INPATIENT APRDRG 1214: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$25,962.43
|
|
Service Code
|
APR-DRG 1214
|
Hospital Charge Code |
APRDRG 1214
|
Min. Negotiated Rate |
$24,726.12 |
Max. Negotiated Rate |
$25,962.43 |
Rate for Payer: BCBS Complete |
$25,962.43
|
Rate for Payer: Mclaren Medicaid |
$24,726.12
|
Rate for Payer: Meridian Medicaid |
$25,962.43
|
Rate for Payer: Priority Health Choice Medicaid |
$24,726.12
|
|
INPATIENT APRDRG 1301: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$16,145.27
|
|
Service Code
|
APR-DRG 1301
|
Hospital Charge Code |
APRDRG 1301
|
Min. Negotiated Rate |
$15,376.45 |
Max. Negotiated Rate |
$16,145.27 |
Rate for Payer: BCBS Complete |
$16,145.27
|
Rate for Payer: Mclaren Medicaid |
$15,376.45
|
Rate for Payer: Meridian Medicaid |
$16,145.27
|
Rate for Payer: Priority Health Choice Medicaid |
$15,376.45
|
|
INPATIENT APRDRG 1302: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$18,042.68
|
|
Service Code
|
APR-DRG 1302
|
Hospital Charge Code |
APRDRG 1302
|
Min. Negotiated Rate |
$17,183.50 |
Max. Negotiated Rate |
$18,042.68 |
Rate for Payer: BCBS Complete |
$18,042.68
|
Rate for Payer: Mclaren Medicaid |
$17,183.50
|
Rate for Payer: Meridian Medicaid |
$18,042.68
|
Rate for Payer: Priority Health Choice Medicaid |
$17,183.50
|
|
INPATIENT APRDRG 1303: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$23,444.31
|
|
Service Code
|
APR-DRG 1303
|
Hospital Charge Code |
APRDRG 1303
|
Min. Negotiated Rate |
$22,327.91 |
Max. Negotiated Rate |
$23,444.31 |
Rate for Payer: BCBS Complete |
$23,444.31
|
Rate for Payer: Mclaren Medicaid |
$22,327.91
|
Rate for Payer: Meridian Medicaid |
$23,444.31
|
Rate for Payer: Priority Health Choice Medicaid |
$22,327.91
|
|
INPATIENT APRDRG 1304: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$25,986.83
|
|
Service Code
|
APR-DRG 1304
|
Hospital Charge Code |
APRDRG 1304
|
Min. Negotiated Rate |
$24,749.36 |
Max. Negotiated Rate |
$25,986.83 |
Rate for Payer: BCBS Complete |
$25,986.83
|
Rate for Payer: Mclaren Medicaid |
$24,749.36
|
Rate for Payer: Meridian Medicaid |
$25,986.83
|
Rate for Payer: Priority Health Choice Medicaid |
$24,749.36
|
|
INPATIENT APRDRG 1311: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$9,278.84
|
|
Service Code
|
APR-DRG 1311
|
Hospital Charge Code |
APRDRG 1311
|
Min. Negotiated Rate |
$8,836.99 |
Max. Negotiated Rate |
$9,278.84 |
Rate for Payer: BCBS Complete |
$9,278.84
|
Rate for Payer: Mclaren Medicaid |
$8,836.99
|
Rate for Payer: Meridian Medicaid |
$9,278.84
|
Rate for Payer: Priority Health Choice Medicaid |
$8,836.99
|
|
INPATIENT APRDRG 1312: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$11,760.10
|
|
Service Code
|
APR-DRG 1312
|
Hospital Charge Code |
APRDRG 1312
|
Min. Negotiated Rate |
$11,200.10 |
Max. Negotiated Rate |
$11,760.10 |
Rate for Payer: BCBS Complete |
$11,760.10
|
Rate for Payer: Mclaren Medicaid |
$11,200.10
|
Rate for Payer: Meridian Medicaid |
$11,760.10
|
Rate for Payer: Priority Health Choice Medicaid |
$11,200.10
|
|
INPATIENT APRDRG 1313: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$15,462.74
|
|
Service Code
|
APR-DRG 1313
|
Hospital Charge Code |
APRDRG 1313
|
Min. Negotiated Rate |
$14,726.42 |
Max. Negotiated Rate |
$15,462.74 |
Rate for Payer: BCBS Complete |
$15,462.74
|
Rate for Payer: Mclaren Medicaid |
$14,726.42
|
Rate for Payer: Meridian Medicaid |
$15,462.74
|
Rate for Payer: Priority Health Choice Medicaid |
$14,726.42
|
|
INPATIENT APRDRG 1314: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$18,171.70
|
|
Service Code
|
APR-DRG 1314
|
Hospital Charge Code |
APRDRG 1314
|
Min. Negotiated Rate |
$17,306.38 |
Max. Negotiated Rate |
$18,171.70 |
Rate for Payer: BCBS Complete |
$18,171.70
|
Rate for Payer: Mclaren Medicaid |
$17,306.38
|
Rate for Payer: Meridian Medicaid |
$18,171.70
|
Rate for Payer: Priority Health Choice Medicaid |
$17,306.38
|
|
INPATIENT APRDRG 1321: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,790.27
|
|
Service Code
|
APR-DRG 1321
|
Hospital Charge Code |
APRDRG 1321
|
Min. Negotiated Rate |
$2,657.40 |
Max. Negotiated Rate |
$2,790.27 |
Rate for Payer: BCBS Complete |
$2,790.27
|
Rate for Payer: Mclaren Medicaid |
$2,657.40
|
Rate for Payer: Meridian Medicaid |
$2,790.27
|
Rate for Payer: Priority Health Choice Medicaid |
$2,657.40
|
|
INPATIENT APRDRG 1322: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$4,019.24
|
|
Service Code
|
APR-DRG 1322
|
Hospital Charge Code |
APRDRG 1322
|
Min. Negotiated Rate |
$3,827.85 |
Max. Negotiated Rate |
$4,019.24 |
Rate for Payer: BCBS Complete |
$4,019.24
|
Rate for Payer: Mclaren Medicaid |
$3,827.85
|
Rate for Payer: Meridian Medicaid |
$4,019.24
|
Rate for Payer: Priority Health Choice Medicaid |
$3,827.85
|
|
INPATIENT APRDRG 1323: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$7,518.59
|
|
Service Code
|
APR-DRG 1323
|
Hospital Charge Code |
APRDRG 1323
|
Min. Negotiated Rate |
$7,160.56 |
Max. Negotiated Rate |
$7,518.59 |
Rate for Payer: BCBS Complete |
$7,518.59
|
Rate for Payer: Mclaren Medicaid |
$7,160.56
|
Rate for Payer: Meridian Medicaid |
$7,518.59
|
Rate for Payer: Priority Health Choice Medicaid |
$7,160.56
|
|
INPATIENT APRDRG 1324: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$8,985.55
|
|
Service Code
|
APR-DRG 1324
|
Hospital Charge Code |
APRDRG 1324
|
Min. Negotiated Rate |
$8,557.67 |
Max. Negotiated Rate |
$8,985.55 |
Rate for Payer: BCBS Complete |
$8,985.55
|
Rate for Payer: Mclaren Medicaid |
$8,557.67
|
Rate for Payer: Meridian Medicaid |
$8,985.55
|
Rate for Payer: Priority Health Choice Medicaid |
$8,557.67
|
|
INPATIENT APRDRG 1331: RESPIRATORY FAILURE
|
Facility
|
IP
|
$2,550.11
|
|
Service Code
|
APR-DRG 1331
|
Hospital Charge Code |
APRDRG 1331
|
Min. Negotiated Rate |
$2,428.68 |
Max. Negotiated Rate |
$2,550.11 |
Rate for Payer: BCBS Complete |
$2,550.11
|
Rate for Payer: Mclaren Medicaid |
$2,428.68
|
Rate for Payer: Meridian Medicaid |
$2,550.11
|
Rate for Payer: Priority Health Choice Medicaid |
$2,428.68
|
|
INPATIENT APRDRG 1332: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,477.87
|
|
Service Code
|
APR-DRG 1332
|
Hospital Charge Code |
APRDRG 1332
|
Min. Negotiated Rate |
$4,264.64 |
Max. Negotiated Rate |
$4,477.87 |
Rate for Payer: BCBS Complete |
$4,477.87
|
Rate for Payer: Mclaren Medicaid |
$4,264.64
|
Rate for Payer: Meridian Medicaid |
$4,477.87
|
Rate for Payer: Priority Health Choice Medicaid |
$4,264.64
|
|
INPATIENT APRDRG 1333: RESPIRATORY FAILURE
|
Facility
|
IP
|
$6,805.71
|
|
Service Code
|
APR-DRG 1333
|
Hospital Charge Code |
APRDRG 1333
|
Min. Negotiated Rate |
$6,481.63 |
Max. Negotiated Rate |
$6,805.71 |
Rate for Payer: BCBS Complete |
$6,805.71
|
Rate for Payer: Mclaren Medicaid |
$6,481.63
|
Rate for Payer: Meridian Medicaid |
$6,805.71
|
Rate for Payer: Priority Health Choice Medicaid |
$6,481.63
|
|
INPATIENT APRDRG 1334: RESPIRATORY FAILURE
|
Facility
|
IP
|
$10,887.84
|
|
Service Code
|
APR-DRG 1334
|
Hospital Charge Code |
APRDRG 1334
|
Min. Negotiated Rate |
$10,369.37 |
Max. Negotiated Rate |
$10,887.84 |
Rate for Payer: BCBS Complete |
$10,887.84
|
Rate for Payer: Mclaren Medicaid |
$10,369.37
|
Rate for Payer: Meridian Medicaid |
$10,887.84
|
Rate for Payer: Priority Health Choice Medicaid |
$10,369.37
|
|
INPATIENT APRDRG 1341: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,331.84
|
|
Service Code
|
APR-DRG 1341
|
Hospital Charge Code |
APRDRG 1341
|
Min. Negotiated Rate |
$3,173.18 |
Max. Negotiated Rate |
$3,331.84 |
Rate for Payer: BCBS Complete |
$3,331.84
|
Rate for Payer: Mclaren Medicaid |
$3,173.18
|
Rate for Payer: Meridian Medicaid |
$3,331.84
|
Rate for Payer: Priority Health Choice Medicaid |
$3,173.18
|
|
INPATIENT APRDRG 1342: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,141.22
|
|
Service Code
|
APR-DRG 1342
|
Hospital Charge Code |
APRDRG 1342
|
Min. Negotiated Rate |
$3,944.02 |
Max. Negotiated Rate |
$4,141.22 |
Rate for Payer: BCBS Complete |
$4,141.22
|
Rate for Payer: Mclaren Medicaid |
$3,944.02
|
Rate for Payer: Meridian Medicaid |
$4,141.22
|
Rate for Payer: Priority Health Choice Medicaid |
$3,944.02
|
|
INPATIENT APRDRG 1343: PULMONARY EMBOLISM
|
Facility
|
IP
|
$6,377.98
|
|
Service Code
|
APR-DRG 1343
|
Hospital Charge Code |
APRDRG 1343
|
Min. Negotiated Rate |
$6,074.27 |
Max. Negotiated Rate |
$6,377.98 |
Rate for Payer: BCBS Complete |
$6,377.98
|
Rate for Payer: Mclaren Medicaid |
$6,074.27
|
Rate for Payer: Meridian Medicaid |
$6,377.98
|
Rate for Payer: Priority Health Choice Medicaid |
$6,074.27
|
|
INPATIENT APRDRG 1344: PULMONARY EMBOLISM
|
Facility
|
IP
|
$9,962.99
|
|
Service Code
|
APR-DRG 1344
|
Hospital Charge Code |
APRDRG 1344
|
Min. Negotiated Rate |
$9,488.56 |
Max. Negotiated Rate |
$9,962.99 |
Rate for Payer: BCBS Complete |
$9,962.99
|
Rate for Payer: Mclaren Medicaid |
$9,488.56
|
Rate for Payer: Meridian Medicaid |
$9,962.99
|
Rate for Payer: Priority Health Choice Medicaid |
$9,488.56
|
|
INPATIENT APRDRG 1351: MAJOR CHEST & RESPIRAZORY TRAUMA
|
Facility
|
IP
|
$4,673.04
|
|
Service Code
|
APR-DRG 1351
|
Hospital Charge Code |
APRDRG 1351
|
Min. Negotiated Rate |
$4,450.51 |
Max. Negotiated Rate |
$4,673.04 |
Rate for Payer: BCBS Complete |
$4,673.04
|
Rate for Payer: Mclaren Medicaid |
$4,450.51
|
Rate for Payer: Meridian Medicaid |
$4,673.04
|
Rate for Payer: Priority Health Choice Medicaid |
$4,450.51
|
|
INPATIENT APRDRG 1352: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,209.72
|
|
Service Code
|
APR-DRG 1352
|
Hospital Charge Code |
APRDRG 1352
|
Min. Negotiated Rate |
$4,961.64 |
Max. Negotiated Rate |
$5,209.72 |
Rate for Payer: BCBS Complete |
$5,209.72
|
Rate for Payer: Mclaren Medicaid |
$4,961.64
|
Rate for Payer: Meridian Medicaid |
$5,209.72
|
Rate for Payer: Priority Health Choice Medicaid |
$4,961.64
|
|
INPATIENT APRDRG 1353: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$7,182.48
|
|
Service Code
|
APR-DRG 1353
|
Hospital Charge Code |
APRDRG 1353
|
Min. Negotiated Rate |
$6,840.46 |
Max. Negotiated Rate |
$7,182.48 |
Rate for Payer: BCBS Complete |
$7,182.48
|
Rate for Payer: Mclaren Medicaid |
$6,840.46
|
Rate for Payer: Meridian Medicaid |
$7,182.48
|
Rate for Payer: Priority Health Choice Medicaid |
$6,840.46
|
|
INPATIENT APRDRG 1354: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$11,264.61
|
|
Service Code
|
APR-DRG 1354
|
Hospital Charge Code |
APRDRG 1354
|
Min. Negotiated Rate |
$10,728.20 |
Max. Negotiated Rate |
$11,264.61 |
Rate for Payer: BCBS Complete |
$11,264.61
|
Rate for Payer: Mclaren Medicaid |
$10,728.20
|
Rate for Payer: Meridian Medicaid |
$11,264.61
|
Rate for Payer: Priority Health Choice Medicaid |
$10,728.20
|
|