INPATIENT APRDRG 1704: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$30,379.04
|
|
Service Code
|
APR-DRG 1704
|
Hospital Charge Code |
APRDRG 1704
|
Min. Negotiated Rate |
$28,932.42 |
Max. Negotiated Rate |
$30,379.04 |
Rate for Payer: BCBS Complete |
$30,379.04
|
Rate for Payer: Mclaren Medicaid |
$28,932.42
|
Rate for Payer: Meridian Medicaid |
$30,379.04
|
Rate for Payer: Priority Health Choice Medicaid |
$28,932.42
|
|
INPATIENT APRDRG 1711: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,928.83
|
|
Service Code
|
APR-DRG 1711
|
Hospital Charge Code |
APRDRG 1711
|
Min. Negotiated Rate |
$9,456.03 |
Max. Negotiated Rate |
$9,928.83 |
Rate for Payer: BCBS Complete |
$9,928.83
|
Rate for Payer: Mclaren Medicaid |
$9,456.03
|
Rate for Payer: Meridian Medicaid |
$9,928.83
|
Rate for Payer: Priority Health Choice Medicaid |
$9,456.03
|
|
INPATIENT APRDRG 1712: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,792.09
|
|
Service Code
|
APR-DRG 1712
|
Hospital Charge Code |
APRDRG 1712
|
Min. Negotiated Rate |
$11,230.56 |
Max. Negotiated Rate |
$11,792.09 |
Rate for Payer: BCBS Complete |
$11,792.09
|
Rate for Payer: Mclaren Medicaid |
$11,230.56
|
Rate for Payer: Meridian Medicaid |
$11,792.09
|
Rate for Payer: Priority Health Choice Medicaid |
$11,230.56
|
|
INPATIENT APRDRG 1713: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,944.14
|
|
Service Code
|
APR-DRG 1713
|
Hospital Charge Code |
APRDRG 1713
|
Min. Negotiated Rate |
$15,184.90 |
Max. Negotiated Rate |
$15,944.14 |
Rate for Payer: BCBS Complete |
$15,944.14
|
Rate for Payer: Mclaren Medicaid |
$15,184.90
|
Rate for Payer: Meridian Medicaid |
$15,944.14
|
Rate for Payer: Priority Health Choice Medicaid |
$15,184.90
|
|
INPATIENT APRDRG 1714: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$23,281.12
|
|
Service Code
|
APR-DRG 1714
|
Hospital Charge Code |
APRDRG 1714
|
Min. Negotiated Rate |
$22,172.50 |
Max. Negotiated Rate |
$23,281.12 |
Rate for Payer: BCBS Complete |
$23,281.12
|
Rate for Payer: Mclaren Medicaid |
$22,172.50
|
Rate for Payer: Meridian Medicaid |
$23,281.12
|
Rate for Payer: Priority Health Choice Medicaid |
$22,172.50
|
|
INPATIENT APRDRG 1741: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$10,624.37
|
|
Service Code
|
APR-DRG 1741
|
Hospital Charge Code |
APRDRG 1741
|
Min. Negotiated Rate |
$10,118.45 |
Max. Negotiated Rate |
$10,624.37 |
Rate for Payer: BCBS Complete |
$10,624.37
|
Rate for Payer: Mclaren Medicaid |
$10,118.45
|
Rate for Payer: Meridian Medicaid |
$10,624.37
|
Rate for Payer: Priority Health Choice Medicaid |
$10,118.45
|
|
INPATIENT APRDRG 1742: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$11,575.78
|
|
Service Code
|
APR-DRG 1742
|
Hospital Charge Code |
APRDRG 1742
|
Min. Negotiated Rate |
$11,024.55 |
Max. Negotiated Rate |
$11,575.78 |
Rate for Payer: BCBS Complete |
$11,575.78
|
Rate for Payer: Mclaren Medicaid |
$11,024.55
|
Rate for Payer: Meridian Medicaid |
$11,575.78
|
Rate for Payer: Priority Health Choice Medicaid |
$11,024.55
|
|
INPATIENT APRDRG 1743: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$14,079.27
|
|
Service Code
|
APR-DRG 1743
|
Hospital Charge Code |
APRDRG 1743
|
Min. Negotiated Rate |
$13,408.83 |
Max. Negotiated Rate |
$14,079.27 |
Rate for Payer: BCBS Complete |
$14,079.27
|
Rate for Payer: Mclaren Medicaid |
$13,408.83
|
Rate for Payer: Meridian Medicaid |
$14,079.27
|
Rate for Payer: Priority Health Choice Medicaid |
$13,408.83
|
|
INPATIENT APRDRG 1744: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$21,299.70
|
|
Service Code
|
APR-DRG 1744
|
Hospital Charge Code |
APRDRG 1744
|
Min. Negotiated Rate |
$20,285.43 |
Max. Negotiated Rate |
$21,299.70 |
Rate for Payer: BCBS Complete |
$21,299.70
|
Rate for Payer: Mclaren Medicaid |
$20,285.43
|
Rate for Payer: Meridian Medicaid |
$21,299.70
|
Rate for Payer: Priority Health Choice Medicaid |
$20,285.43
|
|
INPATIENT APRDRG 1751: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$9,472.38
|
|
Service Code
|
APR-DRG 1751
|
Hospital Charge Code |
APRDRG 1751
|
Min. Negotiated Rate |
$9,021.31 |
Max. Negotiated Rate |
$9,472.38 |
Rate for Payer: BCBS Complete |
$9,472.38
|
Rate for Payer: Mclaren Medicaid |
$9,021.31
|
Rate for Payer: Meridian Medicaid |
$9,472.38
|
Rate for Payer: Priority Health Choice Medicaid |
$9,021.31
|
|
INPATIENT APRDRG 1752: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$10,638.46
|
|
Service Code
|
APR-DRG 1752
|
Hospital Charge Code |
APRDRG 1752
|
Min. Negotiated Rate |
$10,131.87 |
Max. Negotiated Rate |
$10,638.46 |
Rate for Payer: BCBS Complete |
$10,638.46
|
Rate for Payer: Mclaren Medicaid |
$10,131.87
|
Rate for Payer: Meridian Medicaid |
$10,638.46
|
Rate for Payer: Priority Health Choice Medicaid |
$10,131.87
|
|
INPATIENT APRDRG 1753: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$14,044.57
|
|
Service Code
|
APR-DRG 1753
|
Hospital Charge Code |
APRDRG 1753
|
Min. Negotiated Rate |
$13,375.78 |
Max. Negotiated Rate |
$14,044.57 |
Rate for Payer: BCBS Complete |
$14,044.57
|
Rate for Payer: Mclaren Medicaid |
$13,375.78
|
Rate for Payer: Meridian Medicaid |
$14,044.57
|
Rate for Payer: Priority Health Choice Medicaid |
$13,375.78
|
|
INPATIENT APRDRG 1754: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$23,831.38
|
|
Service Code
|
APR-DRG 1754
|
Hospital Charge Code |
APRDRG 1754
|
Min. Negotiated Rate |
$22,696.55 |
Max. Negotiated Rate |
$23,831.38 |
Rate for Payer: BCBS Complete |
$23,831.38
|
Rate for Payer: Mclaren Medicaid |
$22,696.55
|
Rate for Payer: Meridian Medicaid |
$23,831.38
|
Rate for Payer: Priority Health Choice Medicaid |
$22,696.55
|
|
INPATIENT APRDRG 1761: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$9,513.58
|
|
Service Code
|
APR-DRG 1761
|
Hospital Charge Code |
APRDRG 1761
|
Min. Negotiated Rate |
$9,060.55 |
Max. Negotiated Rate |
$9,513.58 |
Rate for Payer: BCBS Complete |
$9,513.58
|
Rate for Payer: Mclaren Medicaid |
$9,060.55
|
Rate for Payer: Meridian Medicaid |
$9,513.58
|
Rate for Payer: Priority Health Choice Medicaid |
$9,060.55
|
|
INPATIENT APRDRG 1762: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$18,232.41
|
|
Service Code
|
APR-DRG 1762
|
Hospital Charge Code |
APRDRG 1762
|
Min. Negotiated Rate |
$17,364.20 |
Max. Negotiated Rate |
$18,232.41 |
Rate for Payer: BCBS Complete |
$18,232.41
|
Rate for Payer: Mclaren Medicaid |
$17,364.20
|
Rate for Payer: Meridian Medicaid |
$18,232.41
|
Rate for Payer: Priority Health Choice Medicaid |
$17,364.20
|
|
INPATIENT APRDRG 1763: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$25,118.35
|
|
Service Code
|
APR-DRG 1763
|
Hospital Charge Code |
APRDRG 1763
|
Min. Negotiated Rate |
$23,922.24 |
Max. Negotiated Rate |
$25,118.35 |
Rate for Payer: BCBS Complete |
$25,118.35
|
Rate for Payer: Mclaren Medicaid |
$23,922.24
|
Rate for Payer: Meridian Medicaid |
$25,118.35
|
Rate for Payer: Priority Health Choice Medicaid |
$23,922.24
|
|
INPATIENT APRDRG 1764: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$44,303.80
|
|
Service Code
|
APR-DRG 1764
|
Hospital Charge Code |
APRDRG 1764
|
Min. Negotiated Rate |
$42,194.10 |
Max. Negotiated Rate |
$44,303.80 |
Rate for Payer: BCBS Complete |
$44,303.80
|
Rate for Payer: Mclaren Medicaid |
$42,194.10
|
Rate for Payer: Meridian Medicaid |
$44,303.80
|
Rate for Payer: Priority Health Choice Medicaid |
$42,194.10
|
|
INPATIENT APRDRG 1771: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$8,340.44
|
|
Service Code
|
APR-DRG 1771
|
Hospital Charge Code |
APRDRG 1771
|
Min. Negotiated Rate |
$7,943.28 |
Max. Negotiated Rate |
$8,340.44 |
Rate for Payer: BCBS Complete |
$8,340.44
|
Rate for Payer: Mclaren Medicaid |
$7,943.28
|
Rate for Payer: Meridian Medicaid |
$8,340.44
|
Rate for Payer: Priority Health Choice Medicaid |
$7,943.28
|
|
INPATIENT APRDRG 1772: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,784.83
|
|
Service Code
|
APR-DRG 1772
|
Hospital Charge Code |
APRDRG 1772
|
Min. Negotiated Rate |
$10,271.27 |
Max. Negotiated Rate |
$10,784.83 |
Rate for Payer: BCBS Complete |
$10,784.83
|
Rate for Payer: Mclaren Medicaid |
$10,271.27
|
Rate for Payer: Meridian Medicaid |
$10,784.83
|
Rate for Payer: Priority Health Choice Medicaid |
$10,271.27
|
|
INPATIENT APRDRG 1773: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$17,761.85
|
|
Service Code
|
APR-DRG 1773
|
Hospital Charge Code |
APRDRG 1773
|
Min. Negotiated Rate |
$16,916.05 |
Max. Negotiated Rate |
$17,761.85 |
Rate for Payer: BCBS Complete |
$17,761.85
|
Rate for Payer: Mclaren Medicaid |
$16,916.05
|
Rate for Payer: Meridian Medicaid |
$17,761.85
|
Rate for Payer: Priority Health Choice Medicaid |
$16,916.05
|
|
INPATIENT APRDRG 1774: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$20,237.15
|
|
Service Code
|
APR-DRG 1774
|
Hospital Charge Code |
APRDRG 1774
|
Min. Negotiated Rate |
$19,273.48 |
Max. Negotiated Rate |
$20,237.15 |
Rate for Payer: BCBS Complete |
$20,237.15
|
Rate for Payer: Mclaren Medicaid |
$19,273.48
|
Rate for Payer: Meridian Medicaid |
$20,237.15
|
Rate for Payer: Priority Health Choice Medicaid |
$19,273.48
|
|
INPATIENT APRDRG 1781: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$23,331.55
|
|
Service Code
|
APR-DRG 1781
|
Hospital Charge Code |
APRDRG 1781
|
Min. Negotiated Rate |
$22,220.52 |
Max. Negotiated Rate |
$23,331.55 |
Rate for Payer: BCBS Complete |
$23,331.55
|
Rate for Payer: Mclaren Medicaid |
$22,220.52
|
Rate for Payer: Meridian Medicaid |
$23,331.55
|
Rate for Payer: Priority Health Choice Medicaid |
$22,220.52
|
|
INPATIENT APRDRG 1782: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$27,501.50
|
|
Service Code
|
APR-DRG 1782
|
Hospital Charge Code |
APRDRG 1782
|
Min. Negotiated Rate |
$26,191.90 |
Max. Negotiated Rate |
$27,501.50 |
Rate for Payer: BCBS Complete |
$27,501.50
|
Rate for Payer: Mclaren Medicaid |
$26,191.90
|
Rate for Payer: Meridian Medicaid |
$27,501.50
|
Rate for Payer: Priority Health Choice Medicaid |
$26,191.90
|
|
INPATIENT APRDRG 1783: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$28,607.95
|
|
Service Code
|
APR-DRG 1783
|
Hospital Charge Code |
APRDRG 1783
|
Min. Negotiated Rate |
$27,245.67 |
Max. Negotiated Rate |
$28,607.95 |
Rate for Payer: BCBS Complete |
$28,607.95
|
Rate for Payer: Mclaren Medicaid |
$27,245.67
|
Rate for Payer: Meridian Medicaid |
$28,607.95
|
Rate for Payer: Priority Health Choice Medicaid |
$27,245.67
|
|
INPATIENT APRDRG 1784: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$38,838.74
|
|
Service Code
|
APR-DRG 1784
|
Hospital Charge Code |
APRDRG 1784
|
Min. Negotiated Rate |
$36,989.28 |
Max. Negotiated Rate |
$38,838.74 |
Rate for Payer: BCBS Complete |
$38,838.74
|
Rate for Payer: Mclaren Medicaid |
$36,989.28
|
Rate for Payer: Meridian Medicaid |
$38,838.74
|
Rate for Payer: Priority Health Choice Medicaid |
$36,989.28
|
|