INPATIENT APRDRG 1623: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$36,763.52
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG 1623
|
Min. Negotiated Rate |
$35,012.88 |
Max. Negotiated Rate |
$36,763.52 |
Rate for Payer: BCBS Complete |
$36,763.52
|
Rate for Payer: Mclaren Medicaid |
$35,012.88
|
Rate for Payer: Meridian Medicaid |
$36,763.52
|
Rate for Payer: Priority Health Choice Medicaid |
$35,012.88
|
|
INPATIENT APRDRG 1624: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$53,848.83
|
|
Service Code
|
APR-DRG 1624
|
Hospital Charge Code |
APRDRG 1624
|
Min. Negotiated Rate |
$51,284.60 |
Max. Negotiated Rate |
$53,848.83 |
Rate for Payer: BCBS Complete |
$53,848.83
|
Rate for Payer: Mclaren Medicaid |
$51,284.60
|
Rate for Payer: Meridian Medicaid |
$53,848.83
|
Rate for Payer: Priority Health Choice Medicaid |
$51,284.60
|
|
INPATIENT APRDRG 1631: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$21,355.54
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG 1631
|
Min. Negotiated Rate |
$20,338.61 |
Max. Negotiated Rate |
$21,355.54 |
Rate for Payer: BCBS Complete |
$21,355.54
|
Rate for Payer: Mclaren Medicaid |
$20,338.61
|
Rate for Payer: Meridian Medicaid |
$21,355.54
|
Rate for Payer: Priority Health Choice Medicaid |
$20,338.61
|
|
INPATIENT APRDRG 1632: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$22,226.17
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG 1632
|
Min. Negotiated Rate |
$21,167.78 |
Max. Negotiated Rate |
$22,226.17 |
Rate for Payer: BCBS Complete |
$22,226.17
|
Rate for Payer: Mclaren Medicaid |
$21,167.78
|
Rate for Payer: Meridian Medicaid |
$22,226.17
|
Rate for Payer: Priority Health Choice Medicaid |
$21,167.78
|
|
INPATIENT APRDRG 1633: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$29,329.50
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG 1633
|
Min. Negotiated Rate |
$27,932.86 |
Max. Negotiated Rate |
$29,329.50 |
Rate for Payer: BCBS Complete |
$29,329.50
|
Rate for Payer: Mclaren Medicaid |
$27,932.86
|
Rate for Payer: Meridian Medicaid |
$29,329.50
|
Rate for Payer: Priority Health Choice Medicaid |
$27,932.86
|
|
INPATIENT APRDRG 1634: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$48,903.66
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG 1634
|
Min. Negotiated Rate |
$46,574.91 |
Max. Negotiated Rate |
$48,903.66 |
Rate for Payer: BCBS Complete |
$48,903.66
|
Rate for Payer: Mclaren Medicaid |
$46,574.91
|
Rate for Payer: Meridian Medicaid |
$48,903.66
|
Rate for Payer: Priority Health Choice Medicaid |
$46,574.91
|
|
INPATIENT APRDRG 1651: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$21,051.41
|
|
Service Code
|
APR-DRG 1651
|
Hospital Charge Code |
APRDRG 1651
|
Min. Negotiated Rate |
$20,048.96 |
Max. Negotiated Rate |
$21,051.41 |
Rate for Payer: BCBS Complete |
$21,051.41
|
Rate for Payer: Mclaren Medicaid |
$20,048.96
|
Rate for Payer: Meridian Medicaid |
$21,051.41
|
Rate for Payer: Priority Health Choice Medicaid |
$20,048.96
|
|
INPATIENT APRDRG 1652: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$23,822.70
|
|
Service Code
|
APR-DRG 1652
|
Hospital Charge Code |
APRDRG 1652
|
Min. Negotiated Rate |
$22,688.29 |
Max. Negotiated Rate |
$23,822.70 |
Rate for Payer: BCBS Complete |
$23,822.70
|
Rate for Payer: Mclaren Medicaid |
$22,688.29
|
Rate for Payer: Meridian Medicaid |
$23,822.70
|
Rate for Payer: Priority Health Choice Medicaid |
$22,688.29
|
|
INPATIENT APRDRG 1653: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$29,619.53
|
|
Service Code
|
APR-DRG 1653
|
Hospital Charge Code |
APRDRG 1653
|
Min. Negotiated Rate |
$28,209.08 |
Max. Negotiated Rate |
$29,619.53 |
Rate for Payer: BCBS Complete |
$29,619.53
|
Rate for Payer: Mclaren Medicaid |
$28,209.08
|
Rate for Payer: Meridian Medicaid |
$29,619.53
|
Rate for Payer: Priority Health Choice Medicaid |
$28,209.08
|
|
INPATIENT APRDRG 1654: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$36,636.13
|
|
Service Code
|
APR-DRG 1654
|
Hospital Charge Code |
APRDRG 1654
|
Min. Negotiated Rate |
$34,891.55 |
Max. Negotiated Rate |
$36,636.13 |
Rate for Payer: BCBS Complete |
$36,636.13
|
Rate for Payer: Mclaren Medicaid |
$34,891.55
|
Rate for Payer: Meridian Medicaid |
$36,636.13
|
Rate for Payer: Priority Health Choice Medicaid |
$34,891.55
|
|
INPATIENT APRDRG 1661: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$16,771.41
|
|
Service Code
|
APR-DRG 1661
|
Hospital Charge Code |
APRDRG 1661
|
Min. Negotiated Rate |
$15,972.77 |
Max. Negotiated Rate |
$16,771.41 |
Rate for Payer: BCBS Complete |
$16,771.41
|
Rate for Payer: Mclaren Medicaid |
$15,972.77
|
Rate for Payer: Meridian Medicaid |
$16,771.41
|
Rate for Payer: Priority Health Choice Medicaid |
$15,972.77
|
|
INPATIENT APRDRG 1662: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$19,955.25
|
|
Service Code
|
APR-DRG 1662
|
Hospital Charge Code |
APRDRG 1662
|
Min. Negotiated Rate |
$19,005.00 |
Max. Negotiated Rate |
$19,955.25 |
Rate for Payer: BCBS Complete |
$19,955.25
|
Rate for Payer: Mclaren Medicaid |
$19,005.00
|
Rate for Payer: Meridian Medicaid |
$19,955.25
|
Rate for Payer: Priority Health Choice Medicaid |
$19,005.00
|
|
INPATIENT APRDRG 1663: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$21,413.54
|
|
Service Code
|
APR-DRG 1663
|
Hospital Charge Code |
APRDRG 1663
|
Min. Negotiated Rate |
$20,393.85 |
Max. Negotiated Rate |
$21,413.54 |
Rate for Payer: BCBS Complete |
$21,413.54
|
Rate for Payer: Mclaren Medicaid |
$20,393.85
|
Rate for Payer: Meridian Medicaid |
$21,413.54
|
Rate for Payer: Priority Health Choice Medicaid |
$20,393.85
|
|
INPATIENT APRDRG 1664: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$36,854.07
|
|
Service Code
|
APR-DRG 1664
|
Hospital Charge Code |
APRDRG 1664
|
Min. Negotiated Rate |
$35,099.11 |
Max. Negotiated Rate |
$36,854.07 |
Rate for Payer: BCBS Complete |
$36,854.07
|
Rate for Payer: Mclaren Medicaid |
$35,099.11
|
Rate for Payer: Meridian Medicaid |
$36,854.07
|
Rate for Payer: Priority Health Choice Medicaid |
$35,099.11
|
|
INPATIENT APRDRG 1671: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,813.97
|
|
Service Code
|
APR-DRG 1671
|
Hospital Charge Code |
APRDRG 1671
|
Min. Negotiated Rate |
$12,203.78 |
Max. Negotiated Rate |
$12,813.97 |
Rate for Payer: BCBS Complete |
$12,813.97
|
Rate for Payer: Mclaren Medicaid |
$12,203.78
|
Rate for Payer: Meridian Medicaid |
$12,813.97
|
Rate for Payer: Priority Health Choice Medicaid |
$12,203.78
|
|
INPATIENT APRDRG 1672: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,793.23
|
|
Service Code
|
APR-DRG 1672
|
Hospital Charge Code |
APRDRG 1672
|
Min. Negotiated Rate |
$14,088.79 |
Max. Negotiated Rate |
$14,793.23 |
Rate for Payer: BCBS Complete |
$14,793.23
|
Rate for Payer: Mclaren Medicaid |
$14,088.79
|
Rate for Payer: Meridian Medicaid |
$14,793.23
|
Rate for Payer: Priority Health Choice Medicaid |
$14,088.79
|
|
INPATIENT APRDRG 1673: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,919.94
|
|
Service Code
|
APR-DRG 1673
|
Hospital Charge Code |
APRDRG 1673
|
Min. Negotiated Rate |
$23,733.28 |
Max. Negotiated Rate |
$24,919.94 |
Rate for Payer: BCBS Complete |
$24,919.94
|
Rate for Payer: Mclaren Medicaid |
$23,733.28
|
Rate for Payer: Meridian Medicaid |
$24,919.94
|
Rate for Payer: Priority Health Choice Medicaid |
$23,733.28
|
|
INPATIENT APRDRG 1674: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$50,162.98
|
|
Service Code
|
APR-DRG 1674
|
Hospital Charge Code |
APRDRG 1674
|
Min. Negotiated Rate |
$47,774.27 |
Max. Negotiated Rate |
$50,162.98 |
Rate for Payer: BCBS Complete |
$50,162.98
|
Rate for Payer: Mclaren Medicaid |
$47,774.27
|
Rate for Payer: Meridian Medicaid |
$50,162.98
|
Rate for Payer: Priority Health Choice Medicaid |
$47,774.27
|
|
INPATIENT APRDRG 1691: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,251.18
|
|
Service Code
|
APR-DRG 1691
|
Hospital Charge Code |
APRDRG 1691
|
Min. Negotiated Rate |
$16,429.70 |
Max. Negotiated Rate |
$17,251.18 |
Rate for Payer: BCBS Complete |
$17,251.18
|
Rate for Payer: Mclaren Medicaid |
$16,429.70
|
Rate for Payer: Meridian Medicaid |
$17,251.18
|
Rate for Payer: Priority Health Choice Medicaid |
$16,429.70
|
|
INPATIENT APRDRG 1692: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,067.40
|
|
Service Code
|
APR-DRG 1692
|
Hospital Charge Code |
APRDRG 1692
|
Min. Negotiated Rate |
$16,254.67 |
Max. Negotiated Rate |
$17,067.40 |
Rate for Payer: BCBS Complete |
$17,067.40
|
Rate for Payer: Mclaren Medicaid |
$16,254.67
|
Rate for Payer: Meridian Medicaid |
$17,067.40
|
Rate for Payer: Priority Health Choice Medicaid |
$16,254.67
|
|
INPATIENT APRDRG 1693: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,103.52
|
|
Service Code
|
APR-DRG 1693
|
Hospital Charge Code |
APRDRG 1693
|
Min. Negotiated Rate |
$22,955.73 |
Max. Negotiated Rate |
$24,103.52 |
Rate for Payer: BCBS Complete |
$24,103.52
|
Rate for Payer: Mclaren Medicaid |
$22,955.73
|
Rate for Payer: Meridian Medicaid |
$24,103.52
|
Rate for Payer: Priority Health Choice Medicaid |
$22,955.73
|
|
INPATIENT APRDRG 1694: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$33,386.16
|
|
Service Code
|
APR-DRG 1694
|
Hospital Charge Code |
APRDRG 1694
|
Min. Negotiated Rate |
$31,796.34 |
Max. Negotiated Rate |
$33,386.16 |
Rate for Payer: BCBS Complete |
$33,386.16
|
Rate for Payer: Mclaren Medicaid |
$31,796.34
|
Rate for Payer: Meridian Medicaid |
$33,386.16
|
Rate for Payer: Priority Health Choice Medicaid |
$31,796.34
|
|
INPATIENT APRDRG 1701: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,866.90
|
|
Service Code
|
APR-DRG 1701
|
Hospital Charge Code |
APRDRG 1701
|
Min. Negotiated Rate |
$11,301.81 |
Max. Negotiated Rate |
$11,866.90 |
Rate for Payer: BCBS Complete |
$11,866.90
|
Rate for Payer: Mclaren Medicaid |
$11,301.81
|
Rate for Payer: Meridian Medicaid |
$11,866.90
|
Rate for Payer: Priority Health Choice Medicaid |
$11,301.81
|
|
INPATIENT APRDRG 1702: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$14,771.55
|
|
Service Code
|
APR-DRG 1702
|
Hospital Charge Code |
APRDRG 1702
|
Min. Negotiated Rate |
$14,068.14 |
Max. Negotiated Rate |
$14,771.55 |
Rate for Payer: BCBS Complete |
$14,771.55
|
Rate for Payer: Mclaren Medicaid |
$14,068.14
|
Rate for Payer: Meridian Medicaid |
$14,771.55
|
Rate for Payer: Priority Health Choice Medicaid |
$14,068.14
|
|
INPATIENT APRDRG 1703: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$21,492.69
|
|
Service Code
|
APR-DRG 1703
|
Hospital Charge Code |
APRDRG 1703
|
Min. Negotiated Rate |
$20,469.23 |
Max. Negotiated Rate |
$21,492.69 |
Rate for Payer: BCBS Complete |
$21,492.69
|
Rate for Payer: Mclaren Medicaid |
$20,469.23
|
Rate for Payer: Meridian Medicaid |
$21,492.69
|
Rate for Payer: Priority Health Choice Medicaid |
$20,469.23
|
|