INPATIENT APRDRG 0561: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$4,152.06
|
|
Service Code
|
APR-DRG 0561
|
Hospital Charge Code |
APRDRG 0561
|
Min. Negotiated Rate |
$3,954.34 |
Max. Negotiated Rate |
$4,152.06 |
Rate for Payer: BCBS Complete |
$4,152.06
|
Rate for Payer: Mclaren Medicaid |
$3,954.34
|
Rate for Payer: Meridian Medicaid |
$4,152.06
|
Rate for Payer: Priority Health Choice Medicaid |
$3,954.34
|
|
INPATIENT APRDRG 0562: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$4,808.01
|
|
Service Code
|
APR-DRG 0562
|
Hospital Charge Code |
APRDRG 0562
|
Min. Negotiated Rate |
$4,579.06 |
Max. Negotiated Rate |
$4,808.01 |
Rate for Payer: BCBS Complete |
$4,808.01
|
Rate for Payer: Mclaren Medicaid |
$4,579.06
|
Rate for Payer: Meridian Medicaid |
$4,808.01
|
Rate for Payer: Priority Health Choice Medicaid |
$4,579.06
|
|
INPATIENT APRDRG 0563: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$8,475.97
|
|
Service Code
|
APR-DRG 0563
|
Hospital Charge Code |
APRDRG 0563
|
Min. Negotiated Rate |
$8,072.35 |
Max. Negotiated Rate |
$8,475.97 |
Rate for Payer: BCBS Complete |
$8,475.97
|
Rate for Payer: Mclaren Medicaid |
$8,072.35
|
Rate for Payer: Meridian Medicaid |
$8,475.97
|
Rate for Payer: Priority Health Choice Medicaid |
$8,072.35
|
|
INPATIENT APRDRG 0564: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$9,173.13
|
|
Service Code
|
APR-DRG 0564
|
Hospital Charge Code |
APRDRG 0564
|
Min. Negotiated Rate |
$8,736.31 |
Max. Negotiated Rate |
$9,173.13 |
Rate for Payer: BCBS Complete |
$9,173.13
|
Rate for Payer: Mclaren Medicaid |
$8,736.31
|
Rate for Payer: Meridian Medicaid |
$9,173.13
|
Rate for Payer: Priority Health Choice Medicaid |
$8,736.31
|
|
INPATIENT APRDRG 0571: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$3,065.66
|
|
Service Code
|
APR-DRG 0571
|
Hospital Charge Code |
APRDRG 0571
|
Min. Negotiated Rate |
$2,919.68 |
Max. Negotiated Rate |
$3,065.66 |
Rate for Payer: BCBS Complete |
$3,065.66
|
Rate for Payer: Mclaren Medicaid |
$2,919.68
|
Rate for Payer: Meridian Medicaid |
$3,065.66
|
Rate for Payer: Priority Health Choice Medicaid |
$2,919.68
|
|
INPATIENT APRDRG 0572: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$4,910.48
|
|
Service Code
|
APR-DRG 0572
|
Hospital Charge Code |
APRDRG 0572
|
Min. Negotiated Rate |
$4,676.65 |
Max. Negotiated Rate |
$4,910.48 |
Rate for Payer: BCBS Complete |
$4,910.48
|
Rate for Payer: Mclaren Medicaid |
$4,676.65
|
Rate for Payer: Meridian Medicaid |
$4,910.48
|
Rate for Payer: Priority Health Choice Medicaid |
$4,676.65
|
|
INPATIENT APRDRG 0573: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$6,721.68
|
|
Service Code
|
APR-DRG 0573
|
Hospital Charge Code |
APRDRG 0573
|
Min. Negotiated Rate |
$6,401.60 |
Max. Negotiated Rate |
$6,721.68 |
Rate for Payer: BCBS Complete |
$6,721.68
|
Rate for Payer: Mclaren Medicaid |
$6,401.60
|
Rate for Payer: Meridian Medicaid |
$6,721.68
|
Rate for Payer: Priority Health Choice Medicaid |
$6,401.60
|
|
INPATIENT APRDRG 0574: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$10,690.51
|
|
Service Code
|
APR-DRG 0574
|
Hospital Charge Code |
APRDRG 0574
|
Min. Negotiated Rate |
$10,181.44 |
Max. Negotiated Rate |
$10,690.51 |
Rate for Payer: BCBS Complete |
$10,690.51
|
Rate for Payer: Mclaren Medicaid |
$10,181.44
|
Rate for Payer: Meridian Medicaid |
$10,690.51
|
Rate for Payer: Priority Health Choice Medicaid |
$10,181.44
|
|
INPATIENT APRDRG 0581: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,406.31
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG 0581
|
Min. Negotiated Rate |
$4,196.49 |
Max. Negotiated Rate |
$4,406.31 |
Rate for Payer: BCBS Complete |
$4,406.31
|
Rate for Payer: Mclaren Medicaid |
$4,196.49
|
Rate for Payer: Meridian Medicaid |
$4,406.31
|
Rate for Payer: Priority Health Choice Medicaid |
$4,196.49
|
|
INPATIENT APRDRG 0582: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$5,903.64
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG 0582
|
Min. Negotiated Rate |
$5,622.51 |
Max. Negotiated Rate |
$5,903.64 |
Rate for Payer: BCBS Complete |
$5,903.64
|
Rate for Payer: Mclaren Medicaid |
$5,622.51
|
Rate for Payer: Meridian Medicaid |
$5,903.64
|
Rate for Payer: Priority Health Choice Medicaid |
$5,622.51
|
|
INPATIENT APRDRG 0583: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,591.24
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG 0583
|
Min. Negotiated Rate |
$7,229.75 |
Max. Negotiated Rate |
$7,591.24 |
Rate for Payer: BCBS Complete |
$7,591.24
|
Rate for Payer: Mclaren Medicaid |
$7,229.75
|
Rate for Payer: Meridian Medicaid |
$7,591.24
|
Rate for Payer: Priority Health Choice Medicaid |
$7,229.75
|
|
INPATIENT APRDRG 0584: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,878.08
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG 0584
|
Min. Negotiated Rate |
$10,360.08 |
Max. Negotiated Rate |
$10,878.08 |
Rate for Payer: BCBS Complete |
$10,878.08
|
Rate for Payer: Mclaren Medicaid |
$10,360.08
|
Rate for Payer: Meridian Medicaid |
$10,878.08
|
Rate for Payer: Priority Health Choice Medicaid |
$10,360.08
|
|
INPATIENT APRDRG 0591: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,398.18
|
|
Service Code
|
APR-DRG 0591
|
Hospital Charge Code |
APRDRG 0591
|
Min. Negotiated Rate |
$4,188.74 |
Max. Negotiated Rate |
$4,398.18 |
Rate for Payer: BCBS Complete |
$4,398.18
|
Rate for Payer: Mclaren Medicaid |
$4,188.74
|
Rate for Payer: Meridian Medicaid |
$4,398.18
|
Rate for Payer: Priority Health Choice Medicaid |
$4,188.74
|
|
INPATIENT APRDRG 0592: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,451.17
|
|
Service Code
|
APR-DRG 0592
|
Hospital Charge Code |
APRDRG 0592
|
Min. Negotiated Rate |
$6,143.97 |
Max. Negotiated Rate |
$6,451.17 |
Rate for Payer: BCBS Complete |
$6,451.17
|
Rate for Payer: Mclaren Medicaid |
$6,143.97
|
Rate for Payer: Meridian Medicaid |
$6,451.17
|
Rate for Payer: Priority Health Choice Medicaid |
$6,143.97
|
|
INPATIENT APRDRG 0593: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$9,891.98
|
|
Service Code
|
APR-DRG 0593
|
Hospital Charge Code |
APRDRG 0593
|
Min. Negotiated Rate |
$9,420.93 |
Max. Negotiated Rate |
$9,891.98 |
Rate for Payer: BCBS Complete |
$9,891.98
|
Rate for Payer: Mclaren Medicaid |
$9,420.93
|
Rate for Payer: Meridian Medicaid |
$9,891.98
|
Rate for Payer: Priority Health Choice Medicaid |
$9,420.93
|
|
INPATIENT APRDRG 0594: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$13,371.27
|
|
Service Code
|
APR-DRG 0594
|
Hospital Charge Code |
APRDRG 0594
|
Min. Negotiated Rate |
$12,734.54 |
Max. Negotiated Rate |
$13,371.27 |
Rate for Payer: BCBS Complete |
$13,371.27
|
Rate for Payer: Mclaren Medicaid |
$12,734.54
|
Rate for Payer: Meridian Medicaid |
$13,371.27
|
Rate for Payer: Priority Health Choice Medicaid |
$12,734.54
|
|
INPATIENT APRDRG 0731: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$7,593.40
|
|
Service Code
|
APR-DRG 0731
|
Hospital Charge Code |
APRDRG 0731
|
Min. Negotiated Rate |
$7,231.81 |
Max. Negotiated Rate |
$7,593.40 |
Rate for Payer: BCBS Complete |
$7,593.40
|
Rate for Payer: Mclaren Medicaid |
$7,231.81
|
Rate for Payer: Meridian Medicaid |
$7,593.40
|
Rate for Payer: Priority Health Choice Medicaid |
$7,231.81
|
|
INPATIENT APRDRG 0732: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,381.10
|
|
Service Code
|
APR-DRG 0732
|
Hospital Charge Code |
APRDRG 0732
|
Min. Negotiated Rate |
$7,982.00 |
Max. Negotiated Rate |
$8,381.10 |
Rate for Payer: BCBS Complete |
$8,381.10
|
Rate for Payer: Mclaren Medicaid |
$7,982.00
|
Rate for Payer: Meridian Medicaid |
$8,381.10
|
Rate for Payer: Priority Health Choice Medicaid |
$7,982.00
|
|
INPATIENT APRDRG 0733: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$12,742.96
|
|
Service Code
|
APR-DRG 0733
|
Hospital Charge Code |
APRDRG 0733
|
Min. Negotiated Rate |
$12,136.15 |
Max. Negotiated Rate |
$12,742.96 |
Rate for Payer: BCBS Complete |
$12,742.96
|
Rate for Payer: Mclaren Medicaid |
$12,136.15
|
Rate for Payer: Meridian Medicaid |
$12,742.96
|
Rate for Payer: Priority Health Choice Medicaid |
$12,136.15
|
|
INPATIENT APRDRG 0734: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$22,472.29
|
|
Service Code
|
APR-DRG 0734
|
Hospital Charge Code |
APRDRG 0734
|
Min. Negotiated Rate |
$21,402.18 |
Max. Negotiated Rate |
$22,472.29 |
Rate for Payer: BCBS Complete |
$22,472.29
|
Rate for Payer: Mclaren Medicaid |
$21,402.18
|
Rate for Payer: Meridian Medicaid |
$22,472.29
|
Rate for Payer: Priority Health Choice Medicaid |
$21,402.18
|
|
INPATIENT APRDRG 0821: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$3,247.81
|
|
Service Code
|
APR-DRG 0821
|
Hospital Charge Code |
APRDRG 0821
|
Min. Negotiated Rate |
$3,093.15 |
Max. Negotiated Rate |
$3,247.81 |
Rate for Payer: BCBS Complete |
$3,247.81
|
Rate for Payer: Mclaren Medicaid |
$3,093.15
|
Rate for Payer: Meridian Medicaid |
$3,247.81
|
Rate for Payer: Priority Health Choice Medicaid |
$3,093.15
|
|
INPATIENT APRDRG 0822: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$4,940.29
|
|
Service Code
|
APR-DRG 0822
|
Hospital Charge Code |
APRDRG 0822
|
Min. Negotiated Rate |
$4,705.04 |
Max. Negotiated Rate |
$4,940.29 |
Rate for Payer: BCBS Complete |
$4,940.29
|
Rate for Payer: Mclaren Medicaid |
$4,705.04
|
Rate for Payer: Meridian Medicaid |
$4,940.29
|
Rate for Payer: Priority Health Choice Medicaid |
$4,705.04
|
|
INPATIENT APRDRG 0823: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$9,465.33
|
|
Service Code
|
APR-DRG 0823
|
Hospital Charge Code |
APRDRG 0823
|
Min. Negotiated Rate |
$9,014.60 |
Max. Negotiated Rate |
$9,465.33 |
Rate for Payer: BCBS Complete |
$9,465.33
|
Rate for Payer: Mclaren Medicaid |
$9,014.60
|
Rate for Payer: Meridian Medicaid |
$9,465.33
|
Rate for Payer: Priority Health Choice Medicaid |
$9,014.60
|
|
INPATIENT APRDRG 0824: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$15,882.34
|
|
Service Code
|
APR-DRG 0824
|
Hospital Charge Code |
APRDRG 0824
|
Min. Negotiated Rate |
$15,126.04 |
Max. Negotiated Rate |
$15,882.34 |
Rate for Payer: BCBS Complete |
$15,882.34
|
Rate for Payer: Mclaren Medicaid |
$15,126.04
|
Rate for Payer: Meridian Medicaid |
$15,882.34
|
Rate for Payer: Priority Health Choice Medicaid |
$15,126.04
|
|
INPATIENT APRDRG 0891: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,746.55
|
|
Service Code
|
APR-DRG 0891
|
Hospital Charge Code |
APRDRG 0891
|
Min. Negotiated Rate |
$11,187.19 |
Max. Negotiated Rate |
$11,746.55 |
Rate for Payer: BCBS Complete |
$11,746.55
|
Rate for Payer: Mclaren Medicaid |
$11,187.19
|
Rate for Payer: Meridian Medicaid |
$11,746.55
|
Rate for Payer: Priority Health Choice Medicaid |
$11,187.19
|
|