INPATIENT APRDRG 2494: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$7,636.23
|
|
Service Code
|
APR-DRG 2494
|
Hospital Charge Code |
APRDRG 2494
|
Min. Negotiated Rate |
$7,272.60 |
Max. Negotiated Rate |
$7,636.23 |
Rate for Payer: BCBS Complete |
$7,636.23
|
Rate for Payer: Mclaren Medicaid |
$7,272.60
|
Rate for Payer: Meridian Medicaid |
$7,636.23
|
Rate for Payer: Priority Health Choice Medicaid |
$7,272.60
|
|
INPATIENT APRDRG 2511: ABDOMINAL PAIN
|
Facility
|
IP
|
$3,580.13
|
|
Service Code
|
APR-DRG 2511
|
Hospital Charge Code |
APRDRG 2511
|
Min. Negotiated Rate |
$3,409.65 |
Max. Negotiated Rate |
$3,580.13 |
Rate for Payer: BCBS Complete |
$3,580.13
|
Rate for Payer: Mclaren Medicaid |
$3,409.65
|
Rate for Payer: Meridian Medicaid |
$3,580.13
|
Rate for Payer: Priority Health Choice Medicaid |
$3,409.65
|
|
INPATIENT APRDRG 2512: ABDOMINAL PAIN
|
Facility
|
IP
|
$4,166.16
|
|
Service Code
|
APR-DRG 2512
|
Hospital Charge Code |
APRDRG 2512
|
Min. Negotiated Rate |
$3,967.77 |
Max. Negotiated Rate |
$4,166.16 |
Rate for Payer: BCBS Complete |
$4,166.16
|
Rate for Payer: Mclaren Medicaid |
$3,967.77
|
Rate for Payer: Meridian Medicaid |
$4,166.16
|
Rate for Payer: Priority Health Choice Medicaid |
$3,967.77
|
|
INPATIENT APRDRG 2513: ABDOMINAL PAIN
|
Facility
|
IP
|
$5,210.81
|
|
Service Code
|
APR-DRG 2513
|
Hospital Charge Code |
APRDRG 2513
|
Min. Negotiated Rate |
$4,962.68 |
Max. Negotiated Rate |
$5,210.81 |
Rate for Payer: BCBS Complete |
$5,210.81
|
Rate for Payer: Mclaren Medicaid |
$4,962.68
|
Rate for Payer: Meridian Medicaid |
$5,210.81
|
Rate for Payer: Priority Health Choice Medicaid |
$4,962.68
|
|
INPATIENT APRDRG 2514: ABDOMINAL PAIN
|
Facility
|
IP
|
$8,569.21
|
|
Service Code
|
APR-DRG 2514
|
Hospital Charge Code |
APRDRG 2514
|
Min. Negotiated Rate |
$8,161.15 |
Max. Negotiated Rate |
$8,569.21 |
Rate for Payer: BCBS Complete |
$8,569.21
|
Rate for Payer: Mclaren Medicaid |
$8,161.15
|
Rate for Payer: Meridian Medicaid |
$8,569.21
|
Rate for Payer: Priority Health Choice Medicaid |
$8,161.15
|
|
INPATIENT APRDRG 2521: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,255.06
|
|
Service Code
|
APR-DRG 2521
|
Hospital Charge Code |
APRDRG 2521
|
Min. Negotiated Rate |
$4,052.44 |
Max. Negotiated Rate |
$4,255.06 |
Rate for Payer: BCBS Complete |
$4,255.06
|
Rate for Payer: Mclaren Medicaid |
$4,052.44
|
Rate for Payer: Meridian Medicaid |
$4,255.06
|
Rate for Payer: Priority Health Choice Medicaid |
$4,052.44
|
|
INPATIENT APRDRG 2522: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,373.45
|
|
Service Code
|
APR-DRG 2522
|
Hospital Charge Code |
APRDRG 2522
|
Min. Negotiated Rate |
$5,117.57 |
Max. Negotiated Rate |
$5,373.45 |
Rate for Payer: BCBS Complete |
$5,373.45
|
Rate for Payer: Mclaren Medicaid |
$5,117.57
|
Rate for Payer: Meridian Medicaid |
$5,373.45
|
Rate for Payer: Priority Health Choice Medicaid |
$5,117.57
|
|
INPATIENT APRDRG 2523: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,225.65
|
|
Service Code
|
APR-DRG 2523
|
Hospital Charge Code |
APRDRG 2523
|
Min. Negotiated Rate |
$5,929.19 |
Max. Negotiated Rate |
$6,225.65 |
Rate for Payer: BCBS Complete |
$6,225.65
|
Rate for Payer: Mclaren Medicaid |
$5,929.19
|
Rate for Payer: Meridian Medicaid |
$6,225.65
|
Rate for Payer: Priority Health Choice Medicaid |
$5,929.19
|
|
INPATIENT APRDRG 2524: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,345.92
|
|
Service Code
|
APR-DRG 2524
|
Hospital Charge Code |
APRDRG 2524
|
Min. Negotiated Rate |
$10,805.64 |
Max. Negotiated Rate |
$11,345.92 |
Rate for Payer: BCBS Complete |
$11,345.92
|
Rate for Payer: Mclaren Medicaid |
$10,805.64
|
Rate for Payer: Meridian Medicaid |
$11,345.92
|
Rate for Payer: Priority Health Choice Medicaid |
$10,805.64
|
|
INPATIENT APRDRG 2531: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,127.67
|
|
Service Code
|
APR-DRG 2531
|
Hospital Charge Code |
APRDRG 2531
|
Min. Negotiated Rate |
$3,931.11 |
Max. Negotiated Rate |
$4,127.67 |
Rate for Payer: BCBS Complete |
$4,127.67
|
Rate for Payer: Mclaren Medicaid |
$3,931.11
|
Rate for Payer: Meridian Medicaid |
$4,127.67
|
Rate for Payer: Priority Health Choice Medicaid |
$3,931.11
|
|
INPATIENT APRDRG 2532: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,523.41
|
|
Service Code
|
APR-DRG 2532
|
Hospital Charge Code |
APRDRG 2532
|
Min. Negotiated Rate |
$4,308.01 |
Max. Negotiated Rate |
$4,523.41 |
Rate for Payer: BCBS Complete |
$4,523.41
|
Rate for Payer: Mclaren Medicaid |
$4,308.01
|
Rate for Payer: Meridian Medicaid |
$4,523.41
|
Rate for Payer: Priority Health Choice Medicaid |
$4,308.01
|
|
INPATIENT APRDRG 2533: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,446.83
|
|
Service Code
|
APR-DRG 2533
|
Hospital Charge Code |
APRDRG 2533
|
Min. Negotiated Rate |
$6,139.84 |
Max. Negotiated Rate |
$6,446.83 |
Rate for Payer: BCBS Complete |
$6,446.83
|
Rate for Payer: Mclaren Medicaid |
$6,139.84
|
Rate for Payer: Meridian Medicaid |
$6,446.83
|
Rate for Payer: Priority Health Choice Medicaid |
$6,139.84
|
|
INPATIENT APRDRG 2534: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$9,154.70
|
|
Service Code
|
APR-DRG 2534
|
Hospital Charge Code |
APRDRG 2534
|
Min. Negotiated Rate |
$8,718.76 |
Max. Negotiated Rate |
$9,154.70 |
Rate for Payer: BCBS Complete |
$9,154.70
|
Rate for Payer: Mclaren Medicaid |
$8,718.76
|
Rate for Payer: Meridian Medicaid |
$9,154.70
|
Rate for Payer: Priority Health Choice Medicaid |
$8,718.76
|
|
INPATIENT APRDRG 2541: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,667.95
|
|
Service Code
|
APR-DRG 2541
|
Hospital Charge Code |
APRDRG 2541
|
Min. Negotiated Rate |
$3,493.29 |
Max. Negotiated Rate |
$3,667.95 |
Rate for Payer: BCBS Complete |
$3,667.95
|
Rate for Payer: Mclaren Medicaid |
$3,493.29
|
Rate for Payer: Meridian Medicaid |
$3,667.95
|
Rate for Payer: Priority Health Choice Medicaid |
$3,493.29
|
|
INPATIENT APRDRG 2542: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,331.50
|
|
Service Code
|
APR-DRG 2542
|
Hospital Charge Code |
APRDRG 2542
|
Min. Negotiated Rate |
$4,125.24 |
Max. Negotiated Rate |
$4,331.50 |
Rate for Payer: BCBS Complete |
$4,331.50
|
Rate for Payer: Mclaren Medicaid |
$4,125.24
|
Rate for Payer: Meridian Medicaid |
$4,331.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,125.24
|
|
INPATIENT APRDRG 2543: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,551.46
|
|
Service Code
|
APR-DRG 2543
|
Hospital Charge Code |
APRDRG 2543
|
Min. Negotiated Rate |
$6,239.49 |
Max. Negotiated Rate |
$6,551.46 |
Rate for Payer: BCBS Complete |
$6,551.46
|
Rate for Payer: Mclaren Medicaid |
$6,239.49
|
Rate for Payer: Meridian Medicaid |
$6,551.46
|
Rate for Payer: Priority Health Choice Medicaid |
$6,239.49
|
|
INPATIENT APRDRG 2544: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$9,970.03
|
|
Service Code
|
APR-DRG 2544
|
Hospital Charge Code |
APRDRG 2544
|
Min. Negotiated Rate |
$9,495.27 |
Max. Negotiated Rate |
$9,970.03 |
Rate for Payer: BCBS Complete |
$9,970.03
|
Rate for Payer: Mclaren Medicaid |
$9,495.27
|
Rate for Payer: Meridian Medicaid |
$9,970.03
|
Rate for Payer: Priority Health Choice Medicaid |
$9,495.27
|
|
INPATIENT APRDRG 2601: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$9,712.53
|
|
Service Code
|
APR-DRG 2601
|
Hospital Charge Code |
APRDRG 2601
|
Min. Negotiated Rate |
$9,250.03 |
Max. Negotiated Rate |
$9,712.53 |
Rate for Payer: BCBS Complete |
$9,712.53
|
Rate for Payer: Mclaren Medicaid |
$9,250.03
|
Rate for Payer: Meridian Medicaid |
$9,712.53
|
Rate for Payer: Priority Health Choice Medicaid |
$9,250.03
|
|
INPATIENT APRDRG 2602: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$11,679.33
|
|
Service Code
|
APR-DRG 2602
|
Hospital Charge Code |
APRDRG 2602
|
Min. Negotiated Rate |
$11,123.17 |
Max. Negotiated Rate |
$11,679.33 |
Rate for Payer: BCBS Complete |
$11,679.33
|
Rate for Payer: Mclaren Medicaid |
$11,123.17
|
Rate for Payer: Meridian Medicaid |
$11,679.33
|
Rate for Payer: Priority Health Choice Medicaid |
$11,123.17
|
|
INPATIENT APRDRG 2603: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$17,643.13
|
|
Service Code
|
APR-DRG 2603
|
Hospital Charge Code |
APRDRG 2603
|
Min. Negotiated Rate |
$16,802.98 |
Max. Negotiated Rate |
$17,643.13 |
Rate for Payer: BCBS Complete |
$17,643.13
|
Rate for Payer: Mclaren Medicaid |
$16,802.98
|
Rate for Payer: Meridian Medicaid |
$17,643.13
|
Rate for Payer: Priority Health Choice Medicaid |
$16,802.98
|
|
INPATIENT APRDRG 2604: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$24,241.21
|
|
Service Code
|
APR-DRG 2604
|
Hospital Charge Code |
APRDRG 2604
|
Min. Negotiated Rate |
$23,086.87 |
Max. Negotiated Rate |
$24,241.21 |
Rate for Payer: BCBS Complete |
$24,241.21
|
Rate for Payer: Mclaren Medicaid |
$23,086.87
|
Rate for Payer: Meridian Medicaid |
$24,241.21
|
Rate for Payer: Priority Health Choice Medicaid |
$23,086.87
|
|
INPATIENT APRDRG 2611: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$8,035.23
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG 2611
|
Min. Negotiated Rate |
$7,652.60 |
Max. Negotiated Rate |
$8,035.23 |
Rate for Payer: BCBS Complete |
$8,035.23
|
Rate for Payer: Mclaren Medicaid |
$7,652.60
|
Rate for Payer: Meridian Medicaid |
$8,035.23
|
Rate for Payer: Priority Health Choice Medicaid |
$7,652.60
|
|
INPATIENT APRDRG 2612: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$10,965.36
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG 2612
|
Min. Negotiated Rate |
$10,443.20 |
Max. Negotiated Rate |
$10,965.36 |
Rate for Payer: BCBS Complete |
$10,965.36
|
Rate for Payer: Mclaren Medicaid |
$10,443.20
|
Rate for Payer: Meridian Medicaid |
$10,965.36
|
Rate for Payer: Priority Health Choice Medicaid |
$10,443.20
|
|
INPATIENT APRDRG 2613: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$16,033.05
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG 2613
|
Min. Negotiated Rate |
$15,269.57 |
Max. Negotiated Rate |
$16,033.05 |
Rate for Payer: BCBS Complete |
$16,033.05
|
Rate for Payer: Mclaren Medicaid |
$15,269.57
|
Rate for Payer: Meridian Medicaid |
$16,033.05
|
Rate for Payer: Priority Health Choice Medicaid |
$15,269.57
|
|
INPATIENT APRDRG 2614: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$30,816.52
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG 2614
|
Min. Negotiated Rate |
$29,349.07 |
Max. Negotiated Rate |
$30,816.52 |
Rate for Payer: BCBS Complete |
$30,816.52
|
Rate for Payer: Mclaren Medicaid |
$29,349.07
|
Rate for Payer: Meridian Medicaid |
$30,816.52
|
Rate for Payer: Priority Health Choice Medicaid |
$29,349.07
|
|