INPATIENT APRDRG 0494: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$20,899.62
|
|
Service Code
|
APR-DRG 0494
|
Hospital Charge Code |
APRDRG 0494
|
Min. Negotiated Rate |
$19,904.40 |
Max. Negotiated Rate |
$20,899.62 |
Rate for Payer: BCBS Complete |
$20,899.62
|
Rate for Payer: Mclaren Medicaid |
$19,904.40
|
Rate for Payer: Meridian Medicaid |
$20,899.62
|
Rate for Payer: Priority Health Choice Medicaid |
$19,904.40
|
|
INPATIENT APRDRG 0501: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$3,595.30
|
|
Service Code
|
APR-DRG 0501
|
Hospital Charge Code |
APRDRG 0501
|
Min. Negotiated Rate |
$3,424.10 |
Max. Negotiated Rate |
$3,595.30 |
Rate for Payer: BCBS Complete |
$3,595.30
|
Rate for Payer: Mclaren Medicaid |
$3,424.10
|
Rate for Payer: Meridian Medicaid |
$3,595.30
|
Rate for Payer: Priority Health Choice Medicaid |
$3,424.10
|
|
INPATIENT APRDRG 0502: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$8,195.69
|
|
Service Code
|
APR-DRG 0502
|
Hospital Charge Code |
APRDRG 0502
|
Min. Negotiated Rate |
$7,805.42 |
Max. Negotiated Rate |
$8,195.69 |
Rate for Payer: BCBS Complete |
$8,195.69
|
Rate for Payer: Mclaren Medicaid |
$7,805.42
|
Rate for Payer: Meridian Medicaid |
$8,195.69
|
Rate for Payer: Priority Health Choice Medicaid |
$7,805.42
|
|
INPATIENT APRDRG 0503: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$11,233.71
|
|
Service Code
|
APR-DRG 0503
|
Hospital Charge Code |
APRDRG 0503
|
Min. Negotiated Rate |
$10,698.77 |
Max. Negotiated Rate |
$11,233.71 |
Rate for Payer: BCBS Complete |
$11,233.71
|
Rate for Payer: Mclaren Medicaid |
$10,698.77
|
Rate for Payer: Meridian Medicaid |
$11,233.71
|
Rate for Payer: Priority Health Choice Medicaid |
$10,698.77
|
|
INPATIENT APRDRG 0504: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$33,949.41
|
|
Service Code
|
APR-DRG 0504
|
Hospital Charge Code |
APRDRG 0504
|
Min. Negotiated Rate |
$32,332.77 |
Max. Negotiated Rate |
$33,949.41 |
Rate for Payer: BCBS Complete |
$33,949.41
|
Rate for Payer: Mclaren Medicaid |
$32,332.77
|
Rate for Payer: Meridian Medicaid |
$33,949.41
|
Rate for Payer: Priority Health Choice Medicaid |
$32,332.77
|
|
INPATIENT APRDRG 0511: VIRAL MENINGITIS
|
Facility
|
IP
|
$2,863.46
|
|
Service Code
|
APR-DRG 0511
|
Hospital Charge Code |
APRDRG 0511
|
Min. Negotiated Rate |
$2,727.10 |
Max. Negotiated Rate |
$2,863.46 |
Rate for Payer: BCBS Complete |
$2,863.46
|
Rate for Payer: Mclaren Medicaid |
$2,727.10
|
Rate for Payer: Meridian Medicaid |
$2,863.46
|
Rate for Payer: Priority Health Choice Medicaid |
$2,727.10
|
|
INPATIENT APRDRG 0512: VIRAL MENINGITIS
|
Facility
|
IP
|
$3,662.53
|
|
Service Code
|
APR-DRG 0512
|
Hospital Charge Code |
APRDRG 0512
|
Min. Negotiated Rate |
$3,488.12 |
Max. Negotiated Rate |
$3,662.53 |
Rate for Payer: BCBS Complete |
$3,662.53
|
Rate for Payer: Mclaren Medicaid |
$3,488.12
|
Rate for Payer: Meridian Medicaid |
$3,662.53
|
Rate for Payer: Priority Health Choice Medicaid |
$3,488.12
|
|
INPATIENT APRDRG 0513: VIRAL MENINGITIS
|
Facility
|
IP
|
$6,357.38
|
|
Service Code
|
APR-DRG 0513
|
Hospital Charge Code |
APRDRG 0513
|
Min. Negotiated Rate |
$6,054.65 |
Max. Negotiated Rate |
$6,357.38 |
Rate for Payer: BCBS Complete |
$6,357.38
|
Rate for Payer: Mclaren Medicaid |
$6,054.65
|
Rate for Payer: Meridian Medicaid |
$6,357.38
|
Rate for Payer: Priority Health Choice Medicaid |
$6,054.65
|
|
INPATIENT APRDRG 0514: VIRAL MENINGITIS
|
Facility
|
IP
|
$11,705.89
|
|
Service Code
|
APR-DRG 0514
|
Hospital Charge Code |
APRDRG 0514
|
Min. Negotiated Rate |
$11,148.47 |
Max. Negotiated Rate |
$11,705.89 |
Rate for Payer: BCBS Complete |
$11,705.89
|
Rate for Payer: Mclaren Medicaid |
$11,148.47
|
Rate for Payer: Meridian Medicaid |
$11,705.89
|
Rate for Payer: Priority Health Choice Medicaid |
$11,148.47
|
|
INPATIENT APRDRG 0521: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,722.70
|
|
Service Code
|
APR-DRG 0521
|
Hospital Charge Code |
APRDRG 0521
|
Min. Negotiated Rate |
$3,545.43 |
Max. Negotiated Rate |
$3,722.70 |
Rate for Payer: BCBS Complete |
$3,722.70
|
Rate for Payer: Mclaren Medicaid |
$3,545.43
|
Rate for Payer: Meridian Medicaid |
$3,722.70
|
Rate for Payer: Priority Health Choice Medicaid |
$3,545.43
|
|
INPATIENT APRDRG 0522: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,393.30
|
|
Service Code
|
APR-DRG 0522
|
Hospital Charge Code |
APRDRG 0522
|
Min. Negotiated Rate |
$4,184.10 |
Max. Negotiated Rate |
$4,393.30 |
Rate for Payer: BCBS Complete |
$4,393.30
|
Rate for Payer: Mclaren Medicaid |
$4,184.10
|
Rate for Payer: Meridian Medicaid |
$4,393.30
|
Rate for Payer: Priority Health Choice Medicaid |
$4,184.10
|
|
INPATIENT APRDRG 0523: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$5,674.32
|
|
Service Code
|
APR-DRG 0523
|
Hospital Charge Code |
APRDRG 0523
|
Min. Negotiated Rate |
$5,404.11 |
Max. Negotiated Rate |
$5,674.32 |
Rate for Payer: BCBS Complete |
$5,674.32
|
Rate for Payer: Mclaren Medicaid |
$5,404.11
|
Rate for Payer: Meridian Medicaid |
$5,674.32
|
Rate for Payer: Priority Health Choice Medicaid |
$5,404.11
|
|
INPATIENT APRDRG 0524: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$11,612.11
|
|
Service Code
|
APR-DRG 0524
|
Hospital Charge Code |
APRDRG 0524
|
Min. Negotiated Rate |
$11,059.15 |
Max. Negotiated Rate |
$11,612.11 |
Rate for Payer: BCBS Complete |
$11,612.11
|
Rate for Payer: Mclaren Medicaid |
$11,059.15
|
Rate for Payer: Meridian Medicaid |
$11,612.11
|
Rate for Payer: Priority Health Choice Medicaid |
$11,059.15
|
|
INPATIENT APRDRG 0531: SEIZURE
|
Facility
|
IP
|
$3,499.89
|
|
Service Code
|
APR-DRG 0531
|
Hospital Charge Code |
APRDRG 0531
|
Min. Negotiated Rate |
$3,333.23 |
Max. Negotiated Rate |
$3,499.89 |
Rate for Payer: BCBS Complete |
$3,499.89
|
Rate for Payer: Mclaren Medicaid |
$3,333.23
|
Rate for Payer: Meridian Medicaid |
$3,499.89
|
Rate for Payer: Priority Health Choice Medicaid |
$3,333.23
|
|
INPATIENT APRDRG 0532: SEIZURE
|
Facility
|
IP
|
$4,077.24
|
|
Service Code
|
APR-DRG 0532
|
Hospital Charge Code |
APRDRG 0532
|
Min. Negotiated Rate |
$3,883.09 |
Max. Negotiated Rate |
$4,077.24 |
Rate for Payer: BCBS Complete |
$4,077.24
|
Rate for Payer: Mclaren Medicaid |
$3,883.09
|
Rate for Payer: Meridian Medicaid |
$4,077.24
|
Rate for Payer: Priority Health Choice Medicaid |
$3,883.09
|
|
INPATIENT APRDRG 0533: SEIZURE
|
Facility
|
IP
|
$5,463.43
|
|
Service Code
|
APR-DRG 0533
|
Hospital Charge Code |
APRDRG 0533
|
Min. Negotiated Rate |
$5,203.27 |
Max. Negotiated Rate |
$5,463.43 |
Rate for Payer: BCBS Complete |
$5,463.43
|
Rate for Payer: Mclaren Medicaid |
$5,203.27
|
Rate for Payer: Meridian Medicaid |
$5,463.43
|
Rate for Payer: Priority Health Choice Medicaid |
$5,203.27
|
|
INPATIENT APRDRG 0534: SEIZURE
|
Facility
|
IP
|
$12,636.70
|
|
Service Code
|
APR-DRG 0534
|
Hospital Charge Code |
APRDRG 0534
|
Min. Negotiated Rate |
$12,034.95 |
Max. Negotiated Rate |
$12,636.70 |
Rate for Payer: BCBS Complete |
$12,636.70
|
Rate for Payer: Mclaren Medicaid |
$12,034.95
|
Rate for Payer: Meridian Medicaid |
$12,636.70
|
Rate for Payer: Priority Health Choice Medicaid |
$12,034.95
|
|
INPATIENT APRDRG 0541: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$3,729.21
|
|
Service Code
|
APR-DRG 0541
|
Hospital Charge Code |
APRDRG 0541
|
Min. Negotiated Rate |
$3,551.63 |
Max. Negotiated Rate |
$3,729.21 |
Rate for Payer: BCBS Complete |
$3,729.21
|
Rate for Payer: Mclaren Medicaid |
$3,551.63
|
Rate for Payer: Meridian Medicaid |
$3,729.21
|
Rate for Payer: Priority Health Choice Medicaid |
$3,551.63
|
|
INPATIENT APRDRG 0542: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$4,592.79
|
|
Service Code
|
APR-DRG 0542
|
Hospital Charge Code |
APRDRG 0542
|
Min. Negotiated Rate |
$4,374.09 |
Max. Negotiated Rate |
$4,592.79 |
Rate for Payer: BCBS Complete |
$4,592.79
|
Rate for Payer: Mclaren Medicaid |
$4,374.09
|
Rate for Payer: Meridian Medicaid |
$4,592.79
|
Rate for Payer: Priority Health Choice Medicaid |
$4,374.09
|
|
INPATIENT APRDRG 0543: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$5,551.80
|
|
Service Code
|
APR-DRG 0543
|
Hospital Charge Code |
APRDRG 0543
|
Min. Negotiated Rate |
$5,287.43 |
Max. Negotiated Rate |
$5,551.80 |
Rate for Payer: BCBS Complete |
$5,551.80
|
Rate for Payer: Mclaren Medicaid |
$5,287.43
|
Rate for Payer: Meridian Medicaid |
$5,551.80
|
Rate for Payer: Priority Health Choice Medicaid |
$5,287.43
|
|
INPATIENT APRDRG 0544: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$8,716.67
|
|
Service Code
|
APR-DRG 0544
|
Hospital Charge Code |
APRDRG 0544
|
Min. Negotiated Rate |
$8,301.59 |
Max. Negotiated Rate |
$8,716.67 |
Rate for Payer: BCBS Complete |
$8,716.67
|
Rate for Payer: Mclaren Medicaid |
$8,301.59
|
Rate for Payer: Meridian Medicaid |
$8,716.67
|
Rate for Payer: Priority Health Choice Medicaid |
$8,301.59
|
|
INPATIENT APRDRG 0551: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$4,197.05
|
|
Service Code
|
APR-DRG 0551
|
Hospital Charge Code |
APRDRG 0551
|
Min. Negotiated Rate |
$3,997.19 |
Max. Negotiated Rate |
$4,197.05 |
Rate for Payer: BCBS Complete |
$4,197.05
|
Rate for Payer: Mclaren Medicaid |
$3,997.19
|
Rate for Payer: Meridian Medicaid |
$4,197.05
|
Rate for Payer: Priority Health Choice Medicaid |
$3,997.19
|
|
INPATIENT APRDRG 0552: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$6,063.56
|
|
Service Code
|
APR-DRG 0552
|
Hospital Charge Code |
APRDRG 0552
|
Min. Negotiated Rate |
$5,774.82 |
Max. Negotiated Rate |
$6,063.56 |
Rate for Payer: BCBS Complete |
$6,063.56
|
Rate for Payer: Mclaren Medicaid |
$5,774.82
|
Rate for Payer: Meridian Medicaid |
$6,063.56
|
Rate for Payer: Priority Health Choice Medicaid |
$5,774.82
|
|
INPATIENT APRDRG 0553: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$9,897.94
|
|
Service Code
|
APR-DRG 0553
|
Hospital Charge Code |
APRDRG 0553
|
Min. Negotiated Rate |
$9,426.61 |
Max. Negotiated Rate |
$9,897.94 |
Rate for Payer: BCBS Complete |
$9,897.94
|
Rate for Payer: Mclaren Medicaid |
$9,426.61
|
Rate for Payer: Meridian Medicaid |
$9,897.94
|
Rate for Payer: Priority Health Choice Medicaid |
$9,426.61
|
|
INPATIENT APRDRG 0554: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$14,762.87
|
|
Service Code
|
APR-DRG 0554
|
Hospital Charge Code |
APRDRG 0554
|
Min. Negotiated Rate |
$14,059.88 |
Max. Negotiated Rate |
$14,762.87 |
Rate for Payer: BCBS Complete |
$14,762.87
|
Rate for Payer: Mclaren Medicaid |
$14,059.88
|
Rate for Payer: Meridian Medicaid |
$14,762.87
|
Rate for Payer: Priority Health Choice Medicaid |
$14,059.88
|
|