INPATIENT APRDRG 2832: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$3,845.76
|
|
Service Code
|
APR-DRG 2832
|
Hospital Charge Code |
APRDRG 2832
|
Min. Negotiated Rate |
$3,662.63 |
Max. Negotiated Rate |
$3,845.76 |
Rate for Payer: BCBS Complete |
$3,845.76
|
Rate for Payer: Mclaren Medicaid |
$3,662.63
|
Rate for Payer: Meridian Medicaid |
$3,845.76
|
Rate for Payer: Priority Health Choice Medicaid |
$3,662.63
|
|
INPATIENT APRDRG 2833: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$5,718.77
|
|
Service Code
|
APR-DRG 2833
|
Hospital Charge Code |
APRDRG 2833
|
Min. Negotiated Rate |
$5,446.45 |
Max. Negotiated Rate |
$5,718.77 |
Rate for Payer: BCBS Complete |
$5,718.77
|
Rate for Payer: Mclaren Medicaid |
$5,446.45
|
Rate for Payer: Meridian Medicaid |
$5,718.77
|
Rate for Payer: Priority Health Choice Medicaid |
$5,446.45
|
|
INPATIENT APRDRG 2834: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$9,798.19
|
|
Service Code
|
APR-DRG 2834
|
Hospital Charge Code |
APRDRG 2834
|
Min. Negotiated Rate |
$9,331.61 |
Max. Negotiated Rate |
$9,798.19 |
Rate for Payer: BCBS Complete |
$9,798.19
|
Rate for Payer: Mclaren Medicaid |
$9,331.61
|
Rate for Payer: Meridian Medicaid |
$9,798.19
|
Rate for Payer: Priority Health Choice Medicaid |
$9,331.61
|
|
INPATIENT APRDRG 2841: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$4,164.53
|
|
Service Code
|
APR-DRG 2841
|
Hospital Charge Code |
APRDRG 2841
|
Min. Negotiated Rate |
$3,966.22 |
Max. Negotiated Rate |
$4,164.53 |
Rate for Payer: BCBS Complete |
$4,164.53
|
Rate for Payer: Mclaren Medicaid |
$3,966.22
|
Rate for Payer: Meridian Medicaid |
$4,164.53
|
Rate for Payer: Priority Health Choice Medicaid |
$3,966.22
|
|
INPATIENT APRDRG 2842: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$5,041.12
|
|
Service Code
|
APR-DRG 2842
|
Hospital Charge Code |
APRDRG 2842
|
Min. Negotiated Rate |
$4,801.07 |
Max. Negotiated Rate |
$5,041.12 |
Rate for Payer: BCBS Complete |
$5,041.12
|
Rate for Payer: Mclaren Medicaid |
$4,801.07
|
Rate for Payer: Meridian Medicaid |
$5,041.12
|
Rate for Payer: Priority Health Choice Medicaid |
$4,801.07
|
|
INPATIENT APRDRG 2843: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$6,556.34
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG 2843
|
Min. Negotiated Rate |
$6,244.13 |
Max. Negotiated Rate |
$6,556.34 |
Rate for Payer: BCBS Complete |
$6,556.34
|
Rate for Payer: Mclaren Medicaid |
$6,244.13
|
Rate for Payer: Meridian Medicaid |
$6,556.34
|
Rate for Payer: Priority Health Choice Medicaid |
$6,244.13
|
|
INPATIENT APRDRG 2844: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$9,289.69
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG 2844
|
Min. Negotiated Rate |
$8,847.32 |
Max. Negotiated Rate |
$9,289.69 |
Rate for Payer: BCBS Complete |
$9,289.69
|
Rate for Payer: Mclaren Medicaid |
$8,847.32
|
Rate for Payer: Meridian Medicaid |
$9,289.69
|
Rate for Payer: Priority Health Choice Medicaid |
$8,847.32
|
|
INPATIENT APRDRG 3031: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$25,554.22
|
|
Service Code
|
APR-DRG 3031
|
Hospital Charge Code |
APRDRG 3031
|
Min. Negotiated Rate |
$24,337.35 |
Max. Negotiated Rate |
$25,554.22 |
Rate for Payer: BCBS Complete |
$25,554.22
|
Rate for Payer: Mclaren Medicaid |
$24,337.35
|
Rate for Payer: Meridian Medicaid |
$25,554.22
|
Rate for Payer: Priority Health Choice Medicaid |
$24,337.35
|
|
INPATIENT APRDRG 3032: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$27,749.24
|
|
Service Code
|
APR-DRG 3032
|
Hospital Charge Code |
APRDRG 3032
|
Min. Negotiated Rate |
$26,427.85 |
Max. Negotiated Rate |
$27,749.24 |
Rate for Payer: BCBS Complete |
$27,749.24
|
Rate for Payer: Mclaren Medicaid |
$26,427.85
|
Rate for Payer: Meridian Medicaid |
$27,749.24
|
Rate for Payer: Priority Health Choice Medicaid |
$26,427.85
|
|
INPATIENT APRDRG 3033: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$43,023.88
|
|
Service Code
|
APR-DRG 3033
|
Hospital Charge Code |
APRDRG 3033
|
Min. Negotiated Rate |
$40,975.12 |
Max. Negotiated Rate |
$43,023.88 |
Rate for Payer: BCBS Complete |
$43,023.88
|
Rate for Payer: Mclaren Medicaid |
$40,975.12
|
Rate for Payer: Meridian Medicaid |
$43,023.88
|
Rate for Payer: Priority Health Choice Medicaid |
$40,975.12
|
|
INPATIENT APRDRG 3034: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$63,200.31
|
|
Service Code
|
APR-DRG 3034
|
Hospital Charge Code |
APRDRG 3034
|
Min. Negotiated Rate |
$60,190.77 |
Max. Negotiated Rate |
$63,200.31 |
Rate for Payer: BCBS Complete |
$63,200.31
|
Rate for Payer: Mclaren Medicaid |
$60,190.77
|
Rate for Payer: Meridian Medicaid |
$63,200.31
|
Rate for Payer: Priority Health Choice Medicaid |
$60,190.77
|
|
INPATIENT APRDRG 3041: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$13,765.93
|
|
Service Code
|
APR-DRG 3041
|
Hospital Charge Code |
APRDRG 3041
|
Min. Negotiated Rate |
$13,110.41 |
Max. Negotiated Rate |
$13,765.93 |
Rate for Payer: BCBS Complete |
$13,765.93
|
Rate for Payer: Mclaren Medicaid |
$13,110.41
|
Rate for Payer: Meridian Medicaid |
$13,765.93
|
Rate for Payer: Priority Health Choice Medicaid |
$13,110.41
|
|
INPATIENT APRDRG 3042: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$15,996.18
|
|
Service Code
|
APR-DRG 3042
|
Hospital Charge Code |
APRDRG 3042
|
Min. Negotiated Rate |
$15,234.46 |
Max. Negotiated Rate |
$15,996.18 |
Rate for Payer: BCBS Complete |
$15,996.18
|
Rate for Payer: Mclaren Medicaid |
$15,234.46
|
Rate for Payer: Meridian Medicaid |
$15,996.18
|
Rate for Payer: Priority Health Choice Medicaid |
$15,234.46
|
|
INPATIENT APRDRG 3043: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$24,489.51
|
|
Service Code
|
APR-DRG 3043
|
Hospital Charge Code |
APRDRG 3043
|
Min. Negotiated Rate |
$23,323.34 |
Max. Negotiated Rate |
$24,489.51 |
Rate for Payer: BCBS Complete |
$24,489.51
|
Rate for Payer: Mclaren Medicaid |
$23,323.34
|
Rate for Payer: Meridian Medicaid |
$24,489.51
|
Rate for Payer: Priority Health Choice Medicaid |
$23,323.34
|
|
INPATIENT APRDRG 3044: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$34,872.09
|
|
Service Code
|
APR-DRG 3044
|
Hospital Charge Code |
APRDRG 3044
|
Min. Negotiated Rate |
$33,211.51 |
Max. Negotiated Rate |
$34,872.09 |
Rate for Payer: BCBS Complete |
$34,872.09
|
Rate for Payer: Mclaren Medicaid |
$33,211.51
|
Rate for Payer: Meridian Medicaid |
$34,872.09
|
Rate for Payer: Priority Health Choice Medicaid |
$33,211.51
|
|
INPATIENT APRDRG 3051: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$7,898.07
|
|
Service Code
|
APR-DRG 3051
|
Hospital Charge Code |
APRDRG 3051
|
Min. Negotiated Rate |
$7,521.97 |
Max. Negotiated Rate |
$7,898.07 |
Rate for Payer: BCBS Complete |
$7,898.07
|
Rate for Payer: Mclaren Medicaid |
$7,521.97
|
Rate for Payer: Meridian Medicaid |
$7,898.07
|
Rate for Payer: Priority Health Choice Medicaid |
$7,521.97
|
|
INPATIENT APRDRG 3052: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,797.98
|
|
Service Code
|
APR-DRG 3052
|
Hospital Charge Code |
APRDRG 3052
|
Min. Negotiated Rate |
$8,379.03 |
Max. Negotiated Rate |
$8,797.98 |
Rate for Payer: BCBS Complete |
$8,797.98
|
Rate for Payer: Mclaren Medicaid |
$8,379.03
|
Rate for Payer: Meridian Medicaid |
$8,797.98
|
Rate for Payer: Priority Health Choice Medicaid |
$8,379.03
|
|
INPATIENT APRDRG 3053: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$13,408.67
|
|
Service Code
|
APR-DRG 3053
|
Hospital Charge Code |
APRDRG 3053
|
Min. Negotiated Rate |
$12,770.16 |
Max. Negotiated Rate |
$13,408.67 |
Rate for Payer: BCBS Complete |
$13,408.67
|
Rate for Payer: Mclaren Medicaid |
$12,770.16
|
Rate for Payer: Meridian Medicaid |
$13,408.67
|
Rate for Payer: Priority Health Choice Medicaid |
$12,770.16
|
|
INPATIENT APRDRG 3054: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$20,150.96
|
|
Service Code
|
APR-DRG 3054
|
Hospital Charge Code |
APRDRG 3054
|
Min. Negotiated Rate |
$19,191.39 |
Max. Negotiated Rate |
$20,150.96 |
Rate for Payer: BCBS Complete |
$20,150.96
|
Rate for Payer: Mclaren Medicaid |
$19,191.39
|
Rate for Payer: Meridian Medicaid |
$20,150.96
|
Rate for Payer: Priority Health Choice Medicaid |
$19,191.39
|
|
INPATIENT APRDRG 3081: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$8,015.71
|
|
Service Code
|
APR-DRG 3081
|
Hospital Charge Code |
APRDRG 3081
|
Min. Negotiated Rate |
$7,634.01 |
Max. Negotiated Rate |
$8,015.71 |
Rate for Payer: BCBS Complete |
$8,015.71
|
Rate for Payer: Mclaren Medicaid |
$7,634.01
|
Rate for Payer: Meridian Medicaid |
$8,015.71
|
Rate for Payer: Priority Health Choice Medicaid |
$7,634.01
|
|
INPATIENT APRDRG 3082: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$9,426.29
|
|
Service Code
|
APR-DRG 3082
|
Hospital Charge Code |
APRDRG 3082
|
Min. Negotiated Rate |
$8,977.42 |
Max. Negotiated Rate |
$9,426.29 |
Rate for Payer: BCBS Complete |
$9,426.29
|
Rate for Payer: Mclaren Medicaid |
$8,977.42
|
Rate for Payer: Meridian Medicaid |
$9,426.29
|
Rate for Payer: Priority Health Choice Medicaid |
$8,977.42
|
|
INPATIENT APRDRG 3083: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$12,391.12
|
|
Service Code
|
APR-DRG 3083
|
Hospital Charge Code |
APRDRG 3083
|
Min. Negotiated Rate |
$11,801.07 |
Max. Negotiated Rate |
$12,391.12 |
Rate for Payer: BCBS Complete |
$12,391.12
|
Rate for Payer: Mclaren Medicaid |
$11,801.07
|
Rate for Payer: Meridian Medicaid |
$12,391.12
|
Rate for Payer: Priority Health Choice Medicaid |
$11,801.07
|
|
INPATIENT APRDRG 3084: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$22,690.76
|
|
Service Code
|
APR-DRG 3084
|
Hospital Charge Code |
APRDRG 3084
|
Min. Negotiated Rate |
$21,610.25 |
Max. Negotiated Rate |
$22,690.76 |
Rate for Payer: BCBS Complete |
$22,690.76
|
Rate for Payer: Mclaren Medicaid |
$21,610.25
|
Rate for Payer: Meridian Medicaid |
$22,690.76
|
Rate for Payer: Priority Health Choice Medicaid |
$21,610.25
|
|
INPATIENT APRDRG 3091: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$8,619.08
|
|
Service Code
|
APR-DRG 3091
|
Hospital Charge Code |
APRDRG 3091
|
Min. Negotiated Rate |
$8,208.65 |
Max. Negotiated Rate |
$8,619.08 |
Rate for Payer: BCBS Complete |
$8,619.08
|
Rate for Payer: Mclaren Medicaid |
$8,208.65
|
Rate for Payer: Meridian Medicaid |
$8,619.08
|
Rate for Payer: Priority Health Choice Medicaid |
$8,208.65
|
|
INPATIENT APRDRG 3092: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$11,439.71
|
|
Service Code
|
APR-DRG 3092
|
Hospital Charge Code |
APRDRG 3092
|
Min. Negotiated Rate |
$10,894.96 |
Max. Negotiated Rate |
$11,439.71 |
Rate for Payer: BCBS Complete |
$11,439.71
|
Rate for Payer: Mclaren Medicaid |
$10,894.96
|
Rate for Payer: Meridian Medicaid |
$11,439.71
|
Rate for Payer: Priority Health Choice Medicaid |
$10,894.96
|
|