INPATIENT APRDRG 3164: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$20,192.70
|
|
Service Code
|
APR-DRG 3164
|
Hospital Charge Code |
APRDRG 3164
|
Min. Negotiated Rate |
$19,231.14 |
Max. Negotiated Rate |
$20,192.70 |
Rate for Payer: BCBS Complete |
$20,192.70
|
Rate for Payer: Mclaren Medicaid |
$19,231.14
|
Rate for Payer: Meridian Medicaid |
$20,192.70
|
Rate for Payer: Priority Health Choice Medicaid |
$19,231.14
|
|
INPATIENT APRDRG 3171: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$6,942.86
|
|
Service Code
|
APR-DRG 3171
|
Hospital Charge Code |
APRDRG 3171
|
Min. Negotiated Rate |
$6,612.25 |
Max. Negotiated Rate |
$6,942.86 |
Rate for Payer: BCBS Complete |
$6,942.86
|
Rate for Payer: Mclaren Medicaid |
$6,612.25
|
Rate for Payer: Meridian Medicaid |
$6,942.86
|
Rate for Payer: Priority Health Choice Medicaid |
$6,612.25
|
|
INPATIENT APRDRG 3172: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$8,970.38
|
|
Service Code
|
APR-DRG 3172
|
Hospital Charge Code |
APRDRG 3172
|
Min. Negotiated Rate |
$8,543.22 |
Max. Negotiated Rate |
$8,970.38 |
Rate for Payer: BCBS Complete |
$8,970.38
|
Rate for Payer: Mclaren Medicaid |
$8,543.22
|
Rate for Payer: Meridian Medicaid |
$8,970.38
|
Rate for Payer: Priority Health Choice Medicaid |
$8,543.22
|
|
INPATIENT APRDRG 3173: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$11,590.41
|
|
Service Code
|
APR-DRG 3173
|
Hospital Charge Code |
APRDRG 3173
|
Min. Negotiated Rate |
$11,038.49 |
Max. Negotiated Rate |
$11,590.41 |
Rate for Payer: BCBS Complete |
$11,590.41
|
Rate for Payer: Mclaren Medicaid |
$11,038.49
|
Rate for Payer: Meridian Medicaid |
$11,590.41
|
Rate for Payer: Priority Health Choice Medicaid |
$11,038.49
|
|
INPATIENT APRDRG 3174: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$20,098.38
|
|
Service Code
|
APR-DRG 3174
|
Hospital Charge Code |
APRDRG 3174
|
Min. Negotiated Rate |
$19,141.31 |
Max. Negotiated Rate |
$20,098.38 |
Rate for Payer: BCBS Complete |
$20,098.38
|
Rate for Payer: Mclaren Medicaid |
$19,141.31
|
Rate for Payer: Meridian Medicaid |
$20,098.38
|
Rate for Payer: Priority Health Choice Medicaid |
$19,141.31
|
|
INPATIENT APRDRG 3201: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$7,189.53
|
|
Service Code
|
APR-DRG 3201
|
Hospital Charge Code |
APRDRG 3201
|
Min. Negotiated Rate |
$6,847.17 |
Max. Negotiated Rate |
$7,189.53 |
Rate for Payer: BCBS Complete |
$7,189.53
|
Rate for Payer: Mclaren Medicaid |
$6,847.17
|
Rate for Payer: Meridian Medicaid |
$7,189.53
|
Rate for Payer: Priority Health Choice Medicaid |
$6,847.17
|
|
INPATIENT APRDRG 3202: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$9,746.69
|
|
Service Code
|
APR-DRG 3202
|
Hospital Charge Code |
APRDRG 3202
|
Min. Negotiated Rate |
$9,282.56 |
Max. Negotiated Rate |
$9,746.69 |
Rate for Payer: BCBS Complete |
$9,746.69
|
Rate for Payer: Mclaren Medicaid |
$9,282.56
|
Rate for Payer: Meridian Medicaid |
$9,746.69
|
Rate for Payer: Priority Health Choice Medicaid |
$9,282.56
|
|
INPATIENT APRDRG 3203: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$12,441.00
|
|
Service Code
|
APR-DRG 3203
|
Hospital Charge Code |
APRDRG 3203
|
Min. Negotiated Rate |
$11,848.57 |
Max. Negotiated Rate |
$12,441.00 |
Rate for Payer: BCBS Complete |
$12,441.00
|
Rate for Payer: Mclaren Medicaid |
$11,848.57
|
Rate for Payer: Meridian Medicaid |
$12,441.00
|
Rate for Payer: Priority Health Choice Medicaid |
$11,848.57
|
|
INPATIENT APRDRG 3204: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$23,703.98
|
|
Service Code
|
APR-DRG 3204
|
Hospital Charge Code |
APRDRG 3204
|
Min. Negotiated Rate |
$22,575.22 |
Max. Negotiated Rate |
$23,703.98 |
Rate for Payer: BCBS Complete |
$23,703.98
|
Rate for Payer: Mclaren Medicaid |
$22,575.22
|
Rate for Payer: Meridian Medicaid |
$23,703.98
|
Rate for Payer: Priority Health Choice Medicaid |
$22,575.22
|
|
INPATIENT APRDRG 3211: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$10,140.81
|
|
Service Code
|
APR-DRG 3211
|
Hospital Charge Code |
APRDRG 3211
|
Min. Negotiated Rate |
$9,657.91 |
Max. Negotiated Rate |
$10,140.81 |
Rate for Payer: BCBS Complete |
$10,140.81
|
Rate for Payer: Mclaren Medicaid |
$9,657.91
|
Rate for Payer: Meridian Medicaid |
$10,140.81
|
Rate for Payer: Priority Health Choice Medicaid |
$9,657.91
|
|
INPATIENT APRDRG 3212: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$12,150.42
|
|
Service Code
|
APR-DRG 3212
|
Hospital Charge Code |
APRDRG 3212
|
Min. Negotiated Rate |
$11,571.83 |
Max. Negotiated Rate |
$12,150.42 |
Rate for Payer: BCBS Complete |
$12,150.42
|
Rate for Payer: Mclaren Medicaid |
$11,571.83
|
Rate for Payer: Meridian Medicaid |
$12,150.42
|
Rate for Payer: Priority Health Choice Medicaid |
$11,571.83
|
|
INPATIENT APRDRG 3213: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$17,927.74
|
|
Service Code
|
APR-DRG 3213
|
Hospital Charge Code |
APRDRG 3213
|
Min. Negotiated Rate |
$17,074.04 |
Max. Negotiated Rate |
$17,927.74 |
Rate for Payer: BCBS Complete |
$17,927.74
|
Rate for Payer: Mclaren Medicaid |
$17,074.04
|
Rate for Payer: Meridian Medicaid |
$17,927.74
|
Rate for Payer: Priority Health Choice Medicaid |
$17,074.04
|
|
INPATIENT APRDRG 3214: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$25,050.05
|
|
Service Code
|
APR-DRG 3214
|
Hospital Charge Code |
APRDRG 3214
|
Min. Negotiated Rate |
$23,857.19 |
Max. Negotiated Rate |
$25,050.05 |
Rate for Payer: BCBS Complete |
$25,050.05
|
Rate for Payer: Mclaren Medicaid |
$23,857.19
|
Rate for Payer: Meridian Medicaid |
$25,050.05
|
Rate for Payer: Priority Health Choice Medicaid |
$23,857.19
|
|
INPATIENT APRDRG 3221: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$9,112.95
|
|
Service Code
|
APR-DRG 3221
|
Hospital Charge Code |
APRDRG 3221
|
Min. Negotiated Rate |
$8,679.00 |
Max. Negotiated Rate |
$9,112.95 |
Rate for Payer: BCBS Complete |
$9,112.95
|
Rate for Payer: Mclaren Medicaid |
$8,679.00
|
Rate for Payer: Meridian Medicaid |
$9,112.95
|
Rate for Payer: Priority Health Choice Medicaid |
$8,679.00
|
|
INPATIENT APRDRG 3222: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$10,167.91
|
|
Service Code
|
APR-DRG 3222
|
Hospital Charge Code |
APRDRG 3222
|
Min. Negotiated Rate |
$9,683.72 |
Max. Negotiated Rate |
$10,167.91 |
Rate for Payer: BCBS Complete |
$10,167.91
|
Rate for Payer: Mclaren Medicaid |
$9,683.72
|
Rate for Payer: Meridian Medicaid |
$10,167.91
|
Rate for Payer: Priority Health Choice Medicaid |
$9,683.72
|
|
INPATIENT APRDRG 3223: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$14,675.05
|
|
Service Code
|
APR-DRG 3223
|
Hospital Charge Code |
APRDRG 3223
|
Min. Negotiated Rate |
$13,976.24 |
Max. Negotiated Rate |
$14,675.05 |
Rate for Payer: BCBS Complete |
$14,675.05
|
Rate for Payer: Mclaren Medicaid |
$13,976.24
|
Rate for Payer: Meridian Medicaid |
$14,675.05
|
Rate for Payer: Priority Health Choice Medicaid |
$13,976.24
|
|
INPATIENT APRDRG 3224: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$20,629.64
|
|
Service Code
|
APR-DRG 3224
|
Hospital Charge Code |
APRDRG 3224
|
Min. Negotiated Rate |
$19,647.28 |
Max. Negotiated Rate |
$20,629.64 |
Rate for Payer: BCBS Complete |
$20,629.64
|
Rate for Payer: Mclaren Medicaid |
$19,647.28
|
Rate for Payer: Meridian Medicaid |
$20,629.64
|
Rate for Payer: Priority Health Choice Medicaid |
$19,647.28
|
|
INPATIENT APRDRG 3231: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,987.18
|
|
Service Code
|
APR-DRG 3231
|
Hospital Charge Code |
APRDRG 3231
|
Min. Negotiated Rate |
$8,559.22 |
Max. Negotiated Rate |
$8,987.18 |
Rate for Payer: BCBS Complete |
$8,987.18
|
Rate for Payer: Mclaren Medicaid |
$8,559.22
|
Rate for Payer: Meridian Medicaid |
$8,987.18
|
Rate for Payer: Priority Health Choice Medicaid |
$8,559.22
|
|
INPATIENT APRDRG 3232: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$10,306.15
|
|
Service Code
|
APR-DRG 3232
|
Hospital Charge Code |
APRDRG 3232
|
Min. Negotiated Rate |
$9,815.38 |
Max. Negotiated Rate |
$10,306.15 |
Rate for Payer: BCBS Complete |
$10,306.15
|
Rate for Payer: Mclaren Medicaid |
$9,815.38
|
Rate for Payer: Meridian Medicaid |
$10,306.15
|
Rate for Payer: Priority Health Choice Medicaid |
$9,815.38
|
|
INPATIENT APRDRG 3233: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$14,257.08
|
|
Service Code
|
APR-DRG 3233
|
Hospital Charge Code |
APRDRG 3233
|
Min. Negotiated Rate |
$13,578.17 |
Max. Negotiated Rate |
$14,257.08 |
Rate for Payer: BCBS Complete |
$14,257.08
|
Rate for Payer: Mclaren Medicaid |
$13,578.17
|
Rate for Payer: Meridian Medicaid |
$14,257.08
|
Rate for Payer: Priority Health Choice Medicaid |
$13,578.17
|
|
INPATIENT APRDRG 3234: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$20,604.71
|
|
Service Code
|
APR-DRG 3234
|
Hospital Charge Code |
APRDRG 3234
|
Min. Negotiated Rate |
$19,623.53 |
Max. Negotiated Rate |
$20,604.71 |
Rate for Payer: BCBS Complete |
$20,604.71
|
Rate for Payer: Mclaren Medicaid |
$19,623.53
|
Rate for Payer: Meridian Medicaid |
$20,604.71
|
Rate for Payer: Priority Health Choice Medicaid |
$19,623.53
|
|
INPATIENT APRDRG 3241: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$7,543.53
|
|
Service Code
|
APR-DRG 3241
|
Hospital Charge Code |
APRDRG 3241
|
Min. Negotiated Rate |
$7,184.31 |
Max. Negotiated Rate |
$7,543.53 |
Rate for Payer: BCBS Complete |
$7,543.53
|
Rate for Payer: Mclaren Medicaid |
$7,184.31
|
Rate for Payer: Meridian Medicaid |
$7,543.53
|
Rate for Payer: Priority Health Choice Medicaid |
$7,184.31
|
|
INPATIENT APRDRG 3242: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,615.84
|
|
Service Code
|
APR-DRG 3242
|
Hospital Charge Code |
APRDRG 3242
|
Min. Negotiated Rate |
$8,205.56 |
Max. Negotiated Rate |
$8,615.84 |
Rate for Payer: BCBS Complete |
$8,615.84
|
Rate for Payer: Mclaren Medicaid |
$8,205.56
|
Rate for Payer: Meridian Medicaid |
$8,615.84
|
Rate for Payer: Priority Health Choice Medicaid |
$8,205.56
|
|
INPATIENT APRDRG 3243: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$12,862.76
|
|
Service Code
|
APR-DRG 3243
|
Hospital Charge Code |
APRDRG 3243
|
Min. Negotiated Rate |
$12,250.25 |
Max. Negotiated Rate |
$12,862.76 |
Rate for Payer: BCBS Complete |
$12,862.76
|
Rate for Payer: Mclaren Medicaid |
$12,250.25
|
Rate for Payer: Meridian Medicaid |
$12,862.76
|
Rate for Payer: Priority Health Choice Medicaid |
$12,250.25
|
|
INPATIENT APRDRG 3244: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$21,683.52
|
|
Service Code
|
APR-DRG 3244
|
Hospital Charge Code |
APRDRG 3244
|
Min. Negotiated Rate |
$20,650.97 |
Max. Negotiated Rate |
$21,683.52 |
Rate for Payer: BCBS Complete |
$21,683.52
|
Rate for Payer: Mclaren Medicaid |
$20,650.97
|
Rate for Payer: Meridian Medicaid |
$21,683.52
|
Rate for Payer: Priority Health Choice Medicaid |
$20,650.97
|
|