INPATIENT APRDRG 1791: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$16,316.58
|
|
Service Code
|
APR-DRG 1791
|
Hospital Charge Code |
APRDRG 1791
|
Min. Negotiated Rate |
$15,539.60 |
Max. Negotiated Rate |
$16,316.58 |
Rate for Payer: BCBS Complete |
$16,316.58
|
Rate for Payer: Mclaren Medicaid |
$15,539.60
|
Rate for Payer: Meridian Medicaid |
$16,316.58
|
Rate for Payer: Priority Health Choice Medicaid |
$15,539.60
|
|
INPATIENT APRDRG 1792: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$18,567.98
|
|
Service Code
|
APR-DRG 1792
|
Hospital Charge Code |
APRDRG 1792
|
Min. Negotiated Rate |
$17,683.79 |
Max. Negotiated Rate |
$18,567.98 |
Rate for Payer: BCBS Complete |
$18,567.98
|
Rate for Payer: Mclaren Medicaid |
$17,683.79
|
Rate for Payer: Meridian Medicaid |
$18,567.98
|
Rate for Payer: Priority Health Choice Medicaid |
$17,683.79
|
|
INPATIENT APRDRG 1793: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$22,781.29
|
|
Service Code
|
APR-DRG 1793
|
Hospital Charge Code |
APRDRG 1793
|
Min. Negotiated Rate |
$21,696.47 |
Max. Negotiated Rate |
$22,781.29 |
Rate for Payer: BCBS Complete |
$22,781.29
|
Rate for Payer: Mclaren Medicaid |
$21,696.47
|
Rate for Payer: Meridian Medicaid |
$22,781.29
|
Rate for Payer: Priority Health Choice Medicaid |
$21,696.47
|
|
INPATIENT APRDRG 1794: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$31,475.73
|
|
Service Code
|
APR-DRG 1794
|
Hospital Charge Code |
APRDRG 1794
|
Min. Negotiated Rate |
$29,976.89 |
Max. Negotiated Rate |
$31,475.73 |
Rate for Payer: BCBS Complete |
$31,475.73
|
Rate for Payer: Mclaren Medicaid |
$29,976.89
|
Rate for Payer: Meridian Medicaid |
$31,475.73
|
Rate for Payer: Priority Health Choice Medicaid |
$29,976.89
|
|
INPATIENT APRDRG 1801: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$7,397.16
|
|
Service Code
|
APR-DRG 1801
|
Hospital Charge Code |
APRDRG 1801
|
Min. Negotiated Rate |
$7,044.91 |
Max. Negotiated Rate |
$7,397.16 |
Rate for Payer: BCBS Complete |
$7,397.16
|
Rate for Payer: Mclaren Medicaid |
$7,044.91
|
Rate for Payer: Meridian Medicaid |
$7,397.16
|
Rate for Payer: Priority Health Choice Medicaid |
$7,044.91
|
|
INPATIENT APRDRG 1802: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,435.85
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG 1802
|
Min. Negotiated Rate |
$8,034.14 |
Max. Negotiated Rate |
$8,435.85 |
Rate for Payer: BCBS Complete |
$8,435.85
|
Rate for Payer: Mclaren Medicaid |
$8,034.14
|
Rate for Payer: Meridian Medicaid |
$8,435.85
|
Rate for Payer: Priority Health Choice Medicaid |
$8,034.14
|
|
INPATIENT APRDRG 1803: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$11,600.18
|
|
Service Code
|
APR-DRG 1803
|
Hospital Charge Code |
APRDRG 1803
|
Min. Negotiated Rate |
$11,047.79 |
Max. Negotiated Rate |
$11,600.18 |
Rate for Payer: BCBS Complete |
$11,600.18
|
Rate for Payer: Mclaren Medicaid |
$11,047.79
|
Rate for Payer: Meridian Medicaid |
$11,600.18
|
Rate for Payer: Priority Health Choice Medicaid |
$11,047.79
|
|
INPATIENT APRDRG 1804: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$19,701.00
|
|
Service Code
|
APR-DRG 1804
|
Hospital Charge Code |
APRDRG 1804
|
Min. Negotiated Rate |
$18,762.86 |
Max. Negotiated Rate |
$19,701.00 |
Rate for Payer: BCBS Complete |
$19,701.00
|
Rate for Payer: Mclaren Medicaid |
$18,762.86
|
Rate for Payer: Meridian Medicaid |
$19,701.00
|
Rate for Payer: Priority Health Choice Medicaid |
$18,762.86
|
|
INPATIENT APRDRG 1811: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$8,658.12
|
|
Service Code
|
APR-DRG 1811
|
Hospital Charge Code |
APRDRG 1811
|
Min. Negotiated Rate |
$8,245.83 |
Max. Negotiated Rate |
$8,658.12 |
Rate for Payer: BCBS Complete |
$8,658.12
|
Rate for Payer: Mclaren Medicaid |
$8,245.83
|
Rate for Payer: Meridian Medicaid |
$8,658.12
|
Rate for Payer: Priority Health Choice Medicaid |
$8,245.83
|
|
INPATIENT APRDRG 1812: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$12,580.32
|
|
Service Code
|
APR-DRG 1812
|
Hospital Charge Code |
APRDRG 1812
|
Min. Negotiated Rate |
$11,981.26 |
Max. Negotiated Rate |
$12,580.32 |
Rate for Payer: BCBS Complete |
$12,580.32
|
Rate for Payer: Mclaren Medicaid |
$11,981.26
|
Rate for Payer: Meridian Medicaid |
$12,580.32
|
Rate for Payer: Priority Health Choice Medicaid |
$11,981.26
|
|
INPATIENT APRDRG 1813: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$19,854.96
|
|
Service Code
|
APR-DRG 1813
|
Hospital Charge Code |
APRDRG 1813
|
Min. Negotiated Rate |
$18,909.49 |
Max. Negotiated Rate |
$19,854.96 |
Rate for Payer: BCBS Complete |
$19,854.96
|
Rate for Payer: Mclaren Medicaid |
$18,909.49
|
Rate for Payer: Meridian Medicaid |
$19,854.96
|
Rate for Payer: Priority Health Choice Medicaid |
$18,909.49
|
|
INPATIENT APRDRG 1814: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$31,048.55
|
|
Service Code
|
APR-DRG 1814
|
Hospital Charge Code |
APRDRG 1814
|
Min. Negotiated Rate |
$29,570.05 |
Max. Negotiated Rate |
$31,048.55 |
Rate for Payer: BCBS Complete |
$31,048.55
|
Rate for Payer: Mclaren Medicaid |
$29,570.05
|
Rate for Payer: Meridian Medicaid |
$31,048.55
|
Rate for Payer: Priority Health Choice Medicaid |
$29,570.05
|
|
INPATIENT APRDRG 1821: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$11,610.48
|
|
Service Code
|
APR-DRG 1821
|
Hospital Charge Code |
APRDRG 1821
|
Min. Negotiated Rate |
$11,057.60 |
Max. Negotiated Rate |
$11,610.48 |
Rate for Payer: BCBS Complete |
$11,610.48
|
Rate for Payer: Mclaren Medicaid |
$11,057.60
|
Rate for Payer: Meridian Medicaid |
$11,610.48
|
Rate for Payer: Priority Health Choice Medicaid |
$11,057.60
|
|
INPATIENT APRDRG 1822: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,026.48
|
|
Service Code
|
APR-DRG 1822
|
Hospital Charge Code |
APRDRG 1822
|
Min. Negotiated Rate |
$12,406.17 |
Max. Negotiated Rate |
$13,026.48 |
Rate for Payer: BCBS Complete |
$13,026.48
|
Rate for Payer: Mclaren Medicaid |
$12,406.17
|
Rate for Payer: Meridian Medicaid |
$13,026.48
|
Rate for Payer: Priority Health Choice Medicaid |
$12,406.17
|
|
INPATIENT APRDRG 1823: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,956.07
|
|
Service Code
|
APR-DRG 1823
|
Hospital Charge Code |
APRDRG 1823
|
Min. Negotiated Rate |
$15,196.26 |
Max. Negotiated Rate |
$15,956.07 |
Rate for Payer: BCBS Complete |
$15,956.07
|
Rate for Payer: Mclaren Medicaid |
$15,196.26
|
Rate for Payer: Meridian Medicaid |
$15,956.07
|
Rate for Payer: Priority Health Choice Medicaid |
$15,196.26
|
|
INPATIENT APRDRG 1824: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$28,343.40
|
|
Service Code
|
APR-DRG 1824
|
Hospital Charge Code |
APRDRG 1824
|
Min. Negotiated Rate |
$26,993.71 |
Max. Negotiated Rate |
$28,343.40 |
Rate for Payer: BCBS Complete |
$28,343.40
|
Rate for Payer: Mclaren Medicaid |
$26,993.71
|
Rate for Payer: Meridian Medicaid |
$28,343.40
|
Rate for Payer: Priority Health Choice Medicaid |
$26,993.71
|
|
INPATIENT APRDRG 1831: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$17,797.64
|
|
Service Code
|
APR-DRG 1831
|
Hospital Charge Code |
APRDRG 1831
|
Min. Negotiated Rate |
$16,950.13 |
Max. Negotiated Rate |
$17,797.64 |
Rate for Payer: BCBS Complete |
$17,797.64
|
Rate for Payer: Mclaren Medicaid |
$16,950.13
|
Rate for Payer: Meridian Medicaid |
$17,797.64
|
Rate for Payer: Priority Health Choice Medicaid |
$16,950.13
|
|
INPATIENT APRDRG 1832: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$18,663.39
|
|
Service Code
|
APR-DRG 1832
|
Hospital Charge Code |
APRDRG 1832
|
Min. Negotiated Rate |
$17,774.66 |
Max. Negotiated Rate |
$18,663.39 |
Rate for Payer: BCBS Complete |
$18,663.39
|
Rate for Payer: Mclaren Medicaid |
$17,774.66
|
Rate for Payer: Meridian Medicaid |
$18,663.39
|
Rate for Payer: Priority Health Choice Medicaid |
$17,774.66
|
|
INPATIENT APRDRG 1833: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$22,668.00
|
|
Service Code
|
APR-DRG 1833
|
Hospital Charge Code |
APRDRG 1833
|
Min. Negotiated Rate |
$21,588.57 |
Max. Negotiated Rate |
$22,668.00 |
Rate for Payer: BCBS Complete |
$22,668.00
|
Rate for Payer: Mclaren Medicaid |
$21,588.57
|
Rate for Payer: Meridian Medicaid |
$22,668.00
|
Rate for Payer: Priority Health Choice Medicaid |
$21,588.57
|
|
INPATIENT APRDRG 1834: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$33,847.50
|
|
Service Code
|
APR-DRG 1834
|
Hospital Charge Code |
APRDRG 1834
|
Min. Negotiated Rate |
$32,235.71 |
Max. Negotiated Rate |
$33,847.50 |
Rate for Payer: BCBS Complete |
$33,847.50
|
Rate for Payer: Mclaren Medicaid |
$32,235.71
|
Rate for Payer: Meridian Medicaid |
$33,847.50
|
Rate for Payer: Priority Health Choice Medicaid |
$32,235.71
|
|
INPATIENT APRDRG 1901: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$3,897.26
|
|
Service Code
|
APR-DRG 1901
|
Hospital Charge Code |
APRDRG 1901
|
Min. Negotiated Rate |
$3,711.68 |
Max. Negotiated Rate |
$3,897.26 |
Rate for Payer: BCBS Complete |
$3,897.26
|
Rate for Payer: Mclaren Medicaid |
$3,711.68
|
Rate for Payer: Meridian Medicaid |
$3,897.26
|
Rate for Payer: Priority Health Choice Medicaid |
$3,711.68
|
|
INPATIENT APRDRG 1902: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,321.74
|
|
Service Code
|
APR-DRG 1902
|
Hospital Charge Code |
APRDRG 1902
|
Min. Negotiated Rate |
$4,115.94 |
Max. Negotiated Rate |
$4,321.74 |
Rate for Payer: BCBS Complete |
$4,321.74
|
Rate for Payer: Mclaren Medicaid |
$4,115.94
|
Rate for Payer: Meridian Medicaid |
$4,321.74
|
Rate for Payer: Priority Health Choice Medicaid |
$4,115.94
|
|
INPATIENT APRDRG 1903: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$5,880.86
|
|
Service Code
|
APR-DRG 1903
|
Hospital Charge Code |
APRDRG 1903
|
Min. Negotiated Rate |
$5,600.82 |
Max. Negotiated Rate |
$5,880.86 |
Rate for Payer: BCBS Complete |
$5,880.86
|
Rate for Payer: Mclaren Medicaid |
$5,600.82
|
Rate for Payer: Meridian Medicaid |
$5,880.86
|
Rate for Payer: Priority Health Choice Medicaid |
$5,600.82
|
|
INPATIENT APRDRG 1904: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$12,433.41
|
|
Service Code
|
APR-DRG 1904
|
Hospital Charge Code |
APRDRG 1904
|
Min. Negotiated Rate |
$11,841.34 |
Max. Negotiated Rate |
$12,433.41 |
Rate for Payer: BCBS Complete |
$12,433.41
|
Rate for Payer: Mclaren Medicaid |
$11,841.34
|
Rate for Payer: Meridian Medicaid |
$12,433.41
|
Rate for Payer: Priority Health Choice Medicaid |
$11,841.34
|
|
INPATIENT APRDRG 1911: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,860.06
|
|
Service Code
|
APR-DRG 1911
|
Hospital Charge Code |
APRDRG 1911
|
Min. Negotiated Rate |
$4,628.63 |
Max. Negotiated Rate |
$4,860.06 |
Rate for Payer: BCBS Complete |
$4,860.06
|
Rate for Payer: Mclaren Medicaid |
$4,628.63
|
Rate for Payer: Meridian Medicaid |
$4,860.06
|
Rate for Payer: Priority Health Choice Medicaid |
$4,628.63
|
|