INPATIENT APRDRG 1103: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$9,443.65
|
|
Service Code
|
APR-DRG 1103
|
Hospital Charge Code |
APRDRG 1103
|
Min. Negotiated Rate |
$8,993.95 |
Max. Negotiated Rate |
$9,443.65 |
Rate for Payer: BCBS Complete |
$9,443.65
|
Rate for Payer: Mclaren Medicaid |
$8,993.95
|
Rate for Payer: Meridian Medicaid |
$9,443.65
|
Rate for Payer: Priority Health Choice Medicaid |
$8,993.95
|
|
INPATIENT APRDRG 1104: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$13,119.73
|
|
Service Code
|
APR-DRG 1104
|
Hospital Charge Code |
APRDRG 1104
|
Min. Negotiated Rate |
$12,494.98 |
Max. Negotiated Rate |
$13,119.73 |
Rate for Payer: BCBS Complete |
$13,119.73
|
Rate for Payer: Mclaren Medicaid |
$12,494.98
|
Rate for Payer: Meridian Medicaid |
$13,119.73
|
Rate for Payer: Priority Health Choice Medicaid |
$12,494.98
|
|
INPATIENT APRDRG 1111: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,702.65
|
|
Service Code
|
APR-DRG 1111
|
Hospital Charge Code |
APRDRG 1111
|
Min. Negotiated Rate |
$3,526.33 |
Max. Negotiated Rate |
$3,702.65 |
Rate for Payer: BCBS Complete |
$3,702.65
|
Rate for Payer: Mclaren Medicaid |
$3,526.33
|
Rate for Payer: Meridian Medicaid |
$3,702.65
|
Rate for Payer: Priority Health Choice Medicaid |
$3,526.33
|
|
INPATIENT APRDRG 1112: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,205.73
|
|
Service Code
|
APR-DRG 1112
|
Hospital Charge Code |
APRDRG 1112
|
Min. Negotiated Rate |
$4,005.46 |
Max. Negotiated Rate |
$4,205.73 |
Rate for Payer: BCBS Complete |
$4,205.73
|
Rate for Payer: Mclaren Medicaid |
$4,005.46
|
Rate for Payer: Meridian Medicaid |
$4,205.73
|
Rate for Payer: Priority Health Choice Medicaid |
$4,005.46
|
|
INPATIENT APRDRG 1113: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,896.38
|
|
Service Code
|
APR-DRG 1113
|
Hospital Charge Code |
APRDRG 1113
|
Min. Negotiated Rate |
$4,663.22 |
Max. Negotiated Rate |
$4,896.38 |
Rate for Payer: BCBS Complete |
$4,896.38
|
Rate for Payer: Mclaren Medicaid |
$4,663.22
|
Rate for Payer: Meridian Medicaid |
$4,896.38
|
Rate for Payer: Priority Health Choice Medicaid |
$4,663.22
|
|
INPATIENT APRDRG 1114: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$10,412.40
|
|
Service Code
|
APR-DRG 1114
|
Hospital Charge Code |
APRDRG 1114
|
Min. Negotiated Rate |
$9,916.57 |
Max. Negotiated Rate |
$10,412.40 |
Rate for Payer: BCBS Complete |
$10,412.40
|
Rate for Payer: Mclaren Medicaid |
$9,916.57
|
Rate for Payer: Meridian Medicaid |
$10,412.40
|
Rate for Payer: Priority Health Choice Medicaid |
$9,916.57
|
|
INPATIENT APRDRG 1131: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,292.07
|
|
Service Code
|
APR-DRG 1131
|
Hospital Charge Code |
APRDRG 1131
|
Min. Negotiated Rate |
$2,182.92 |
Max. Negotiated Rate |
$2,292.07 |
Rate for Payer: BCBS Complete |
$2,292.07
|
Rate for Payer: Mclaren Medicaid |
$2,182.92
|
Rate for Payer: Meridian Medicaid |
$2,292.07
|
Rate for Payer: Priority Health Choice Medicaid |
$2,182.92
|
|
INPATIENT APRDRG 1132: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,916.04
|
|
Service Code
|
APR-DRG 1132
|
Hospital Charge Code |
APRDRG 1132
|
Min. Negotiated Rate |
$2,777.18 |
Max. Negotiated Rate |
$2,916.04 |
Rate for Payer: BCBS Complete |
$2,916.04
|
Rate for Payer: Mclaren Medicaid |
$2,777.18
|
Rate for Payer: Meridian Medicaid |
$2,916.04
|
Rate for Payer: Priority Health Choice Medicaid |
$2,777.18
|
|
INPATIENT APRDRG 1133: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,413.90
|
|
Service Code
|
APR-DRG 1133
|
Hospital Charge Code |
APRDRG 1133
|
Min. Negotiated Rate |
$4,203.71 |
Max. Negotiated Rate |
$4,413.90 |
Rate for Payer: BCBS Complete |
$4,413.90
|
Rate for Payer: Mclaren Medicaid |
$4,203.71
|
Rate for Payer: Meridian Medicaid |
$4,413.90
|
Rate for Payer: Priority Health Choice Medicaid |
$4,203.71
|
|
INPATIENT APRDRG 1134: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$8,707.45
|
|
Service Code
|
APR-DRG 1134
|
Hospital Charge Code |
APRDRG 1134
|
Min. Negotiated Rate |
$8,292.81 |
Max. Negotiated Rate |
$8,707.45 |
Rate for Payer: BCBS Complete |
$8,707.45
|
Rate for Payer: Mclaren Medicaid |
$8,292.81
|
Rate for Payer: Meridian Medicaid |
$8,707.45
|
Rate for Payer: Priority Health Choice Medicaid |
$8,292.81
|
|
INPATIENT APRDRG 1141: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$2,903.03
|
|
Service Code
|
APR-DRG 1141
|
Hospital Charge Code |
APRDRG 1141
|
Min. Negotiated Rate |
$2,764.79 |
Max. Negotiated Rate |
$2,903.03 |
Rate for Payer: BCBS Complete |
$2,903.03
|
Rate for Payer: Mclaren Medicaid |
$2,764.79
|
Rate for Payer: Meridian Medicaid |
$2,903.03
|
Rate for Payer: Priority Health Choice Medicaid |
$2,764.79
|
|
INPATIENT APRDRG 1142: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,176.80
|
|
Service Code
|
APR-DRG 1142
|
Hospital Charge Code |
APRDRG 1142
|
Min. Negotiated Rate |
$3,025.52 |
Max. Negotiated Rate |
$3,176.80 |
Rate for Payer: BCBS Complete |
$3,176.80
|
Rate for Payer: Mclaren Medicaid |
$3,025.52
|
Rate for Payer: Meridian Medicaid |
$3,176.80
|
Rate for Payer: Priority Health Choice Medicaid |
$3,025.52
|
|
INPATIENT APRDRG 1143: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$5,319.77
|
|
Service Code
|
APR-DRG 1143
|
Hospital Charge Code |
APRDRG 1143
|
Min. Negotiated Rate |
$5,066.45 |
Max. Negotiated Rate |
$5,319.77 |
Rate for Payer: BCBS Complete |
$5,319.77
|
Rate for Payer: Mclaren Medicaid |
$5,066.45
|
Rate for Payer: Meridian Medicaid |
$5,319.77
|
Rate for Payer: Priority Health Choice Medicaid |
$5,066.45
|
|
INPATIENT APRDRG 1144: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$11,864.73
|
|
Service Code
|
APR-DRG 1144
|
Hospital Charge Code |
APRDRG 1144
|
Min. Negotiated Rate |
$11,299.74 |
Max. Negotiated Rate |
$11,864.73 |
Rate for Payer: BCBS Complete |
$11,864.73
|
Rate for Payer: Mclaren Medicaid |
$11,299.74
|
Rate for Payer: Meridian Medicaid |
$11,864.73
|
Rate for Payer: Priority Health Choice Medicaid |
$11,299.74
|
|
INPATIENT APRDRG 1151: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$3,414.78
|
|
Service Code
|
APR-DRG 1151
|
Hospital Charge Code |
APRDRG 1151
|
Min. Negotiated Rate |
$3,252.17 |
Max. Negotiated Rate |
$3,414.78 |
Rate for Payer: BCBS Complete |
$3,414.78
|
Rate for Payer: Mclaren Medicaid |
$3,252.17
|
Rate for Payer: Meridian Medicaid |
$3,414.78
|
Rate for Payer: Priority Health Choice Medicaid |
$3,252.17
|
|
INPATIENT APRDRG 1152: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,199.22
|
|
Service Code
|
APR-DRG 1152
|
Hospital Charge Code |
APRDRG 1152
|
Min. Negotiated Rate |
$3,999.26 |
Max. Negotiated Rate |
$4,199.22 |
Rate for Payer: BCBS Complete |
$4,199.22
|
Rate for Payer: Mclaren Medicaid |
$3,999.26
|
Rate for Payer: Meridian Medicaid |
$4,199.22
|
Rate for Payer: Priority Health Choice Medicaid |
$3,999.26
|
|
INPATIENT APRDRG 1153: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,895.71
|
|
Service Code
|
APR-DRG 1153
|
Hospital Charge Code |
APRDRG 1153
|
Min. Negotiated Rate |
$6,567.34 |
Max. Negotiated Rate |
$6,895.71 |
Rate for Payer: BCBS Complete |
$6,895.71
|
Rate for Payer: Mclaren Medicaid |
$6,567.34
|
Rate for Payer: Meridian Medicaid |
$6,895.71
|
Rate for Payer: Priority Health Choice Medicaid |
$6,567.34
|
|
INPATIENT APRDRG 1154: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$10,335.97
|
|
Service Code
|
APR-DRG 1154
|
Hospital Charge Code |
APRDRG 1154
|
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 1201: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$10,195.55
|
|
Service Code
|
APR-DRG 1201
|
Hospital Charge Code |
APRDRG 1201
|
Min. Negotiated Rate |
$9,710.05 |
Max. Negotiated Rate |
$10,195.55 |
Rate for Payer: BCBS Complete |
$10,195.55
|
Rate for Payer: Mclaren Medicaid |
$9,710.05
|
Rate for Payer: Meridian Medicaid |
$10,195.55
|
Rate for Payer: Priority Health Choice Medicaid |
$9,710.05
|
|
INPATIENT APRDRG 1202: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$13,904.71
|
|
Service Code
|
APR-DRG 1202
|
Hospital Charge Code |
APRDRG 1202
|
Min. Negotiated Rate |
$13,242.58 |
Max. Negotiated Rate |
$13,904.71 |
Rate for Payer: BCBS Complete |
$13,904.71
|
Rate for Payer: Mclaren Medicaid |
$13,242.58
|
Rate for Payer: Meridian Medicaid |
$13,904.71
|
Rate for Payer: Priority Health Choice Medicaid |
$13,242.58
|
|
INPATIENT APRDRG 1203: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$19,757.92
|
|
Service Code
|
APR-DRG 1203
|
Hospital Charge Code |
APRDRG 1203
|
Min. Negotiated Rate |
$18,817.07 |
Max. Negotiated Rate |
$19,757.92 |
Rate for Payer: BCBS Complete |
$19,757.92
|
Rate for Payer: Mclaren Medicaid |
$18,817.07
|
Rate for Payer: Meridian Medicaid |
$19,757.92
|
Rate for Payer: Priority Health Choice Medicaid |
$18,817.07
|
|
INPATIENT APRDRG 1204: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$33,343.33
|
|
Service Code
|
APR-DRG 1204
|
Hospital Charge Code |
APRDRG 1204
|
Min. Negotiated Rate |
$31,755.55 |
Max. Negotiated Rate |
$33,343.33 |
Rate for Payer: BCBS Complete |
$33,343.33
|
Rate for Payer: Mclaren Medicaid |
$31,755.55
|
Rate for Payer: Meridian Medicaid |
$33,343.33
|
Rate for Payer: Priority Health Choice Medicaid |
$31,755.55
|
|
INPATIENT APRDRG 1211: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$8,703.11
|
|
Service Code
|
APR-DRG 1211
|
Hospital Charge Code |
APRDRG 1211
|
Min. Negotiated Rate |
$8,288.68 |
Max. Negotiated Rate |
$8,703.11 |
Rate for Payer: BCBS Complete |
$8,703.11
|
Rate for Payer: Mclaren Medicaid |
$8,288.68
|
Rate for Payer: Meridian Medicaid |
$8,703.11
|
Rate for Payer: Priority Health Choice Medicaid |
$8,288.68
|
|
INPATIENT APRDRG 1212: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$11,526.45
|
|
Service Code
|
APR-DRG 1212
|
Hospital Charge Code |
APRDRG 1212
|
Min. Negotiated Rate |
$10,977.57 |
Max. Negotiated Rate |
$11,526.45 |
Rate for Payer: BCBS Complete |
$11,526.45
|
Rate for Payer: Mclaren Medicaid |
$10,977.57
|
Rate for Payer: Meridian Medicaid |
$11,526.45
|
Rate for Payer: Priority Health Choice Medicaid |
$10,977.57
|
|
INPATIENT APRDRG 1213: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$14,563.37
|
|
Service Code
|
APR-DRG 1213
|
Hospital Charge Code |
APRDRG 1213
|
Min. Negotiated Rate |
$13,869.88 |
Max. Negotiated Rate |
$14,563.37 |
Rate for Payer: BCBS Complete |
$14,563.37
|
Rate for Payer: Mclaren Medicaid |
$13,869.88
|
Rate for Payer: Meridian Medicaid |
$14,563.37
|
Rate for Payer: Priority Health Choice Medicaid |
$13,869.88
|
|