INPATIENT APRDRG 3093: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$14,472.84
|
|
Service Code
|
APR-DRG 3093
|
Hospital Charge Code |
APRDRG 3093
|
Min. Negotiated Rate |
$13,783.66 |
Max. Negotiated Rate |
$14,472.84 |
Rate for Payer: BCBS Complete |
$14,472.84
|
Rate for Payer: Mclaren Medicaid |
$13,783.66
|
Rate for Payer: Meridian Medicaid |
$14,472.84
|
Rate for Payer: Priority Health Choice Medicaid |
$13,783.66
|
|
INPATIENT APRDRG 3094: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$20,308.17
|
|
Service Code
|
APR-DRG 3094
|
Hospital Charge Code |
APRDRG 3094
|
Min. Negotiated Rate |
$19,341.11 |
Max. Negotiated Rate |
$20,308.17 |
Rate for Payer: BCBS Complete |
$20,308.17
|
Rate for Payer: Mclaren Medicaid |
$19,341.11
|
Rate for Payer: Meridian Medicaid |
$20,308.17
|
Rate for Payer: Priority Health Choice Medicaid |
$19,341.11
|
|
INPATIENT APRDRG 3101: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$7,627.56
|
|
Service Code
|
APR-DRG 3101
|
Hospital Charge Code |
APRDRG 3101
|
Min. Negotiated Rate |
$7,264.34 |
Max. Negotiated Rate |
$7,627.56 |
Rate for Payer: BCBS Complete |
$7,627.56
|
Rate for Payer: Mclaren Medicaid |
$7,264.34
|
Rate for Payer: Meridian Medicaid |
$7,627.56
|
Rate for Payer: Priority Health Choice Medicaid |
$7,264.34
|
|
INPATIENT APRDRG 3102: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$11,142.09
|
|
Service Code
|
APR-DRG 3102
|
Hospital Charge Code |
APRDRG 3102
|
Min. Negotiated Rate |
$10,611.51 |
Max. Negotiated Rate |
$11,142.09 |
Rate for Payer: BCBS Complete |
$11,142.09
|
Rate for Payer: Mclaren Medicaid |
$10,611.51
|
Rate for Payer: Meridian Medicaid |
$11,142.09
|
Rate for Payer: Priority Health Choice Medicaid |
$10,611.51
|
|
INPATIENT APRDRG 3103: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$17,099.93
|
|
Service Code
|
APR-DRG 3103
|
Hospital Charge Code |
APRDRG 3103
|
Min. Negotiated Rate |
$16,285.65 |
Max. Negotiated Rate |
$17,099.93 |
Rate for Payer: BCBS Complete |
$17,099.93
|
Rate for Payer: Mclaren Medicaid |
$16,285.65
|
Rate for Payer: Meridian Medicaid |
$17,099.93
|
Rate for Payer: Priority Health Choice Medicaid |
$16,285.65
|
|
INPATIENT APRDRG 3104: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$31,796.13
|
|
Service Code
|
APR-DRG 3104
|
Hospital Charge Code |
APRDRG 3104
|
Min. Negotiated Rate |
$30,282.03 |
Max. Negotiated Rate |
$31,796.13 |
Rate for Payer: BCBS Complete |
$31,796.13
|
Rate for Payer: Mclaren Medicaid |
$30,282.03
|
Rate for Payer: Meridian Medicaid |
$31,796.13
|
Rate for Payer: Priority Health Choice Medicaid |
$30,282.03
|
|
INPATIENT APRDRG 3121: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$9,680.00
|
|
Service Code
|
APR-DRG 3121
|
Hospital Charge Code |
APRDRG 3121
|
Min. Negotiated Rate |
$9,219.05 |
Max. Negotiated Rate |
$9,680.00 |
Rate for Payer: BCBS Complete |
$9,680.00
|
Rate for Payer: Mclaren Medicaid |
$9,219.05
|
Rate for Payer: Meridian Medicaid |
$9,680.00
|
Rate for Payer: Priority Health Choice Medicaid |
$9,219.05
|
|
INPATIENT APRDRG 3122: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$14,651.74
|
|
Service Code
|
APR-DRG 3122
|
Hospital Charge Code |
APRDRG 3122
|
Min. Negotiated Rate |
$13,954.04 |
Max. Negotiated Rate |
$14,651.74 |
Rate for Payer: BCBS Complete |
$14,651.74
|
Rate for Payer: Mclaren Medicaid |
$13,954.04
|
Rate for Payer: Meridian Medicaid |
$14,651.74
|
Rate for Payer: Priority Health Choice Medicaid |
$13,954.04
|
|
INPATIENT APRDRG 3123: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$21,322.47
|
|
Service Code
|
APR-DRG 3123
|
Hospital Charge Code |
APRDRG 3123
|
Min. Negotiated Rate |
$20,307.11 |
Max. Negotiated Rate |
$21,322.47 |
Rate for Payer: BCBS Complete |
$21,322.47
|
Rate for Payer: Mclaren Medicaid |
$20,307.11
|
Rate for Payer: Meridian Medicaid |
$21,322.47
|
Rate for Payer: Priority Health Choice Medicaid |
$20,307.11
|
|
INPATIENT APRDRG 3124: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$39,806.42
|
|
Service Code
|
APR-DRG 3124
|
Hospital Charge Code |
APRDRG 3124
|
Min. Negotiated Rate |
$37,910.88 |
Max. Negotiated Rate |
$39,806.42 |
Rate for Payer: BCBS Complete |
$39,806.42
|
Rate for Payer: Mclaren Medicaid |
$37,910.88
|
Rate for Payer: Meridian Medicaid |
$39,806.42
|
Rate for Payer: Priority Health Choice Medicaid |
$37,910.88
|
|
INPATIENT APRDRG 3131: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$8,939.48
|
|
Service Code
|
APR-DRG 3131
|
Hospital Charge Code |
APRDRG 3131
|
Min. Negotiated Rate |
$8,513.79 |
Max. Negotiated Rate |
$8,939.48 |
Rate for Payer: BCBS Complete |
$8,939.48
|
Rate for Payer: Mclaren Medicaid |
$8,513.79
|
Rate for Payer: Meridian Medicaid |
$8,939.48
|
Rate for Payer: Priority Health Choice Medicaid |
$8,513.79
|
|
INPATIENT APRDRG 3132: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$10,762.60
|
|
Service Code
|
APR-DRG 3132
|
Hospital Charge Code |
APRDRG 3132
|
Min. Negotiated Rate |
$10,250.10 |
Max. Negotiated Rate |
$10,762.60 |
Rate for Payer: BCBS Complete |
$10,762.60
|
Rate for Payer: Mclaren Medicaid |
$10,250.10
|
Rate for Payer: Meridian Medicaid |
$10,762.60
|
Rate for Payer: Priority Health Choice Medicaid |
$10,250.10
|
|
INPATIENT APRDRG 3133: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$13,658.59
|
|
Service Code
|
APR-DRG 3133
|
Hospital Charge Code |
APRDRG 3133
|
Min. Negotiated Rate |
$13,008.18 |
Max. Negotiated Rate |
$13,658.59 |
Rate for Payer: BCBS Complete |
$13,658.59
|
Rate for Payer: Mclaren Medicaid |
$13,008.18
|
Rate for Payer: Meridian Medicaid |
$13,658.59
|
Rate for Payer: Priority Health Choice Medicaid |
$13,008.18
|
|
INPATIENT APRDRG 3134: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$24,448.84
|
|
Service Code
|
APR-DRG 3134
|
Hospital Charge Code |
APRDRG 3134
|
Min. Negotiated Rate |
$23,284.61 |
Max. Negotiated Rate |
$24,448.84 |
Rate for Payer: BCBS Complete |
$24,448.84
|
Rate for Payer: Mclaren Medicaid |
$23,284.61
|
Rate for Payer: Meridian Medicaid |
$24,448.84
|
Rate for Payer: Priority Health Choice Medicaid |
$23,284.61
|
|
INPATIENT APRDRG 3141: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$7,287.10
|
|
Service Code
|
APR-DRG 3141
|
Hospital Charge Code |
APRDRG 3141
|
Min. Negotiated Rate |
$6,940.10 |
Max. Negotiated Rate |
$7,287.10 |
Rate for Payer: BCBS Complete |
$7,287.10
|
Rate for Payer: Mclaren Medicaid |
$6,940.10
|
Rate for Payer: Meridian Medicaid |
$7,287.10
|
Rate for Payer: Priority Health Choice Medicaid |
$6,940.10
|
|
INPATIENT APRDRG 3142: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$7,793.45
|
|
Service Code
|
APR-DRG 3142
|
Hospital Charge Code |
APRDRG 3142
|
Min. Negotiated Rate |
$7,422.33 |
Max. Negotiated Rate |
$7,793.45 |
Rate for Payer: BCBS Complete |
$7,793.45
|
Rate for Payer: Mclaren Medicaid |
$7,422.33
|
Rate for Payer: Meridian Medicaid |
$7,793.45
|
Rate for Payer: Priority Health Choice Medicaid |
$7,422.33
|
|
INPATIENT APRDRG 3143: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$9,716.32
|
|
Service Code
|
APR-DRG 3143
|
Hospital Charge Code |
APRDRG 3143
|
Min. Negotiated Rate |
$9,253.64 |
Max. Negotiated Rate |
$9,716.32 |
Rate for Payer: BCBS Complete |
$9,716.32
|
Rate for Payer: Mclaren Medicaid |
$9,253.64
|
Rate for Payer: Meridian Medicaid |
$9,716.32
|
Rate for Payer: Priority Health Choice Medicaid |
$9,253.64
|
|
INPATIENT APRDRG 3144: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$14,625.72
|
|
Service Code
|
APR-DRG 3144
|
Hospital Charge Code |
APRDRG 3144
|
Min. Negotiated Rate |
$13,929.26 |
Max. Negotiated Rate |
$14,625.72 |
Rate for Payer: BCBS Complete |
$14,625.72
|
Rate for Payer: Mclaren Medicaid |
$13,929.26
|
Rate for Payer: Meridian Medicaid |
$14,625.72
|
Rate for Payer: Priority Health Choice Medicaid |
$13,929.26
|
|
INPATIENT APRDRG 3151: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$6,732.53
|
|
Service Code
|
APR-DRG 3151
|
Hospital Charge Code |
APRDRG 3151
|
Min. Negotiated Rate |
$6,411.93 |
Max. Negotiated Rate |
$6,732.53 |
Rate for Payer: BCBS Complete |
$6,732.53
|
Rate for Payer: Mclaren Medicaid |
$6,411.93
|
Rate for Payer: Meridian Medicaid |
$6,732.53
|
Rate for Payer: Priority Health Choice Medicaid |
$6,411.93
|
|
INPATIENT APRDRG 3152: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$9,837.22
|
|
Service Code
|
APR-DRG 3152
|
Hospital Charge Code |
APRDRG 3152
|
Min. Negotiated Rate |
$9,368.78 |
Max. Negotiated Rate |
$9,837.22 |
Rate for Payer: BCBS Complete |
$9,837.22
|
Rate for Payer: Mclaren Medicaid |
$9,368.78
|
Rate for Payer: Meridian Medicaid |
$9,837.22
|
Rate for Payer: Priority Health Choice Medicaid |
$9,368.78
|
|
INPATIENT APRDRG 3153: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$14,628.98
|
|
Service Code
|
APR-DRG 3153
|
Hospital Charge Code |
APRDRG 3153
|
Min. Negotiated Rate |
$13,932.36 |
Max. Negotiated Rate |
$14,628.98 |
Rate for Payer: BCBS Complete |
$14,628.98
|
Rate for Payer: Mclaren Medicaid |
$13,932.36
|
Rate for Payer: Meridian Medicaid |
$14,628.98
|
Rate for Payer: Priority Health Choice Medicaid |
$13,932.36
|
|
INPATIENT APRDRG 3154: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$25,669.69
|
|
Service Code
|
APR-DRG 3154
|
Hospital Charge Code |
APRDRG 3154
|
Min. Negotiated Rate |
$24,447.32 |
Max. Negotiated Rate |
$25,669.69 |
Rate for Payer: BCBS Complete |
$25,669.69
|
Rate for Payer: Mclaren Medicaid |
$24,447.32
|
Rate for Payer: Meridian Medicaid |
$25,669.69
|
Rate for Payer: Priority Health Choice Medicaid |
$24,447.32
|
|
INPATIENT APRDRG 3161: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$6,453.88
|
|
Service Code
|
APR-DRG 3161
|
Hospital Charge Code |
APRDRG 3161
|
Min. Negotiated Rate |
$6,146.55 |
Max. Negotiated Rate |
$6,453.88 |
Rate for Payer: BCBS Complete |
$6,453.88
|
Rate for Payer: Mclaren Medicaid |
$6,146.55
|
Rate for Payer: Meridian Medicaid |
$6,453.88
|
Rate for Payer: Priority Health Choice Medicaid |
$6,146.55
|
|
INPATIENT APRDRG 3162: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$6,945.04
|
|
Service Code
|
APR-DRG 3162
|
Hospital Charge Code |
APRDRG 3162
|
Min. Negotiated Rate |
$6,614.32 |
Max. Negotiated Rate |
$6,945.04 |
Rate for Payer: BCBS Complete |
$6,945.04
|
Rate for Payer: Mclaren Medicaid |
$6,614.32
|
Rate for Payer: Meridian Medicaid |
$6,945.04
|
Rate for Payer: Priority Health Choice Medicaid |
$6,614.32
|
|
INPATIENT APRDRG 3163: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$10,716.53
|
|
Service Code
|
APR-DRG 3163
|
Hospital Charge Code |
APRDRG 3163
|
Min. Negotiated Rate |
$10,206.22 |
Max. Negotiated Rate |
$10,716.53 |
Rate for Payer: BCBS Complete |
$10,716.53
|
Rate for Payer: Mclaren Medicaid |
$10,206.22
|
Rate for Payer: Meridian Medicaid |
$10,716.53
|
Rate for Payer: Priority Health Choice Medicaid |
$10,206.22
|
|