INPATIENT APRDRG 2322: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$8,114.38
|
|
Service Code
|
APR-DRG 2322
|
Hospital Charge Code |
APRDRG 2322
|
Min. Negotiated Rate |
$7,727.98 |
Max. Negotiated Rate |
$8,114.38 |
Rate for Payer: BCBS Complete |
$8,114.38
|
Rate for Payer: Mclaren Medicaid |
$7,727.98
|
Rate for Payer: Meridian Medicaid |
$8,114.38
|
Rate for Payer: Priority Health Choice Medicaid |
$7,727.98
|
|
INPATIENT APRDRG 2323: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$12,212.22
|
|
Service Code
|
APR-DRG 2323
|
Hospital Charge Code |
APRDRG 2323
|
Min. Negotiated Rate |
$11,630.69 |
Max. Negotiated Rate |
$12,212.22 |
Rate for Payer: BCBS Complete |
$12,212.22
|
Rate for Payer: Mclaren Medicaid |
$11,630.69
|
Rate for Payer: Meridian Medicaid |
$12,212.22
|
Rate for Payer: Priority Health Choice Medicaid |
$11,630.69
|
|
INPATIENT APRDRG 2324: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$36,304.36
|
|
Service Code
|
APR-DRG 2324
|
Hospital Charge Code |
APRDRG 2324
|
Min. Negotiated Rate |
$34,575.58 |
Max. Negotiated Rate |
$36,304.36 |
Rate for Payer: BCBS Complete |
$36,304.36
|
Rate for Payer: Mclaren Medicaid |
$34,575.58
|
Rate for Payer: Meridian Medicaid |
$36,304.36
|
Rate for Payer: Priority Health Choice Medicaid |
$34,575.58
|
|
INPATIENT APRDRG 2331: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,126.45
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG 2331
|
Min. Negotiated Rate |
$5,834.71 |
Max. Negotiated Rate |
$6,126.45 |
Rate for Payer: BCBS Complete |
$6,126.45
|
Rate for Payer: Mclaren Medicaid |
$5,834.71
|
Rate for Payer: Meridian Medicaid |
$6,126.45
|
Rate for Payer: Priority Health Choice Medicaid |
$5,834.71
|
|
INPATIENT APRDRG 2332: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,807.54
|
|
Service Code
|
APR-DRG 2332
|
Hospital Charge Code |
APRDRG 2332
|
Min. Negotiated Rate |
$7,435.75 |
Max. Negotiated Rate |
$7,807.54 |
Rate for Payer: BCBS Complete |
$7,807.54
|
Rate for Payer: Mclaren Medicaid |
$7,435.75
|
Rate for Payer: Meridian Medicaid |
$7,807.54
|
Rate for Payer: Priority Health Choice Medicaid |
$7,435.75
|
|
INPATIENT APRDRG 2333: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,935.00
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG 2333
|
Min. Negotiated Rate |
$10,414.29 |
Max. Negotiated Rate |
$10,935.00 |
Rate for Payer: BCBS Complete |
$10,935.00
|
Rate for Payer: Mclaren Medicaid |
$10,414.29
|
Rate for Payer: Meridian Medicaid |
$10,935.00
|
Rate for Payer: Priority Health Choice Medicaid |
$10,414.29
|
|
INPATIENT APRDRG 2334: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,146.55
|
|
Service Code
|
APR-DRG 2334
|
Hospital Charge Code |
APRDRG 2334
|
Min. Negotiated Rate |
$16,330.05 |
Max. Negotiated Rate |
$17,146.55 |
Rate for Payer: BCBS Complete |
$17,146.55
|
Rate for Payer: Mclaren Medicaid |
$16,330.05
|
Rate for Payer: Meridian Medicaid |
$17,146.55
|
Rate for Payer: Priority Health Choice Medicaid |
$16,330.05
|
|
INPATIENT APRDRG 2341: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,617.40
|
|
Service Code
|
APR-DRG 2341
|
Hospital Charge Code |
APRDRG 2341
|
Min. Negotiated Rate |
$5,349.90 |
Max. Negotiated Rate |
$5,617.40 |
Rate for Payer: BCBS Complete |
$5,617.40
|
Rate for Payer: Mclaren Medicaid |
$5,349.90
|
Rate for Payer: Meridian Medicaid |
$5,617.40
|
Rate for Payer: Priority Health Choice Medicaid |
$5,349.90
|
|
INPATIENT APRDRG 2342: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,803.00
|
|
Service Code
|
APR-DRG 2342
|
Hospital Charge Code |
APRDRG 2342
|
Min. Negotiated Rate |
$6,479.05 |
Max. Negotiated Rate |
$6,803.00 |
Rate for Payer: BCBS Complete |
$6,803.00
|
Rate for Payer: Mclaren Medicaid |
$6,479.05
|
Rate for Payer: Meridian Medicaid |
$6,803.00
|
Rate for Payer: Priority Health Choice Medicaid |
$6,479.05
|
|
INPATIENT APRDRG 2343: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,234.05
|
|
Service Code
|
APR-DRG 2343
|
Hospital Charge Code |
APRDRG 2343
|
Min. Negotiated Rate |
$9,746.71 |
Max. Negotiated Rate |
$10,234.05 |
Rate for Payer: BCBS Complete |
$10,234.05
|
Rate for Payer: Mclaren Medicaid |
$9,746.71
|
Rate for Payer: Meridian Medicaid |
$10,234.05
|
Rate for Payer: Priority Health Choice Medicaid |
$9,746.71
|
|
INPATIENT APRDRG 2344: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,096.89
|
|
Service Code
|
APR-DRG 2344
|
Hospital Charge Code |
APRDRG 2344
|
Min. Negotiated Rate |
$17,235.13 |
Max. Negotiated Rate |
$18,096.89 |
Rate for Payer: BCBS Complete |
$18,096.89
|
Rate for Payer: Mclaren Medicaid |
$17,235.13
|
Rate for Payer: Meridian Medicaid |
$18,096.89
|
Rate for Payer: Priority Health Choice Medicaid |
$17,235.13
|
|
INPATIENT APRDRG 2401: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$5,163.10
|
|
Service Code
|
APR-DRG 2401
|
Hospital Charge Code |
APRDRG 2401
|
Min. Negotiated Rate |
$4,917.24 |
Max. Negotiated Rate |
$5,163.10 |
Rate for Payer: BCBS Complete |
$5,163.10
|
Rate for Payer: Mclaren Medicaid |
$4,917.24
|
Rate for Payer: Meridian Medicaid |
$5,163.10
|
Rate for Payer: Priority Health Choice Medicaid |
$4,917.24
|
|
INPATIENT APRDRG 2402: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$6,024.52
|
|
Service Code
|
APR-DRG 2402
|
Hospital Charge Code |
APRDRG 2402
|
Min. Negotiated Rate |
$5,737.64 |
Max. Negotiated Rate |
$6,024.52 |
Rate for Payer: BCBS Complete |
$6,024.52
|
Rate for Payer: Mclaren Medicaid |
$5,737.64
|
Rate for Payer: Meridian Medicaid |
$6,024.52
|
Rate for Payer: Priority Health Choice Medicaid |
$5,737.64
|
|
INPATIENT APRDRG 2403: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$7,979.39
|
|
Service Code
|
APR-DRG 2403
|
Hospital Charge Code |
APRDRG 2403
|
Min. Negotiated Rate |
$7,599.42 |
Max. Negotiated Rate |
$7,979.39 |
Rate for Payer: BCBS Complete |
$7,979.39
|
Rate for Payer: Mclaren Medicaid |
$7,599.42
|
Rate for Payer: Meridian Medicaid |
$7,979.39
|
Rate for Payer: Priority Health Choice Medicaid |
$7,599.42
|
|
INPATIENT APRDRG 2404: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$11,477.12
|
|
Service Code
|
APR-DRG 2404
|
Hospital Charge Code |
APRDRG 2404
|
Min. Negotiated Rate |
$10,930.59 |
Max. Negotiated Rate |
$11,477.12 |
Rate for Payer: BCBS Complete |
$11,477.12
|
Rate for Payer: Mclaren Medicaid |
$10,930.59
|
Rate for Payer: Meridian Medicaid |
$11,477.12
|
Rate for Payer: Priority Health Choice Medicaid |
$10,930.59
|
|
INPATIENT APRDRG 2411: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$3,692.89
|
|
Service Code
|
APR-DRG 2411
|
Hospital Charge Code |
APRDRG 2411
|
Min. Negotiated Rate |
$3,517.04 |
Max. Negotiated Rate |
$3,692.89 |
Rate for Payer: BCBS Complete |
$3,692.89
|
Rate for Payer: Mclaren Medicaid |
$3,517.04
|
Rate for Payer: Meridian Medicaid |
$3,692.89
|
Rate for Payer: Priority Health Choice Medicaid |
$3,517.04
|
|
INPATIENT APRDRG 2412: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$4,460.53
|
|
Service Code
|
APR-DRG 2412
|
Hospital Charge Code |
APRDRG 2412
|
Min. Negotiated Rate |
$4,248.12 |
Max. Negotiated Rate |
$4,460.53 |
Rate for Payer: BCBS Complete |
$4,460.53
|
Rate for Payer: Mclaren Medicaid |
$4,248.12
|
Rate for Payer: Meridian Medicaid |
$4,460.53
|
Rate for Payer: Priority Health Choice Medicaid |
$4,248.12
|
|
INPATIENT APRDRG 2413: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$6,413.22
|
|
Service Code
|
APR-DRG 2413
|
Hospital Charge Code |
APRDRG 2413
|
Min. Negotiated Rate |
$6,107.83 |
Max. Negotiated Rate |
$6,413.22 |
Rate for Payer: BCBS Complete |
$6,413.22
|
Rate for Payer: Mclaren Medicaid |
$6,107.83
|
Rate for Payer: Meridian Medicaid |
$6,413.22
|
Rate for Payer: Priority Health Choice Medicaid |
$6,107.83
|
|
INPATIENT APRDRG 2414: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$12,962.51
|
|
Service Code
|
APR-DRG 2414
|
Hospital Charge Code |
APRDRG 2414
|
Min. Negotiated Rate |
$12,345.25 |
Max. Negotiated Rate |
$12,962.51 |
Rate for Payer: BCBS Complete |
$12,962.51
|
Rate for Payer: Mclaren Medicaid |
$12,345.25
|
Rate for Payer: Meridian Medicaid |
$12,962.51
|
Rate for Payer: Priority Health Choice Medicaid |
$12,345.25
|
|
INPATIENT APRDRG 2421: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,429.42
|
|
Service Code
|
APR-DRG 2421
|
Hospital Charge Code |
APRDRG 2421
|
Min. Negotiated Rate |
$3,266.11 |
Max. Negotiated Rate |
$3,429.42 |
Rate for Payer: BCBS Complete |
$3,429.42
|
Rate for Payer: Mclaren Medicaid |
$3,266.11
|
Rate for Payer: Meridian Medicaid |
$3,429.42
|
Rate for Payer: Priority Health Choice Medicaid |
$3,266.11
|
|
INPATIENT APRDRG 2422: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,885.54
|
|
Service Code
|
APR-DRG 2422
|
Hospital Charge Code |
APRDRG 2422
|
Min. Negotiated Rate |
$4,652.90 |
Max. Negotiated Rate |
$4,885.54 |
Rate for Payer: BCBS Complete |
$4,885.54
|
Rate for Payer: Mclaren Medicaid |
$4,652.90
|
Rate for Payer: Meridian Medicaid |
$4,885.54
|
Rate for Payer: Priority Health Choice Medicaid |
$4,652.90
|
|
INPATIENT APRDRG 2423: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,539.54
|
|
Service Code
|
APR-DRG 2423
|
Hospital Charge Code |
APRDRG 2423
|
Min. Negotiated Rate |
$6,228.13 |
Max. Negotiated Rate |
$6,539.54 |
Rate for Payer: BCBS Complete |
$6,539.54
|
Rate for Payer: Mclaren Medicaid |
$6,228.13
|
Rate for Payer: Meridian Medicaid |
$6,539.54
|
Rate for Payer: Priority Health Choice Medicaid |
$6,228.13
|
|
INPATIENT APRDRG 2424: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$11,646.80
|
|
Service Code
|
APR-DRG 2424
|
Hospital Charge Code |
APRDRG 2424
|
Min. Negotiated Rate |
$11,092.19 |
Max. Negotiated Rate |
$11,646.80 |
Rate for Payer: BCBS Complete |
$11,646.80
|
Rate for Payer: Mclaren Medicaid |
$11,092.19
|
Rate for Payer: Meridian Medicaid |
$11,646.80
|
Rate for Payer: Priority Health Choice Medicaid |
$11,092.19
|
|
INPATIENT APRDRG 2431: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,037.47
|
|
Service Code
|
APR-DRG 2431
|
Hospital Charge Code |
APRDRG 2431
|
Min. Negotiated Rate |
$2,892.83 |
Max. Negotiated Rate |
$3,037.47 |
Rate for Payer: BCBS Complete |
$3,037.47
|
Rate for Payer: Mclaren Medicaid |
$2,892.83
|
Rate for Payer: Meridian Medicaid |
$3,037.47
|
Rate for Payer: Priority Health Choice Medicaid |
$2,892.83
|
|
INPATIENT APRDRG 2432: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,367.28
|
|
Service Code
|
APR-DRG 2432
|
Hospital Charge Code |
APRDRG 2432
|
Min. Negotiated Rate |
$4,159.31 |
Max. Negotiated Rate |
$4,367.28 |
Rate for Payer: BCBS Complete |
$4,367.28
|
Rate for Payer: Mclaren Medicaid |
$4,159.31
|
Rate for Payer: Meridian Medicaid |
$4,367.28
|
Rate for Payer: Priority Health Choice Medicaid |
$4,159.31
|
|