|
|
Service Code
|
APR-DRG 0301
|
Hospital Charge Code |
APRDRG 0301
|
Min. Negotiated Rate |
$8,909.27 |
Max. Negotiated Rate |
$9,354.73 |
Rate for Payer: BCBS Complete |
$9,354.73
|
Rate for Payer: Mclaren Medicaid |
$8,909.27
|
Rate for Payer: Meridian Medicaid |
$9,354.73
|
Rate for Payer: Priority Health Choice Medicaid |
$8,909.27
|
|
INPATIENT APRDRG 0302: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,914.80
|
|
Service Code
|
APR-DRG 0302
|
Hospital Charge Code |
APRDRG 0302
|
Min. Negotiated Rate |
$12,299.81 |
Max. Negotiated Rate |
$12,914.80 |
Rate for Payer: BCBS Complete |
$12,914.80
|
Rate for Payer: Mclaren Medicaid |
$12,299.81
|
Rate for Payer: Meridian Medicaid |
$12,914.80
|
Rate for Payer: Priority Health Choice Medicaid |
$12,299.81
|
|
INPATIENT APRDRG 0303: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,537.96
|
|
Service Code
|
APR-DRG 0303
|
Hospital Charge Code |
APRDRG 0303
|
Min. Negotiated Rate |
$16,702.82 |
Max. Negotiated Rate |
$17,537.96 |
Rate for Payer: BCBS Complete |
$17,537.96
|
Rate for Payer: Mclaren Medicaid |
$16,702.82
|
Rate for Payer: Meridian Medicaid |
$17,537.96
|
Rate for Payer: Priority Health Choice Medicaid |
$16,702.82
|
|
INPATIENT APRDRG 0304: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$23,550.56
|
|
Service Code
|
APR-DRG 0304
|
Hospital Charge Code |
APRDRG 0304
|
Min. Negotiated Rate |
$22,429.10 |
Max. Negotiated Rate |
$23,550.56 |
Rate for Payer: BCBS Complete |
$23,550.56
|
Rate for Payer: Mclaren Medicaid |
$22,429.10
|
Rate for Payer: Meridian Medicaid |
$23,550.56
|
Rate for Payer: Priority Health Choice Medicaid |
$22,429.10
|
|
INPATIENT APRDRG 0401: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$6,826.86
|
|
Service Code
|
APR-DRG 0401
|
Hospital Charge Code |
APRDRG 0401
|
Min. Negotiated Rate |
$6,501.77 |
Max. Negotiated Rate |
$6,826.86 |
Rate for Payer: BCBS Complete |
$6,826.86
|
Rate for Payer: Mclaren Medicaid |
$6,501.77
|
Rate for Payer: Meridian Medicaid |
$6,826.86
|
Rate for Payer: Priority Health Choice Medicaid |
$6,501.77
|
|
INPATIENT APRDRG 0402: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$8,568.13
|
|
Service Code
|
APR-DRG 0402
|
Hospital Charge Code |
APRDRG 0402
|
Min. Negotiated Rate |
$8,160.12 |
Max. Negotiated Rate |
$8,568.13 |
Rate for Payer: BCBS Complete |
$8,568.13
|
Rate for Payer: Mclaren Medicaid |
$8,160.12
|
Rate for Payer: Meridian Medicaid |
$8,568.13
|
Rate for Payer: Priority Health Choice Medicaid |
$8,160.12
|
|
INPATIENT APRDRG 0403: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$10,021.54
|
|
Service Code
|
APR-DRG 0403
|
Hospital Charge Code |
APRDRG 0403
|
Min. Negotiated Rate |
$9,544.32 |
Max. Negotiated Rate |
$10,021.54 |
Rate for Payer: BCBS Complete |
$10,021.54
|
Rate for Payer: Mclaren Medicaid |
$9,544.32
|
Rate for Payer: Meridian Medicaid |
$10,021.54
|
Rate for Payer: Priority Health Choice Medicaid |
$9,544.32
|
|
INPATIENT APRDRG 0404: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$13,907.96
|
|
Service Code
|
APR-DRG 0404
|
Hospital Charge Code |
APRDRG 0404
|
Min. Negotiated Rate |
$13,245.68 |
Max. Negotiated Rate |
$13,907.96 |
Rate for Payer: BCBS Complete |
$13,907.96
|
Rate for Payer: Mclaren Medicaid |
$13,245.68
|
Rate for Payer: Meridian Medicaid |
$13,907.96
|
Rate for Payer: Priority Health Choice Medicaid |
$13,245.68
|
|
INPATIENT APRDRG 0411: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,848.13
|
|
Service Code
|
APR-DRG 0411
|
Hospital Charge Code |
APRDRG 0411
|
Min. Negotiated Rate |
$4,617.27 |
Max. Negotiated Rate |
$4,848.13 |
Rate for Payer: BCBS Complete |
$4,848.13
|
Rate for Payer: Mclaren Medicaid |
$4,617.27
|
Rate for Payer: Meridian Medicaid |
$4,848.13
|
Rate for Payer: Priority Health Choice Medicaid |
$4,617.27
|
|
INPATIENT APRDRG 0412: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,035.16
|
|
Service Code
|
APR-DRG 0412
|
Hospital Charge Code |
APRDRG 0412
|
Min. Negotiated Rate |
$4,795.39 |
Max. Negotiated Rate |
$5,035.16 |
Rate for Payer: BCBS Complete |
$5,035.16
|
Rate for Payer: Mclaren Medicaid |
$4,795.39
|
Rate for Payer: Meridian Medicaid |
$5,035.16
|
Rate for Payer: Priority Health Choice Medicaid |
$4,795.39
|
|
INPATIENT APRDRG 0413: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,233.99
|
|
Service Code
|
APR-DRG 0413
|
Hospital Charge Code |
APRDRG 0413
|
Min. Negotiated Rate |
$6,889.51 |
Max. Negotiated Rate |
$7,233.99 |
Rate for Payer: BCBS Complete |
$7,233.99
|
Rate for Payer: Mclaren Medicaid |
$6,889.51
|
Rate for Payer: Meridian Medicaid |
$7,233.99
|
Rate for Payer: Priority Health Choice Medicaid |
$6,889.51
|
|
INPATIENT APRDRG 0414: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$9,602.48
|
|
Service Code
|
APR-DRG 0414
|
Hospital Charge Code |
APRDRG 0414
|
Min. Negotiated Rate |
$9,145.22 |
Max. Negotiated Rate |
$9,602.48 |
Rate for Payer: BCBS Complete |
$9,602.48
|
Rate for Payer: Mclaren Medicaid |
$9,145.22
|
Rate for Payer: Meridian Medicaid |
$9,602.48
|
Rate for Payer: Priority Health Choice Medicaid |
$9,145.22
|
|
INPATIENT APRDRG 0421: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$5,222.20
|
|
Service Code
|
APR-DRG 0421
|
Hospital Charge Code |
APRDRG 0421
|
Min. Negotiated Rate |
$4,973.52 |
Max. Negotiated Rate |
$5,222.20 |
Rate for Payer: BCBS Complete |
$5,222.20
|
Rate for Payer: Mclaren Medicaid |
$4,973.52
|
Rate for Payer: Meridian Medicaid |
$5,222.20
|
Rate for Payer: Priority Health Choice Medicaid |
$4,973.52
|
|
INPATIENT APRDRG 0422: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$5,504.64
|
|
Service Code
|
APR-DRG 0422
|
Hospital Charge Code |
APRDRG 0422
|
Min. Negotiated Rate |
$5,242.51 |
Max. Negotiated Rate |
$5,504.64 |
Rate for Payer: BCBS Complete |
$5,504.64
|
Rate for Payer: Mclaren Medicaid |
$5,242.51
|
Rate for Payer: Meridian Medicaid |
$5,504.64
|
Rate for Payer: Priority Health Choice Medicaid |
$5,242.51
|
|
INPATIENT APRDRG 0423: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$8,197.86
|
|
Service Code
|
APR-DRG 0423
|
Hospital Charge Code |
APRDRG 0423
|
Min. Negotiated Rate |
$7,807.49 |
Max. Negotiated Rate |
$8,197.86 |
Rate for Payer: BCBS Complete |
$8,197.86
|
Rate for Payer: Mclaren Medicaid |
$7,807.49
|
Rate for Payer: Meridian Medicaid |
$8,197.86
|
Rate for Payer: Priority Health Choice Medicaid |
$7,807.49
|
|
INPATIENT APRDRG 0424: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$8,832.68
|
|
Service Code
|
APR-DRG 0424
|
Hospital Charge Code |
APRDRG 0424
|
Min. Negotiated Rate |
$8,412.08 |
Max. Negotiated Rate |
$8,832.68 |
Rate for Payer: BCBS Complete |
$8,832.68
|
Rate for Payer: Mclaren Medicaid |
$8,412.08
|
Rate for Payer: Meridian Medicaid |
$8,832.68
|
Rate for Payer: Priority Health Choice Medicaid |
$8,412.08
|
|
INPATIENT APRDRG 0431: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$4,662.19
|
|
Service Code
|
APR-DRG 0431
|
Hospital Charge Code |
APRDRG 0431
|
Min. Negotiated Rate |
$4,440.18 |
Max. Negotiated Rate |
$4,662.19 |
Rate for Payer: BCBS Complete |
$4,662.19
|
Rate for Payer: Mclaren Medicaid |
$4,440.18
|
Rate for Payer: Meridian Medicaid |
$4,662.19
|
Rate for Payer: Priority Health Choice Medicaid |
$4,440.18
|
|
INPATIENT APRDRG 0432: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$6,485.32
|
|
Service Code
|
APR-DRG 0432
|
Hospital Charge Code |
APRDRG 0432
|
Min. Negotiated Rate |
$6,176.50 |
Max. Negotiated Rate |
$6,485.32 |
Rate for Payer: BCBS Complete |
$6,485.32
|
Rate for Payer: Mclaren Medicaid |
$6,176.50
|
Rate for Payer: Meridian Medicaid |
$6,485.32
|
Rate for Payer: Priority Health Choice Medicaid |
$6,176.50
|
|