INPATIENT APRDRG 0892: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$16,209.78
|
|
Service Code
|
APR-DRG 0892
|
Hospital Charge Code |
APRDRG 0892
|
Min. Negotiated Rate |
$15,437.89 |
Max. Negotiated Rate |
$16,209.78 |
Rate for Payer: BCBS Complete |
$16,209.78
|
Rate for Payer: Mclaren Medicaid |
$15,437.89
|
Rate for Payer: Meridian Medicaid |
$16,209.78
|
Rate for Payer: Priority Health Choice Medicaid |
$15,437.89
|
|
INPATIENT APRDRG 0893: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$23,434.00
|
|
Service Code
|
APR-DRG 0893
|
Hospital Charge Code |
APRDRG 0893
|
Min. Negotiated Rate |
$22,318.10 |
Max. Negotiated Rate |
$23,434.00 |
Rate for Payer: BCBS Complete |
$23,434.00
|
Rate for Payer: Mclaren Medicaid |
$22,318.10
|
Rate for Payer: Meridian Medicaid |
$23,434.00
|
Rate for Payer: Priority Health Choice Medicaid |
$22,318.10
|
|
INPATIENT APRDRG 0894: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$31,098.43
|
|
Service Code
|
APR-DRG 0894
|
Hospital Charge Code |
APRDRG 0894
|
Min. Negotiated Rate |
$29,617.55 |
Max. Negotiated Rate |
$31,098.43 |
Rate for Payer: BCBS Complete |
$31,098.43
|
Rate for Payer: Mclaren Medicaid |
$29,617.55
|
Rate for Payer: Meridian Medicaid |
$31,098.43
|
Rate for Payer: Priority Health Choice Medicaid |
$29,617.55
|
|
INPATIENT APRDRG 0911: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$12,073.98
|
|
Service Code
|
APR-DRG 0911
|
Hospital Charge Code |
APRDRG 0911
|
Min. Negotiated Rate |
$11,499.03 |
Max. Negotiated Rate |
$12,073.98 |
Rate for Payer: BCBS Complete |
$12,073.98
|
Rate for Payer: Mclaren Medicaid |
$11,499.03
|
Rate for Payer: Meridian Medicaid |
$12,073.98
|
Rate for Payer: Priority Health Choice Medicaid |
$11,499.03
|
|
INPATIENT APRDRG 0912: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$25,379.11
|
|
Service Code
|
APR-DRG 0912
|
Hospital Charge Code |
APRDRG 0912
|
Min. Negotiated Rate |
$24,170.58 |
Max. Negotiated Rate |
$25,379.11 |
Rate for Payer: BCBS Complete |
$25,379.11
|
Rate for Payer: Mclaren Medicaid |
$24,170.58
|
Rate for Payer: Meridian Medicaid |
$25,379.11
|
Rate for Payer: Priority Health Choice Medicaid |
$24,170.58
|
|
INPATIENT APRDRG 0913: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$39,470.31
|
|
Service Code
|
APR-DRG 0913
|
Hospital Charge Code |
APRDRG 0913
|
Min. Negotiated Rate |
$37,590.77 |
Max. Negotiated Rate |
$39,470.31 |
Rate for Payer: BCBS Complete |
$39,470.31
|
Rate for Payer: Mclaren Medicaid |
$37,590.77
|
Rate for Payer: Meridian Medicaid |
$39,470.31
|
Rate for Payer: Priority Health Choice Medicaid |
$37,590.77
|
|
INPATIENT APRDRG 0914: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$39,064.81
|
|
Service Code
|
APR-DRG 0914
|
Hospital Charge Code |
APRDRG 0914
|
Min. Negotiated Rate |
$37,204.58 |
Max. Negotiated Rate |
$39,064.81 |
Rate for Payer: BCBS Complete |
$39,064.81
|
Rate for Payer: Mclaren Medicaid |
$37,204.58
|
Rate for Payer: Meridian Medicaid |
$39,064.81
|
Rate for Payer: Priority Health Choice Medicaid |
$37,204.58
|
|
INPATIENT APRDRG 0921: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$9,787.89
|
|
Service Code
|
APR-DRG 0921
|
Hospital Charge Code |
APRDRG 0921
|
Min. Negotiated Rate |
$9,321.80 |
Max. Negotiated Rate |
$9,787.89 |
Rate for Payer: BCBS Complete |
$9,787.89
|
Rate for Payer: Mclaren Medicaid |
$9,321.80
|
Rate for Payer: Meridian Medicaid |
$9,787.89
|
Rate for Payer: Priority Health Choice Medicaid |
$9,321.80
|
|
INPATIENT APRDRG 0922: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,527.53
|
|
Service Code
|
APR-DRG 0922
|
Hospital Charge Code |
APRDRG 0922
|
Min. Negotiated Rate |
$10,978.60 |
Max. Negotiated Rate |
$11,527.53 |
Rate for Payer: BCBS Complete |
$11,527.53
|
Rate for Payer: Mclaren Medicaid |
$10,978.60
|
Rate for Payer: Meridian Medicaid |
$11,527.53
|
Rate for Payer: Priority Health Choice Medicaid |
$10,978.60
|
|
INPATIENT APRDRG 0923: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$18,963.72
|
|
Service Code
|
APR-DRG 0923
|
Hospital Charge Code |
APRDRG 0923
|
Min. Negotiated Rate |
$18,060.69 |
Max. Negotiated Rate |
$18,963.72 |
Rate for Payer: BCBS Complete |
$18,963.72
|
Rate for Payer: Mclaren Medicaid |
$18,060.69
|
Rate for Payer: Meridian Medicaid |
$18,963.72
|
Rate for Payer: Priority Health Choice Medicaid |
$18,060.69
|
|
INPATIENT APRDRG 0924: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$36,006.19
|
|
Service Code
|
APR-DRG 0924
|
Hospital Charge Code |
APRDRG 0924
|
Min. Negotiated Rate |
$34,291.61 |
Max. Negotiated Rate |
$36,006.19 |
Rate for Payer: BCBS Complete |
$36,006.19
|
Rate for Payer: Mclaren Medicaid |
$34,291.61
|
Rate for Payer: Meridian Medicaid |
$36,006.19
|
Rate for Payer: Priority Health Choice Medicaid |
$34,291.61
|
|
INPATIENT APRDRG 0951: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$7,410.71
|
|
Service Code
|
APR-DRG 0951
|
Hospital Charge Code |
APRDRG 0951
|
Min. Negotiated Rate |
$7,057.82 |
Max. Negotiated Rate |
$7,410.71 |
Rate for Payer: BCBS Complete |
$7,410.71
|
Rate for Payer: Mclaren Medicaid |
$7,057.82
|
Rate for Payer: Meridian Medicaid |
$7,410.71
|
Rate for Payer: Priority Health Choice Medicaid |
$7,057.82
|
|
INPATIENT APRDRG 0952: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$9,555.86
|
|
Service Code
|
APR-DRG 0952
|
Hospital Charge Code |
APRDRG 0952
|
Min. Negotiated Rate |
$9,100.82 |
Max. Negotiated Rate |
$9,555.86 |
Rate for Payer: BCBS Complete |
$9,555.86
|
Rate for Payer: Mclaren Medicaid |
$9,100.82
|
Rate for Payer: Meridian Medicaid |
$9,555.86
|
Rate for Payer: Priority Health Choice Medicaid |
$9,100.82
|
|
INPATIENT APRDRG 0953: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$11,008.72
|
|
Service Code
|
APR-DRG 0953
|
Hospital Charge Code |
APRDRG 0953
|
Min. Negotiated Rate |
$10,484.50 |
Max. Negotiated Rate |
$11,008.72 |
Rate for Payer: BCBS Complete |
$11,008.72
|
Rate for Payer: Mclaren Medicaid |
$10,484.50
|
Rate for Payer: Meridian Medicaid |
$11,008.72
|
Rate for Payer: Priority Health Choice Medicaid |
$10,484.50
|
|
INPATIENT APRDRG 0954: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$20,638.32
|
|
Service Code
|
APR-DRG 0954
|
Hospital Charge Code |
APRDRG 0954
|
Min. Negotiated Rate |
$19,655.54 |
Max. Negotiated Rate |
$20,638.32 |
Rate for Payer: BCBS Complete |
$20,638.32
|
Rate for Payer: Mclaren Medicaid |
$19,655.54
|
Rate for Payer: Meridian Medicaid |
$20,638.32
|
Rate for Payer: Priority Health Choice Medicaid |
$19,655.54
|
|
INPATIENT APRDRG 0971: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$4,851.93
|
|
Service Code
|
APR-DRG 0971
|
Hospital Charge Code |
APRDRG 0971
|
Min. Negotiated Rate |
$4,620.89 |
Max. Negotiated Rate |
$4,851.93 |
Rate for Payer: BCBS Complete |
$4,851.93
|
Rate for Payer: Mclaren Medicaid |
$4,620.89
|
Rate for Payer: Meridian Medicaid |
$4,851.93
|
Rate for Payer: Priority Health Choice Medicaid |
$4,620.89
|
|
INPATIENT APRDRG 0972: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$6,510.80
|
|
Service Code
|
APR-DRG 0972
|
Hospital Charge Code |
APRDRG 0972
|
Min. Negotiated Rate |
$6,200.76 |
Max. Negotiated Rate |
$6,510.80 |
Rate for Payer: BCBS Complete |
$6,510.80
|
Rate for Payer: Mclaren Medicaid |
$6,200.76
|
Rate for Payer: Meridian Medicaid |
$6,510.80
|
Rate for Payer: Priority Health Choice Medicaid |
$6,200.76
|
|
INPATIENT APRDRG 0973: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$9,665.91
|
|
Service Code
|
APR-DRG 0973
|
Hospital Charge Code |
APRDRG 0973
|
Min. Negotiated Rate |
$9,205.63 |
Max. Negotiated Rate |
$9,665.91 |
Rate for Payer: BCBS Complete |
$9,665.91
|
Rate for Payer: Mclaren Medicaid |
$9,205.63
|
Rate for Payer: Meridian Medicaid |
$9,665.91
|
Rate for Payer: Priority Health Choice Medicaid |
$9,205.63
|
|
INPATIENT APRDRG 0974: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$16,846.77
|
|
Service Code
|
APR-DRG 0974
|
Hospital Charge Code |
APRDRG 0974
|
Min. Negotiated Rate |
$16,044.54 |
Max. Negotiated Rate |
$16,846.77 |
Rate for Payer: BCBS Complete |
$16,846.77
|
Rate for Payer: Mclaren Medicaid |
$16,044.54
|
Rate for Payer: Meridian Medicaid |
$16,846.77
|
Rate for Payer: Priority Health Choice Medicaid |
$16,044.54
|
|
INPATIENT APRDRG 0981: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$5,999.58
|
|
Service Code
|
APR-DRG 0981
|
Hospital Charge Code |
APRDRG 0981
|
Min. Negotiated Rate |
$5,713.89 |
Max. Negotiated Rate |
$5,999.58 |
Rate for Payer: BCBS Complete |
$5,999.58
|
Rate for Payer: Mclaren Medicaid |
$5,713.89
|
Rate for Payer: Meridian Medicaid |
$5,999.58
|
Rate for Payer: Priority Health Choice Medicaid |
$5,713.89
|
|
INPATIENT APRDRG 0982: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$8,542.65
|
|
Service Code
|
APR-DRG 0982
|
Hospital Charge Code |
APRDRG 0982
|
Min. Negotiated Rate |
$8,135.86 |
Max. Negotiated Rate |
$8,542.65 |
Rate for Payer: BCBS Complete |
$8,542.65
|
Rate for Payer: Mclaren Medicaid |
$8,135.86
|
Rate for Payer: Meridian Medicaid |
$8,542.65
|
Rate for Payer: Priority Health Choice Medicaid |
$8,135.86
|
|
INPATIENT APRDRG 0983: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$13,722.02
|
|
Service Code
|
APR-DRG 0983
|
Hospital Charge Code |
APRDRG 0983
|
Min. Negotiated Rate |
$13,068.59 |
Max. Negotiated Rate |
$13,722.02 |
Rate for Payer: BCBS Complete |
$13,722.02
|
Rate for Payer: Mclaren Medicaid |
$13,068.59
|
Rate for Payer: Meridian Medicaid |
$13,722.02
|
Rate for Payer: Priority Health Choice Medicaid |
$13,068.59
|
|
INPATIENT APRDRG 0984: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$20,407.92
|
|
Service Code
|
APR-DRG 0984
|
Hospital Charge Code |
APRDRG 0984
|
Min. Negotiated Rate |
$19,436.11 |
Max. Negotiated Rate |
$20,407.92 |
Rate for Payer: BCBS Complete |
$20,407.92
|
Rate for Payer: Mclaren Medicaid |
$19,436.11
|
Rate for Payer: Meridian Medicaid |
$20,407.92
|
Rate for Payer: Priority Health Choice Medicaid |
$19,436.11
|
|
INPATIENT APRDRG 1101: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$4,732.66
|
|
Service Code
|
APR-DRG 1101
|
Hospital Charge Code |
APRDRG 1101
|
Min. Negotiated Rate |
$4,507.30 |
Max. Negotiated Rate |
$4,732.66 |
Rate for Payer: BCBS Complete |
$4,732.66
|
Rate for Payer: Mclaren Medicaid |
$4,507.30
|
Rate for Payer: Meridian Medicaid |
$4,732.66
|
Rate for Payer: Priority Health Choice Medicaid |
$4,507.30
|
|
INPATIENT APRDRG 1102: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,493.25
|
|
Service Code
|
APR-DRG 1102
|
Hospital Charge Code |
APRDRG 1102
|
Min. Negotiated Rate |
$5,231.67 |
Max. Negotiated Rate |
$5,493.25 |
Rate for Payer: BCBS Complete |
$5,493.25
|
Rate for Payer: Mclaren Medicaid |
$5,231.67
|
Rate for Payer: Meridian Medicaid |
$5,493.25
|
Rate for Payer: Priority Health Choice Medicaid |
$5,231.67
|
|