INPATIENT APRDRG 1422: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,570.58
|
|
Service Code
|
APR-DRG 1422
|
Hospital Charge Code |
APRDRG 1422
|
Min. Negotiated Rate |
$4,352.93 |
Max. Negotiated Rate |
$4,570.58 |
Rate for Payer: BCBS Complete |
$4,570.58
|
Rate for Payer: Mclaren Medicaid |
$4,352.93
|
Rate for Payer: Meridian Medicaid |
$4,570.58
|
Rate for Payer: Priority Health Choice Medicaid |
$4,352.93
|
|
INPATIENT APRDRG 1423: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$6,283.12
|
|
Service Code
|
APR-DRG 1423
|
Hospital Charge Code |
APRDRG 1423
|
Min. Negotiated Rate |
$5,983.92 |
Max. Negotiated Rate |
$6,283.12 |
Rate for Payer: BCBS Complete |
$6,283.12
|
Rate for Payer: Mclaren Medicaid |
$5,983.92
|
Rate for Payer: Meridian Medicaid |
$6,283.12
|
Rate for Payer: Priority Health Choice Medicaid |
$5,983.92
|
|
INPATIENT APRDRG 1424: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$10,171.71
|
|
Service Code
|
APR-DRG 1424
|
Hospital Charge Code |
APRDRG 1424
|
Min. Negotiated Rate |
$9,687.34 |
Max. Negotiated Rate |
$10,171.71 |
Rate for Payer: BCBS Complete |
$10,171.71
|
Rate for Payer: Mclaren Medicaid |
$9,687.34
|
Rate for Payer: Meridian Medicaid |
$10,171.71
|
Rate for Payer: Priority Health Choice Medicaid |
$9,687.34
|
|
INPATIENT APRDRG 1431: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$3,421.29
|
|
Service Code
|
APR-DRG 1431
|
Hospital Charge Code |
APRDRG 1431
|
Min. Negotiated Rate |
$3,258.37 |
Max. Negotiated Rate |
$3,421.29 |
Rate for Payer: BCBS Complete |
$3,421.29
|
Rate for Payer: Mclaren Medicaid |
$3,258.37
|
Rate for Payer: Meridian Medicaid |
$3,421.29
|
Rate for Payer: Priority Health Choice Medicaid |
$3,258.37
|
|
INPATIENT APRDRG 1432: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$5,028.11
|
|
Service Code
|
APR-DRG 1432
|
Hospital Charge Code |
APRDRG 1432
|
Min. Negotiated Rate |
$4,788.68 |
Max. Negotiated Rate |
$5,028.11 |
Rate for Payer: BCBS Complete |
$5,028.11
|
Rate for Payer: Mclaren Medicaid |
$4,788.68
|
Rate for Payer: Meridian Medicaid |
$5,028.11
|
Rate for Payer: Priority Health Choice Medicaid |
$4,788.68
|
|
INPATIENT APRDRG 1433: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$7,095.20
|
|
Service Code
|
APR-DRG 1433
|
Hospital Charge Code |
APRDRG 1433
|
Min. Negotiated Rate |
$6,757.33 |
Max. Negotiated Rate |
$7,095.20 |
Rate for Payer: BCBS Complete |
$7,095.20
|
Rate for Payer: Mclaren Medicaid |
$6,757.33
|
Rate for Payer: Meridian Medicaid |
$7,095.20
|
Rate for Payer: Priority Health Choice Medicaid |
$6,757.33
|
|
INPATIENT APRDRG 1434: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$10,152.73
|
|
Service Code
|
APR-DRG 1434
|
Hospital Charge Code |
APRDRG 1434
|
Min. Negotiated Rate |
$9,669.27 |
Max. Negotiated Rate |
$10,152.73 |
Rate for Payer: BCBS Complete |
$10,152.73
|
Rate for Payer: Mclaren Medicaid |
$9,669.27
|
Rate for Payer: Meridian Medicaid |
$10,152.73
|
Rate for Payer: Priority Health Choice Medicaid |
$9,669.27
|
|
INPATIENT APRDRG 1441: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$2,999.52
|
|
Service Code
|
APR-DRG 1441
|
Hospital Charge Code |
APRDRG 1441
|
Min. Negotiated Rate |
$2,856.69 |
Max. Negotiated Rate |
$2,999.52 |
Rate for Payer: BCBS Complete |
$2,999.52
|
Rate for Payer: Mclaren Medicaid |
$2,856.69
|
Rate for Payer: Meridian Medicaid |
$2,999.52
|
Rate for Payer: Priority Health Choice Medicaid |
$2,856.69
|
|
INPATIENT APRDRG 1442: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,585.21
|
|
Service Code
|
APR-DRG 1442
|
Hospital Charge Code |
APRDRG 1442
|
Min. Negotiated Rate |
$4,366.87 |
Max. Negotiated Rate |
$4,585.21 |
Rate for Payer: BCBS Complete |
$4,585.21
|
Rate for Payer: Mclaren Medicaid |
$4,366.87
|
Rate for Payer: Meridian Medicaid |
$4,585.21
|
Rate for Payer: Priority Health Choice Medicaid |
$4,366.87
|
|
INPATIENT APRDRG 1443: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,546.58
|
|
Service Code
|
APR-DRG 1443
|
Hospital Charge Code |
APRDRG 1443
|
Min. Negotiated Rate |
$6,234.84 |
Max. Negotiated Rate |
$6,546.58 |
Rate for Payer: BCBS Complete |
$6,546.58
|
Rate for Payer: Mclaren Medicaid |
$6,234.84
|
Rate for Payer: Meridian Medicaid |
$6,546.58
|
Rate for Payer: Priority Health Choice Medicaid |
$6,234.84
|
|
INPATIENT APRDRG 1444: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$10,495.88
|
|
Service Code
|
APR-DRG 1444
|
Hospital Charge Code |
APRDRG 1444
|
Min. Negotiated Rate |
$9,996.08 |
Max. Negotiated Rate |
$10,495.88 |
Rate for Payer: BCBS Complete |
$10,495.88
|
Rate for Payer: Mclaren Medicaid |
$9,996.08
|
Rate for Payer: Meridian Medicaid |
$10,495.88
|
Rate for Payer: Priority Health Choice Medicaid |
$9,996.08
|
|
INPATIENT APRDRG 1451: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,103.06
|
|
Service Code
|
APR-DRG 1451
|
Hospital Charge Code |
APRDRG 1451
|
Min. Negotiated Rate |
$2,955.30 |
Max. Negotiated Rate |
$3,103.06 |
Rate for Payer: BCBS Complete |
$3,103.06
|
Rate for Payer: Mclaren Medicaid |
$2,955.30
|
Rate for Payer: Meridian Medicaid |
$3,103.06
|
Rate for Payer: Priority Health Choice Medicaid |
$2,955.30
|
|
INPATIENT APRDRG 1452: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,854.98
|
|
Service Code
|
APR-DRG 1452
|
Hospital Charge Code |
APRDRG 1452
|
Min. Negotiated Rate |
$3,671.41 |
Max. Negotiated Rate |
$3,854.98 |
Rate for Payer: BCBS Complete |
$3,854.98
|
Rate for Payer: Mclaren Medicaid |
$3,671.41
|
Rate for Payer: Meridian Medicaid |
$3,854.98
|
Rate for Payer: Priority Health Choice Medicaid |
$3,671.41
|
|
INPATIENT APRDRG 1453: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$5,025.40
|
|
Service Code
|
APR-DRG 1453
|
Hospital Charge Code |
APRDRG 1453
|
Min. Negotiated Rate |
$4,786.10 |
Max. Negotiated Rate |
$5,025.40 |
Rate for Payer: BCBS Complete |
$5,025.40
|
Rate for Payer: Mclaren Medicaid |
$4,786.10
|
Rate for Payer: Meridian Medicaid |
$5,025.40
|
Rate for Payer: Priority Health Choice Medicaid |
$4,786.10
|
|
INPATIENT APRDRG 1454: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$9,044.10
|
|
Service Code
|
APR-DRG 1454
|
Hospital Charge Code |
APRDRG 1454
|
Min. Negotiated Rate |
$8,613.43 |
Max. Negotiated Rate |
$9,044.10 |
Rate for Payer: BCBS Complete |
$9,044.10
|
Rate for Payer: Mclaren Medicaid |
$8,613.43
|
Rate for Payer: Meridian Medicaid |
$9,044.10
|
Rate for Payer: Priority Health Choice Medicaid |
$8,613.43
|
|
INPATIENT APRDRG 1601: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$24,403.85
|
|
Service Code
|
APR-DRG 1601
|
Hospital Charge Code |
APRDRG 1601
|
Min. Negotiated Rate |
$23,241.76 |
Max. Negotiated Rate |
$24,403.85 |
Rate for Payer: BCBS Complete |
$24,403.85
|
Rate for Payer: Mclaren Medicaid |
$23,241.76
|
Rate for Payer: Meridian Medicaid |
$24,403.85
|
Rate for Payer: Priority Health Choice Medicaid |
$23,241.76
|
|
INPATIENT APRDRG 1602: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$31,122.82
|
|
Service Code
|
APR-DRG 1602
|
Hospital Charge Code |
APRDRG 1602
|
Min. Negotiated Rate |
$29,640.78 |
Max. Negotiated Rate |
$31,122.82 |
Rate for Payer: BCBS Complete |
$31,122.82
|
Rate for Payer: Mclaren Medicaid |
$29,640.78
|
Rate for Payer: Meridian Medicaid |
$31,122.82
|
Rate for Payer: Priority Health Choice Medicaid |
$29,640.78
|
|
INPATIENT APRDRG 1603: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$47,055.04
|
|
Service Code
|
APR-DRG 1603
|
Hospital Charge Code |
APRDRG 1603
|
Min. Negotiated Rate |
$44,814.32 |
Max. Negotiated Rate |
$47,055.04 |
Rate for Payer: BCBS Complete |
$47,055.04
|
Rate for Payer: Mclaren Medicaid |
$44,814.32
|
Rate for Payer: Meridian Medicaid |
$47,055.04
|
Rate for Payer: Priority Health Choice Medicaid |
$44,814.32
|
|
INPATIENT APRDRG 1604: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$90,411.23
|
|
Service Code
|
APR-DRG 1604
|
Hospital Charge Code |
APRDRG 1604
|
Min. Negotiated Rate |
$86,105.93 |
Max. Negotiated Rate |
$90,411.23 |
Rate for Payer: BCBS Complete |
$90,411.23
|
Rate for Payer: Mclaren Medicaid |
$86,105.93
|
Rate for Payer: Meridian Medicaid |
$90,411.23
|
Rate for Payer: Priority Health Choice Medicaid |
$86,105.93
|
|
INPATIENT APRDRG 1611: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$67,615.30
|
|
Service Code
|
APR-DRG 1611
|
Hospital Charge Code |
APRDRG 1611
|
Min. Negotiated Rate |
$64,395.52 |
Max. Negotiated Rate |
$67,615.30 |
Rate for Payer: BCBS Complete |
$67,615.30
|
Rate for Payer: Mclaren Medicaid |
$64,395.52
|
Rate for Payer: Meridian Medicaid |
$67,615.30
|
Rate for Payer: Priority Health Choice Medicaid |
$64,395.52
|
|
INPATIENT APRDRG 1612: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$81,582.34
|
|
Service Code
|
APR-DRG 1612
|
Hospital Charge Code |
APRDRG 1612
|
Min. Negotiated Rate |
$77,697.47 |
Max. Negotiated Rate |
$81,582.34 |
Rate for Payer: BCBS Complete |
$81,582.34
|
Rate for Payer: Mclaren Medicaid |
$77,697.47
|
Rate for Payer: Meridian Medicaid |
$81,582.34
|
Rate for Payer: Priority Health Choice Medicaid |
$77,697.47
|
|
INPATIENT APRDRG 1613: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$84,986.29
|
|
Service Code
|
APR-DRG 1613
|
Hospital Charge Code |
APRDRG 1613
|
Min. Negotiated Rate |
$80,939.32 |
Max. Negotiated Rate |
$84,986.29 |
Rate for Payer: BCBS Complete |
$84,986.29
|
Rate for Payer: Mclaren Medicaid |
$80,939.32
|
Rate for Payer: Meridian Medicaid |
$84,986.29
|
Rate for Payer: Priority Health Choice Medicaid |
$80,939.32
|
|
INPATIENT APRDRG 1614: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$163,465.56
|
|
Service Code
|
APR-DRG 1614
|
Hospital Charge Code |
APRDRG 1614
|
Min. Negotiated Rate |
$155,681.49 |
Max. Negotiated Rate |
$163,465.56 |
Rate for Payer: BCBS Complete |
$163,465.56
|
Rate for Payer: Mclaren Medicaid |
$155,681.49
|
Rate for Payer: Meridian Medicaid |
$163,465.56
|
Rate for Payer: Priority Health Choice Medicaid |
$155,681.49
|
|
INPATIENT APRDRG 1621: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$25,785.15
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG 1621
|
Min. Negotiated Rate |
$24,557.29 |
Max. Negotiated Rate |
$25,785.15 |
Rate for Payer: BCBS Complete |
$25,785.15
|
Rate for Payer: Mclaren Medicaid |
$24,557.29
|
Rate for Payer: Meridian Medicaid |
$25,785.15
|
Rate for Payer: Priority Health Choice Medicaid |
$24,557.29
|
|
INPATIENT APRDRG 1622: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$30,042.93
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG 1622
|
Min. Negotiated Rate |
$28,612.31 |
Max. Negotiated Rate |
$30,042.93 |
Rate for Payer: BCBS Complete |
$30,042.93
|
Rate for Payer: Mclaren Medicaid |
$28,612.31
|
Rate for Payer: Meridian Medicaid |
$30,042.93
|
Rate for Payer: Priority Health Choice Medicaid |
$28,612.31
|
|