INPATIENT APRDRG 2054: CARDIOMYOPATHY
|
Facility
|
IP
|
$12,696.34
|
|
Service Code
|
APR-DRG 2054
|
Hospital Charge Code |
APRDRG 2054
|
Min. Negotiated Rate |
$12,091.75 |
Max. Negotiated Rate |
$12,696.34 |
Rate for Payer: BCBS Complete |
$12,696.34
|
Rate for Payer: Mclaren Medicaid |
$12,091.75
|
Rate for Payer: Meridian Medicaid |
$12,696.34
|
Rate for Payer: Priority Health Choice Medicaid |
$12,091.75
|
|
INPATIENT APRDRG 2061: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,946.80
|
|
Service Code
|
APR-DRG 2061
|
Hospital Charge Code |
APRDRG 2061
|
Min. Negotiated Rate |
$4,711.24 |
Max. Negotiated Rate |
$4,946.80 |
Rate for Payer: BCBS Complete |
$4,946.80
|
Rate for Payer: Mclaren Medicaid |
$4,711.24
|
Rate for Payer: Meridian Medicaid |
$4,946.80
|
Rate for Payer: Priority Health Choice Medicaid |
$4,711.24
|
|
INPATIENT APRDRG 2062: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,553.96
|
|
Service Code
|
APR-DRG 2062
|
Hospital Charge Code |
APRDRG 2062
|
Min. Negotiated Rate |
$5,289.49 |
Max. Negotiated Rate |
$5,553.96 |
Rate for Payer: BCBS Complete |
$5,553.96
|
Rate for Payer: Mclaren Medicaid |
$5,289.49
|
Rate for Payer: Meridian Medicaid |
$5,553.96
|
Rate for Payer: Priority Health Choice Medicaid |
$5,289.49
|
|
INPATIENT APRDRG 2063: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,143.25
|
|
Service Code
|
APR-DRG 2063
|
Hospital Charge Code |
APRDRG 2063
|
Min. Negotiated Rate |
$5,850.71 |
Max. Negotiated Rate |
$6,143.25 |
Rate for Payer: BCBS Complete |
$6,143.25
|
Rate for Payer: Mclaren Medicaid |
$5,850.71
|
Rate for Payer: Meridian Medicaid |
$6,143.25
|
Rate for Payer: Priority Health Choice Medicaid |
$5,850.71
|
|
INPATIENT APRDRG 2064: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,349.38
|
|
Service Code
|
APR-DRG 2064
|
Hospital Charge Code |
APRDRG 2064
|
Min. Negotiated Rate |
$11,761.31 |
Max. Negotiated Rate |
$12,349.38 |
Rate for Payer: BCBS Complete |
$12,349.38
|
Rate for Payer: Mclaren Medicaid |
$11,761.31
|
Rate for Payer: Meridian Medicaid |
$12,349.38
|
Rate for Payer: Priority Health Choice Medicaid |
$11,761.31
|
|
INPATIENT APRDRG 2071: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,105.77
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG 2071
|
Min. Negotiated Rate |
$2,957.88 |
Max. Negotiated Rate |
$3,105.77 |
Rate for Payer: BCBS Complete |
$3,105.77
|
Rate for Payer: Mclaren Medicaid |
$2,957.88
|
Rate for Payer: Meridian Medicaid |
$3,105.77
|
Rate for Payer: Priority Health Choice Medicaid |
$2,957.88
|
|
INPATIENT APRDRG 2072: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,085.92
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG 2072
|
Min. Negotiated Rate |
$3,891.35 |
Max. Negotiated Rate |
$4,085.92 |
Rate for Payer: BCBS Complete |
$4,085.92
|
Rate for Payer: Mclaren Medicaid |
$3,891.35
|
Rate for Payer: Meridian Medicaid |
$4,085.92
|
Rate for Payer: Priority Health Choice Medicaid |
$3,891.35
|
|
INPATIENT APRDRG 2073: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,691.87
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG 2073
|
Min. Negotiated Rate |
$6,373.21 |
Max. Negotiated Rate |
$6,691.87 |
Rate for Payer: BCBS Complete |
$6,691.87
|
Rate for Payer: Mclaren Medicaid |
$6,373.21
|
Rate for Payer: Meridian Medicaid |
$6,691.87
|
Rate for Payer: Priority Health Choice Medicaid |
$6,373.21
|
|
INPATIENT APRDRG 2074: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,204.97
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG 2074
|
Min. Negotiated Rate |
$10,671.40 |
Max. Negotiated Rate |
$11,204.97 |
Rate for Payer: BCBS Complete |
$11,204.97
|
Rate for Payer: Mclaren Medicaid |
$10,671.40
|
Rate for Payer: Meridian Medicaid |
$11,204.97
|
Rate for Payer: Priority Health Choice Medicaid |
$10,671.40
|
|
INPATIENT APRDRG 2201: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,294.02
|
|
Service Code
|
APR-DRG 2201
|
Hospital Charge Code |
APRDRG 2201
|
Min. Negotiated Rate |
$8,851.45 |
Max. Negotiated Rate |
$9,294.02 |
Rate for Payer: BCBS Complete |
$9,294.02
|
Rate for Payer: Mclaren Medicaid |
$8,851.45
|
Rate for Payer: Meridian Medicaid |
$9,294.02
|
Rate for Payer: Priority Health Choice Medicaid |
$8,851.45
|
|
INPATIENT APRDRG 2202: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$10,850.43
|
|
Service Code
|
APR-DRG 2202
|
Hospital Charge Code |
APRDRG 2202
|
Min. Negotiated Rate |
$10,333.74 |
Max. Negotiated Rate |
$10,850.43 |
Rate for Payer: BCBS Complete |
$10,850.43
|
Rate for Payer: Mclaren Medicaid |
$10,333.74
|
Rate for Payer: Meridian Medicaid |
$10,850.43
|
Rate for Payer: Priority Health Choice Medicaid |
$10,333.74
|
|
INPATIENT APRDRG 2203: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$16,337.72
|
|
Service Code
|
APR-DRG 2203
|
Hospital Charge Code |
APRDRG 2203
|
Min. Negotiated Rate |
$15,559.73 |
Max. Negotiated Rate |
$16,337.72 |
Rate for Payer: BCBS Complete |
$16,337.72
|
Rate for Payer: Mclaren Medicaid |
$15,559.73
|
Rate for Payer: Meridian Medicaid |
$16,337.72
|
Rate for Payer: Priority Health Choice Medicaid |
$15,559.73
|
|
INPATIENT APRDRG 2204: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$30,077.08
|
|
Service Code
|
APR-DRG 2204
|
Hospital Charge Code |
APRDRG 2204
|
Min. Negotiated Rate |
$28,644.84 |
Max. Negotiated Rate |
$30,077.08 |
Rate for Payer: BCBS Complete |
$30,077.08
|
Rate for Payer: Mclaren Medicaid |
$28,644.84
|
Rate for Payer: Meridian Medicaid |
$30,077.08
|
Rate for Payer: Priority Health Choice Medicaid |
$28,644.84
|
|
INPATIENT APRDRG 2221: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$4,792.29
|
|
Service Code
|
APR-DRG 2221
|
Hospital Charge Code |
APRDRG 2221
|
Min. Negotiated Rate |
$4,564.09 |
Max. Negotiated Rate |
$4,792.29 |
Rate for Payer: BCBS Complete |
$4,792.29
|
Rate for Payer: Mclaren Medicaid |
$4,564.09
|
Rate for Payer: Meridian Medicaid |
$4,792.29
|
Rate for Payer: Priority Health Choice Medicaid |
$4,564.09
|
|
INPATIENT APRDRG 2222: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,404.41
|
|
Service Code
|
APR-DRG 2222
|
Hospital Charge Code |
APRDRG 2222
|
Min. Negotiated Rate |
$8,004.20 |
Max. Negotiated Rate |
$8,404.41 |
Rate for Payer: BCBS Complete |
$8,404.41
|
Rate for Payer: Mclaren Medicaid |
$8,004.20
|
Rate for Payer: Meridian Medicaid |
$8,404.41
|
Rate for Payer: Priority Health Choice Medicaid |
$8,004.20
|
|
INPATIENT APRDRG 2223: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$12,727.24
|
|
Service Code
|
APR-DRG 2223
|
Hospital Charge Code |
APRDRG 2223
|
Min. Negotiated Rate |
$12,121.18 |
Max. Negotiated Rate |
$12,727.24 |
Rate for Payer: BCBS Complete |
$12,727.24
|
Rate for Payer: Mclaren Medicaid |
$12,121.18
|
Rate for Payer: Meridian Medicaid |
$12,727.24
|
Rate for Payer: Priority Health Choice Medicaid |
$12,121.18
|
|
INPATIENT APRDRG 2224: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$24,631.54
|
|
Service Code
|
APR-DRG 2224
|
Hospital Charge Code |
APRDRG 2224
|
Min. Negotiated Rate |
$23,458.61 |
Max. Negotiated Rate |
$24,631.54 |
Rate for Payer: BCBS Complete |
$24,631.54
|
Rate for Payer: Mclaren Medicaid |
$23,458.61
|
Rate for Payer: Meridian Medicaid |
$24,631.54
|
Rate for Payer: Priority Health Choice Medicaid |
$23,458.61
|
|
INPATIENT APRDRG 2231: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$7,318.55
|
|
Service Code
|
APR-DRG 2231
|
Hospital Charge Code |
APRDRG 2231
|
Min. Negotiated Rate |
$6,970.05 |
Max. Negotiated Rate |
$7,318.55 |
Rate for Payer: BCBS Complete |
$7,318.55
|
Rate for Payer: Mclaren Medicaid |
$6,970.05
|
Rate for Payer: Meridian Medicaid |
$7,318.55
|
Rate for Payer: Priority Health Choice Medicaid |
$6,970.05
|
|
INPATIENT APRDRG 2232: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,350.06
|
|
Service Code
|
APR-DRG 2232
|
Hospital Charge Code |
APRDRG 2232
|
Min. Negotiated Rate |
$9,857.20 |
Max. Negotiated Rate |
$10,350.06 |
Rate for Payer: BCBS Complete |
$10,350.06
|
Rate for Payer: Mclaren Medicaid |
$9,857.20
|
Rate for Payer: Meridian Medicaid |
$10,350.06
|
Rate for Payer: Priority Health Choice Medicaid |
$9,857.20
|
|
INPATIENT APRDRG 2233: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,701.89
|
|
Service Code
|
APR-DRG 2233
|
Hospital Charge Code |
APRDRG 2233
|
Min. Negotiated Rate |
$10,192.28 |
Max. Negotiated Rate |
$10,701.89 |
Rate for Payer: BCBS Complete |
$10,701.89
|
Rate for Payer: Mclaren Medicaid |
$10,192.28
|
Rate for Payer: Meridian Medicaid |
$10,701.89
|
Rate for Payer: Priority Health Choice Medicaid |
$10,192.28
|
|
INPATIENT APRDRG 2234: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$21,822.84
|
|
Service Code
|
APR-DRG 2234
|
Hospital Charge Code |
APRDRG 2234
|
Min. Negotiated Rate |
$20,783.66 |
Max. Negotiated Rate |
$21,822.84 |
Rate for Payer: BCBS Complete |
$21,822.84
|
Rate for Payer: Mclaren Medicaid |
$20,783.66
|
Rate for Payer: Meridian Medicaid |
$21,822.84
|
Rate for Payer: Priority Health Choice Medicaid |
$20,783.66
|
|
INPATIENT APRDRG 2241: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,804.49
|
|
Service Code
|
APR-DRG 2241
|
Hospital Charge Code |
APRDRG 2241
|
Min. Negotiated Rate |
$8,385.23 |
Max. Negotiated Rate |
$8,804.49 |
Rate for Payer: BCBS Complete |
$8,804.49
|
Rate for Payer: Mclaren Medicaid |
$8,385.23
|
Rate for Payer: Meridian Medicaid |
$8,804.49
|
Rate for Payer: Priority Health Choice Medicaid |
$8,385.23
|
|
INPATIENT APRDRG 2242: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$10,530.59
|
|
Service Code
|
APR-DRG 2242
|
Hospital Charge Code |
APRDRG 2242
|
Min. Negotiated Rate |
$10,029.13 |
Max. Negotiated Rate |
$10,530.59 |
Rate for Payer: BCBS Complete |
$10,530.59
|
Rate for Payer: Mclaren Medicaid |
$10,029.13
|
Rate for Payer: Meridian Medicaid |
$10,530.59
|
Rate for Payer: Priority Health Choice Medicaid |
$10,029.13
|
|
INPATIENT APRDRG 2243: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$13,436.32
|
|
Service Code
|
APR-DRG 2243
|
Hospital Charge Code |
APRDRG 2243
|
Min. Negotiated Rate |
$12,796.50 |
Max. Negotiated Rate |
$13,436.32 |
Rate for Payer: BCBS Complete |
$13,436.32
|
Rate for Payer: Mclaren Medicaid |
$12,796.50
|
Rate for Payer: Meridian Medicaid |
$13,436.32
|
Rate for Payer: Priority Health Choice Medicaid |
$12,796.50
|
|
INPATIENT APRDRG 2244: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$27,345.91
|
|
Service Code
|
APR-DRG 2244
|
Hospital Charge Code |
APRDRG 2244
|
Min. Negotiated Rate |
$26,043.72 |
Max. Negotiated Rate |
$27,345.91 |
Rate for Payer: BCBS Complete |
$27,345.91
|
Rate for Payer: Mclaren Medicaid |
$26,043.72
|
Rate for Payer: Meridian Medicaid |
$27,345.91
|
Rate for Payer: Priority Health Choice Medicaid |
$26,043.72
|
|