INPATIENT APRDRG 3251: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,813.22
|
|
Service Code
|
APR-DRG 3251
|
Hospital Charge Code |
APRDRG 3251
|
Min. Negotiated Rate |
$11,250.69 |
Max. Negotiated Rate |
$11,813.22 |
Rate for Payer: BCBS Complete |
$11,813.22
|
Rate for Payer: Mclaren Medicaid |
$11,250.69
|
Rate for Payer: Meridian Medicaid |
$11,813.22
|
Rate for Payer: Priority Health Choice Medicaid |
$11,250.69
|
|
INPATIENT APRDRG 3252: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$13,756.17
|
|
Service Code
|
APR-DRG 3252
|
Hospital Charge Code |
APRDRG 3252
|
Min. Negotiated Rate |
$13,101.11 |
Max. Negotiated Rate |
$13,756.17 |
Rate for Payer: BCBS Complete |
$13,756.17
|
Rate for Payer: Mclaren Medicaid |
$13,101.11
|
Rate for Payer: Meridian Medicaid |
$13,756.17
|
Rate for Payer: Priority Health Choice Medicaid |
$13,101.11
|
|
INPATIENT APRDRG 3253: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$18,274.69
|
|
Service Code
|
APR-DRG 3253
|
Hospital Charge Code |
APRDRG 3253
|
Min. Negotiated Rate |
$17,404.47 |
Max. Negotiated Rate |
$18,274.69 |
Rate for Payer: BCBS Complete |
$18,274.69
|
Rate for Payer: Mclaren Medicaid |
$17,404.47
|
Rate for Payer: Meridian Medicaid |
$18,274.69
|
Rate for Payer: Priority Health Choice Medicaid |
$17,404.47
|
|
INPATIENT APRDRG 3254: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$26,750.66
|
|
Service Code
|
APR-DRG 3254
|
Hospital Charge Code |
APRDRG 3254
|
Min. Negotiated Rate |
$25,476.82 |
Max. Negotiated Rate |
$26,750.66 |
Rate for Payer: BCBS Complete |
$26,750.66
|
Rate for Payer: Mclaren Medicaid |
$25,476.82
|
Rate for Payer: Meridian Medicaid |
$26,750.66
|
Rate for Payer: Priority Health Choice Medicaid |
$25,476.82
|
|
INPATIENT APRDRG 3261: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,431.31
|
|
Service Code
|
APR-DRG 3261
|
Hospital Charge Code |
APRDRG 3261
|
Min. Negotiated Rate |
$7,077.44 |
Max. Negotiated Rate |
$7,431.31 |
Rate for Payer: BCBS Complete |
$7,431.31
|
Rate for Payer: Mclaren Medicaid |
$7,077.44
|
Rate for Payer: Meridian Medicaid |
$7,431.31
|
Rate for Payer: Priority Health Choice Medicaid |
$7,077.44
|
|
INPATIENT APRDRG 3262: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$8,280.27
|
|
Service Code
|
APR-DRG 3262
|
Hospital Charge Code |
APRDRG 3262
|
Min. Negotiated Rate |
$7,885.97 |
Max. Negotiated Rate |
$8,280.27 |
Rate for Payer: BCBS Complete |
$8,280.27
|
Rate for Payer: Mclaren Medicaid |
$7,885.97
|
Rate for Payer: Meridian Medicaid |
$8,280.27
|
Rate for Payer: Priority Health Choice Medicaid |
$7,885.97
|
|
INPATIENT APRDRG 3263: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,828.95
|
|
Service Code
|
APR-DRG 3263
|
Hospital Charge Code |
APRDRG 3263
|
Min. Negotiated Rate |
$11,265.67 |
Max. Negotiated Rate |
$11,828.95 |
Rate for Payer: BCBS Complete |
$11,828.95
|
Rate for Payer: Mclaren Medicaid |
$11,265.67
|
Rate for Payer: Meridian Medicaid |
$11,828.95
|
Rate for Payer: Priority Health Choice Medicaid |
$11,265.67
|
|
INPATIENT APRDRG 3264: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$18,051.88
|
|
Service Code
|
APR-DRG 3264
|
Hospital Charge Code |
APRDRG 3264
|
Min. Negotiated Rate |
$17,192.27 |
Max. Negotiated Rate |
$18,051.88 |
Rate for Payer: BCBS Complete |
$18,051.88
|
Rate for Payer: Mclaren Medicaid |
$17,192.27
|
Rate for Payer: Meridian Medicaid |
$18,051.88
|
Rate for Payer: Priority Health Choice Medicaid |
$17,192.27
|
|
INPATIENT APRDRG 3401: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,072.71
|
|
Service Code
|
APR-DRG 3401
|
Hospital Charge Code |
APRDRG 3401
|
Min. Negotiated Rate |
$2,926.39 |
Max. Negotiated Rate |
$3,072.71 |
Rate for Payer: BCBS Complete |
$3,072.71
|
Rate for Payer: Mclaren Medicaid |
$2,926.39
|
Rate for Payer: Meridian Medicaid |
$3,072.71
|
Rate for Payer: Priority Health Choice Medicaid |
$2,926.39
|
|
INPATIENT APRDRG 3402: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,834.93
|
|
Service Code
|
APR-DRG 3402
|
Hospital Charge Code |
APRDRG 3402
|
Min. Negotiated Rate |
$3,652.31 |
Max. Negotiated Rate |
$3,834.93 |
Rate for Payer: BCBS Complete |
$3,834.93
|
Rate for Payer: Mclaren Medicaid |
$3,652.31
|
Rate for Payer: Meridian Medicaid |
$3,834.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,652.31
|
|
INPATIENT APRDRG 3403: FRACTURE OF FEMUR
|
Facility
|
IP
|
$6,904.92
|
|
Service Code
|
APR-DRG 3403
|
Hospital Charge Code |
APRDRG 3403
|
Min. Negotiated Rate |
$6,576.11 |
Max. Negotiated Rate |
$6,904.92 |
Rate for Payer: BCBS Complete |
$6,904.92
|
Rate for Payer: Mclaren Medicaid |
$6,576.11
|
Rate for Payer: Meridian Medicaid |
$6,904.92
|
Rate for Payer: Priority Health Choice Medicaid |
$6,576.11
|
|
INPATIENT APRDRG 3404: FRACTURE OF FEMUR
|
Facility
|
IP
|
$11,148.05
|
|
Service Code
|
APR-DRG 3404
|
Hospital Charge Code |
APRDRG 3404
|
Min. Negotiated Rate |
$10,617.19 |
Max. Negotiated Rate |
$11,148.05 |
Rate for Payer: BCBS Complete |
$11,148.05
|
Rate for Payer: Mclaren Medicaid |
$10,617.19
|
Rate for Payer: Meridian Medicaid |
$11,148.05
|
Rate for Payer: Priority Health Choice Medicaid |
$10,617.19
|
|
INPATIENT APRDRG 3411: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$2,863.46
|
|
Service Code
|
APR-DRG 3411
|
Hospital Charge Code |
APRDRG 3411
|
Min. Negotiated Rate |
$2,727.10 |
Max. Negotiated Rate |
$2,863.46 |
Rate for Payer: BCBS Complete |
$2,863.46
|
Rate for Payer: Mclaren Medicaid |
$2,727.10
|
Rate for Payer: Meridian Medicaid |
$2,863.46
|
Rate for Payer: Priority Health Choice Medicaid |
$2,727.10
|
|
INPATIENT APRDRG 3412: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,831.12
|
|
Service Code
|
APR-DRG 3412
|
Hospital Charge Code |
APRDRG 3412
|
Min. Negotiated Rate |
$3,648.69 |
Max. Negotiated Rate |
$3,831.12 |
Rate for Payer: BCBS Complete |
$3,831.12
|
Rate for Payer: Mclaren Medicaid |
$3,648.69
|
Rate for Payer: Meridian Medicaid |
$3,831.12
|
Rate for Payer: Priority Health Choice Medicaid |
$3,648.69
|
|
INPATIENT APRDRG 3413: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$7,392.82
|
|
Service Code
|
APR-DRG 3413
|
Hospital Charge Code |
APRDRG 3413
|
Min. Negotiated Rate |
$7,040.78 |
Max. Negotiated Rate |
$7,392.82 |
Rate for Payer: BCBS Complete |
$7,392.82
|
Rate for Payer: Mclaren Medicaid |
$7,040.78
|
Rate for Payer: Meridian Medicaid |
$7,392.82
|
Rate for Payer: Priority Health Choice Medicaid |
$7,040.78
|
|
INPATIENT APRDRG 3414: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$12,782.53
|
|
Service Code
|
APR-DRG 3414
|
Hospital Charge Code |
APRDRG 3414
|
Min. Negotiated Rate |
$12,173.84 |
Max. Negotiated Rate |
$12,782.53 |
Rate for Payer: BCBS Complete |
$12,782.53
|
Rate for Payer: Mclaren Medicaid |
$12,173.84
|
Rate for Payer: Meridian Medicaid |
$12,782.53
|
Rate for Payer: Priority Health Choice Medicaid |
$12,173.84
|
|
INPATIENT APRDRG 3421: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$4,236.09
|
|
Service Code
|
APR-DRG 3421
|
Hospital Charge Code |
APRDRG 3421
|
Min. Negotiated Rate |
$4,034.37 |
Max. Negotiated Rate |
$4,236.09 |
Rate for Payer: BCBS Complete |
$4,236.09
|
Rate for Payer: Mclaren Medicaid |
$4,034.37
|
Rate for Payer: Meridian Medicaid |
$4,236.09
|
Rate for Payer: Priority Health Choice Medicaid |
$4,034.37
|
|
INPATIENT APRDRG 3422: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$4,818.31
|
|
Service Code
|
APR-DRG 3422
|
Hospital Charge Code |
APRDRG 3422
|
Min. Negotiated Rate |
$4,588.87 |
Max. Negotiated Rate |
$4,818.31 |
Rate for Payer: BCBS Complete |
$4,818.31
|
Rate for Payer: Mclaren Medicaid |
$4,588.87
|
Rate for Payer: Meridian Medicaid |
$4,818.31
|
Rate for Payer: Priority Health Choice Medicaid |
$4,588.87
|
|
INPATIENT APRDRG 3423: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$6,536.83
|
|
Service Code
|
APR-DRG 3423
|
Hospital Charge Code |
APRDRG 3423
|
Min. Negotiated Rate |
$6,225.55 |
Max. Negotiated Rate |
$6,536.83 |
Rate for Payer: BCBS Complete |
$6,536.83
|
Rate for Payer: Mclaren Medicaid |
$6,225.55
|
Rate for Payer: Meridian Medicaid |
$6,536.83
|
Rate for Payer: Priority Health Choice Medicaid |
$6,225.55
|
|
INPATIENT APRDRG 3424: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$11,605.05
|
|
Service Code
|
APR-DRG 3424
|
Hospital Charge Code |
APRDRG 3424
|
Min. Negotiated Rate |
$11,052.43 |
Max. Negotiated Rate |
$11,605.05 |
Rate for Payer: BCBS Complete |
$11,605.05
|
Rate for Payer: Mclaren Medicaid |
$11,052.43
|
Rate for Payer: Meridian Medicaid |
$11,605.05
|
Rate for Payer: Priority Health Choice Medicaid |
$11,052.43
|
|
INPATIENT APRDRG 3431: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$5,448.26
|
|
Service Code
|
APR-DRG 3431
|
Hospital Charge Code |
APRDRG 3431
|
Min. Negotiated Rate |
$5,188.82 |
Max. Negotiated Rate |
$5,448.26 |
Rate for Payer: BCBS Complete |
$5,448.26
|
Rate for Payer: Mclaren Medicaid |
$5,188.82
|
Rate for Payer: Meridian Medicaid |
$5,448.26
|
Rate for Payer: Priority Health Choice Medicaid |
$5,188.82
|
|
INPATIENT APRDRG 3432: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$6,389.37
|
|
Service Code
|
APR-DRG 3432
|
Hospital Charge Code |
APRDRG 3432
|
Min. Negotiated Rate |
$6,085.11 |
Max. Negotiated Rate |
$6,389.37 |
Rate for Payer: BCBS Complete |
$6,389.37
|
Rate for Payer: Mclaren Medicaid |
$6,085.11
|
Rate for Payer: Meridian Medicaid |
$6,389.37
|
Rate for Payer: Priority Health Choice Medicaid |
$6,085.11
|
|
INPATIENT APRDRG 3433: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$9,501.65
|
|
Service Code
|
APR-DRG 3433
|
Hospital Charge Code |
APRDRG 3433
|
Min. Negotiated Rate |
$9,049.19 |
Max. Negotiated Rate |
$9,501.65 |
Rate for Payer: BCBS Complete |
$9,501.65
|
Rate for Payer: Mclaren Medicaid |
$9,049.19
|
Rate for Payer: Meridian Medicaid |
$9,501.65
|
Rate for Payer: Priority Health Choice Medicaid |
$9,049.19
|
|
INPATIENT APRDRG 3434: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$16,414.16
|
|
Service Code
|
APR-DRG 3434
|
Hospital Charge Code |
APRDRG 3434
|
Min. Negotiated Rate |
$15,632.53 |
Max. Negotiated Rate |
$16,414.16 |
Rate for Payer: BCBS Complete |
$16,414.16
|
Rate for Payer: Mclaren Medicaid |
$15,632.53
|
Rate for Payer: Meridian Medicaid |
$16,414.16
|
Rate for Payer: Priority Health Choice Medicaid |
$15,632.53
|
|
INPATIENT APRDRG 3441: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,529.17
|
|
Service Code
|
APR-DRG 3441
|
Hospital Charge Code |
APRDRG 3441
|
Min. Negotiated Rate |
$3,361.11 |
Max. Negotiated Rate |
$3,529.17 |
Rate for Payer: BCBS Complete |
$3,529.17
|
Rate for Payer: Mclaren Medicaid |
$3,361.11
|
Rate for Payer: Meridian Medicaid |
$3,529.17
|
Rate for Payer: Priority Health Choice Medicaid |
$3,361.11
|
|