INPATIENT APRDRG 3442: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$5,047.63
|
|
Service Code
|
APR-DRG 3442
|
Hospital Charge Code |
APRDRG 3442
|
Min. Negotiated Rate |
$4,807.27 |
Max. Negotiated Rate |
$5,047.63 |
Rate for Payer: BCBS Complete |
$5,047.63
|
Rate for Payer: Mclaren Medicaid |
$4,807.27
|
Rate for Payer: Meridian Medicaid |
$5,047.63
|
Rate for Payer: Priority Health Choice Medicaid |
$4,807.27
|
|
INPATIENT APRDRG 3443: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$6,753.13
|
|
Service Code
|
APR-DRG 3443
|
Hospital Charge Code |
APRDRG 3443
|
Min. Negotiated Rate |
$6,431.55 |
Max. Negotiated Rate |
$6,753.13 |
Rate for Payer: BCBS Complete |
$6,753.13
|
Rate for Payer: Mclaren Medicaid |
$6,431.55
|
Rate for Payer: Meridian Medicaid |
$6,753.13
|
Rate for Payer: Priority Health Choice Medicaid |
$6,431.55
|
|
INPATIENT APRDRG 3444: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$8,383.26
|
|
Service Code
|
APR-DRG 3444
|
Hospital Charge Code |
APRDRG 3444
|
Min. Negotiated Rate |
$7,984.06 |
Max. Negotiated Rate |
$8,383.26 |
Rate for Payer: BCBS Complete |
$8,383.26
|
Rate for Payer: Mclaren Medicaid |
$7,984.06
|
Rate for Payer: Meridian Medicaid |
$8,383.26
|
Rate for Payer: Priority Health Choice Medicaid |
$7,984.06
|
|
INPATIENT APRDRG 3461: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$4,851.39
|
|
Service Code
|
APR-DRG 3461
|
Hospital Charge Code |
APRDRG 3461
|
Min. Negotiated Rate |
$4,620.37 |
Max. Negotiated Rate |
$4,851.39 |
Rate for Payer: BCBS Complete |
$4,851.39
|
Rate for Payer: Mclaren Medicaid |
$4,620.37
|
Rate for Payer: Meridian Medicaid |
$4,851.39
|
Rate for Payer: Priority Health Choice Medicaid |
$4,620.37
|
|
INPATIENT APRDRG 3462: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$5,633.11
|
|
Service Code
|
APR-DRG 3462
|
Hospital Charge Code |
APRDRG 3462
|
Min. Negotiated Rate |
$5,364.87 |
Max. Negotiated Rate |
$5,633.11 |
Rate for Payer: BCBS Complete |
$5,633.11
|
Rate for Payer: Mclaren Medicaid |
$5,364.87
|
Rate for Payer: Meridian Medicaid |
$5,633.11
|
Rate for Payer: Priority Health Choice Medicaid |
$5,364.87
|
|
INPATIENT APRDRG 3463: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$7,632.98
|
|
Service Code
|
APR-DRG 3463
|
Hospital Charge Code |
APRDRG 3463
|
Min. Negotiated Rate |
$7,269.50 |
Max. Negotiated Rate |
$7,632.98 |
Rate for Payer: BCBS Complete |
$7,632.98
|
Rate for Payer: Mclaren Medicaid |
$7,269.50
|
Rate for Payer: Meridian Medicaid |
$7,632.98
|
Rate for Payer: Priority Health Choice Medicaid |
$7,269.50
|
|
INPATIENT APRDRG 3464: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$15,944.14
|
|
Service Code
|
APR-DRG 3464
|
Hospital Charge Code |
APRDRG 3464
|
Min. Negotiated Rate |
$15,184.90 |
Max. Negotiated Rate |
$15,944.14 |
Rate for Payer: BCBS Complete |
$15,944.14
|
Rate for Payer: Mclaren Medicaid |
$15,184.90
|
Rate for Payer: Meridian Medicaid |
$15,944.14
|
Rate for Payer: Priority Health Choice Medicaid |
$15,184.90
|
|
INPATIENT APRDRG 3471: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$4,891.50
|
|
Service Code
|
APR-DRG 3471
|
Hospital Charge Code |
APRDRG 3471
|
Min. Negotiated Rate |
$4,658.57 |
Max. Negotiated Rate |
$4,891.50 |
Rate for Payer: BCBS Complete |
$4,891.50
|
Rate for Payer: Mclaren Medicaid |
$4,658.57
|
Rate for Payer: Meridian Medicaid |
$4,891.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,658.57
|
|
INPATIENT APRDRG 3472: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$5,355.01
|
|
Service Code
|
APR-DRG 3472
|
Hospital Charge Code |
APRDRG 3472
|
Min. Negotiated Rate |
$5,100.01 |
Max. Negotiated Rate |
$5,355.01 |
Rate for Payer: BCBS Complete |
$5,355.01
|
Rate for Payer: Mclaren Medicaid |
$5,100.01
|
Rate for Payer: Meridian Medicaid |
$5,355.01
|
Rate for Payer: Priority Health Choice Medicaid |
$5,100.01
|
|
INPATIENT APRDRG 3473: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$6,784.03
|
|
Service Code
|
APR-DRG 3473
|
Hospital Charge Code |
APRDRG 3473
|
Min. Negotiated Rate |
$6,460.98 |
Max. Negotiated Rate |
$6,784.03 |
Rate for Payer: BCBS Complete |
$6,784.03
|
Rate for Payer: Mclaren Medicaid |
$6,460.98
|
Rate for Payer: Meridian Medicaid |
$6,784.03
|
Rate for Payer: Priority Health Choice Medicaid |
$6,460.98
|
|
INPATIENT APRDRG 3474: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$9,328.71
|
|
Service Code
|
APR-DRG 3474
|
Hospital Charge Code |
APRDRG 3474
|
Min. Negotiated Rate |
$8,884.49 |
Max. Negotiated Rate |
$9,328.71 |
Rate for Payer: BCBS Complete |
$9,328.71
|
Rate for Payer: Mclaren Medicaid |
$8,884.49
|
Rate for Payer: Meridian Medicaid |
$9,328.71
|
Rate for Payer: Priority Health Choice Medicaid |
$8,884.49
|
|
INPATIENT APRDRG 3491: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,219.82
|
|
Service Code
|
APR-DRG 3491
|
Hospital Charge Code |
APRDRG 3491
|
Min. Negotiated Rate |
$4,018.88 |
Max. Negotiated Rate |
$4,219.82 |
Rate for Payer: BCBS Complete |
$4,219.82
|
Rate for Payer: Mclaren Medicaid |
$4,018.88
|
Rate for Payer: Meridian Medicaid |
$4,219.82
|
Rate for Payer: Priority Health Choice Medicaid |
$4,018.88
|
|
INPATIENT APRDRG 3492: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,939.41
|
|
Service Code
|
APR-DRG 3492
|
Hospital Charge Code |
APRDRG 3492
|
Min. Negotiated Rate |
$5,656.58 |
Max. Negotiated Rate |
$5,939.41 |
Rate for Payer: BCBS Complete |
$5,939.41
|
Rate for Payer: Mclaren Medicaid |
$5,656.58
|
Rate for Payer: Meridian Medicaid |
$5,939.41
|
Rate for Payer: Priority Health Choice Medicaid |
$5,656.58
|
|
INPATIENT APRDRG 3493: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,243.54
|
|
Service Code
|
APR-DRG 3493
|
Hospital Charge Code |
APRDRG 3493
|
Min. Negotiated Rate |
$5,946.23 |
Max. Negotiated Rate |
$6,243.54 |
Rate for Payer: BCBS Complete |
$6,243.54
|
Rate for Payer: Mclaren Medicaid |
$5,946.23
|
Rate for Payer: Meridian Medicaid |
$6,243.54
|
Rate for Payer: Priority Health Choice Medicaid |
$5,946.23
|
|
INPATIENT APRDRG 3494: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,425.07
|
|
Service Code
|
APR-DRG 3494
|
Hospital Charge Code |
APRDRG 3494
|
Min. Negotiated Rate |
$10,881.02 |
Max. Negotiated Rate |
$11,425.07 |
Rate for Payer: BCBS Complete |
$11,425.07
|
Rate for Payer: Mclaren Medicaid |
$10,881.02
|
Rate for Payer: Meridian Medicaid |
$11,425.07
|
Rate for Payer: Priority Health Choice Medicaid |
$10,881.02
|
|
INPATIENT APRDRG 3511: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,832.55
|
|
Service Code
|
APR-DRG 3511
|
Hospital Charge Code |
APRDRG 3511
|
Min. Negotiated Rate |
$2,697.67 |
Max. Negotiated Rate |
$2,832.55 |
Rate for Payer: BCBS Complete |
$2,832.55
|
Rate for Payer: Mclaren Medicaid |
$2,697.67
|
Rate for Payer: Meridian Medicaid |
$2,832.55
|
Rate for Payer: Priority Health Choice Medicaid |
$2,697.67
|
|
INPATIENT APRDRG 3512: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,218.00
|
|
Service Code
|
APR-DRG 3512
|
Hospital Charge Code |
APRDRG 3512
|
Min. Negotiated Rate |
$3,064.76 |
Max. Negotiated Rate |
$3,218.00 |
Rate for Payer: BCBS Complete |
$3,218.00
|
Rate for Payer: Mclaren Medicaid |
$3,064.76
|
Rate for Payer: Meridian Medicaid |
$3,218.00
|
Rate for Payer: Priority Health Choice Medicaid |
$3,064.76
|
|
INPATIENT APRDRG 3513: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,307.84
|
|
Service Code
|
APR-DRG 3513
|
Hospital Charge Code |
APRDRG 3513
|
Min. Negotiated Rate |
$5,055.09 |
Max. Negotiated Rate |
$5,307.84 |
Rate for Payer: BCBS Complete |
$5,307.84
|
Rate for Payer: Mclaren Medicaid |
$5,055.09
|
Rate for Payer: Meridian Medicaid |
$5,307.84
|
Rate for Payer: Priority Health Choice Medicaid |
$5,055.09
|
|
INPATIENT APRDRG 3514: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$7,867.71
|
|
Service Code
|
APR-DRG 3514
|
Hospital Charge Code |
APRDRG 3514
|
Min. Negotiated Rate |
$7,493.06 |
Max. Negotiated Rate |
$7,867.71 |
Rate for Payer: BCBS Complete |
$7,867.71
|
Rate for Payer: Mclaren Medicaid |
$7,493.06
|
Rate for Payer: Meridian Medicaid |
$7,867.71
|
Rate for Payer: Priority Health Choice Medicaid |
$7,493.06
|
|
INPATIENT APRDRG 3611: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$11,484.71
|
|
Service Code
|
APR-DRG 3611
|
Hospital Charge Code |
APRDRG 3611
|
Min. Negotiated Rate |
$10,937.82 |
Max. Negotiated Rate |
$11,484.71 |
Rate for Payer: BCBS Complete |
$11,484.71
|
Rate for Payer: Mclaren Medicaid |
$10,937.82
|
Rate for Payer: Meridian Medicaid |
$11,484.71
|
Rate for Payer: Priority Health Choice Medicaid |
$10,937.82
|
|
INPATIENT APRDRG 3612: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$14,602.41
|
|
Service Code
|
APR-DRG 3612
|
Hospital Charge Code |
APRDRG 3612
|
Min. Negotiated Rate |
$13,907.06 |
Max. Negotiated Rate |
$14,602.41 |
Rate for Payer: BCBS Complete |
$14,602.41
|
Rate for Payer: Mclaren Medicaid |
$13,907.06
|
Rate for Payer: Meridian Medicaid |
$14,602.41
|
Rate for Payer: Priority Health Choice Medicaid |
$13,907.06
|
|
INPATIENT APRDRG 3613: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$18,337.04
|
|
Service Code
|
APR-DRG 3613
|
Hospital Charge Code |
APRDRG 3613
|
Min. Negotiated Rate |
$17,463.85 |
Max. Negotiated Rate |
$18,337.04 |
Rate for Payer: BCBS Complete |
$18,337.04
|
Rate for Payer: Mclaren Medicaid |
$17,463.85
|
Rate for Payer: Meridian Medicaid |
$18,337.04
|
Rate for Payer: Priority Health Choice Medicaid |
$17,463.85
|
|
INPATIENT APRDRG 3614: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$39,472.48
|
|
Service Code
|
APR-DRG 3614
|
Hospital Charge Code |
APRDRG 3614
|
Min. Negotiated Rate |
$37,592.84 |
Max. Negotiated Rate |
$39,472.48 |
Rate for Payer: BCBS Complete |
$39,472.48
|
Rate for Payer: Mclaren Medicaid |
$37,592.84
|
Rate for Payer: Meridian Medicaid |
$39,472.48
|
Rate for Payer: Priority Health Choice Medicaid |
$37,592.84
|
|
INPATIENT APRDRG 3621: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$9,951.61
|
|
Service Code
|
APR-DRG 3621
|
Hospital Charge Code |
APRDRG 3621
|
Min. Negotiated Rate |
$9,477.72 |
Max. Negotiated Rate |
$9,951.61 |
Rate for Payer: BCBS Complete |
$9,951.61
|
Rate for Payer: Mclaren Medicaid |
$9,477.72
|
Rate for Payer: Meridian Medicaid |
$9,951.61
|
Rate for Payer: Priority Health Choice Medicaid |
$9,477.72
|
|
INPATIENT APRDRG 3622: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$13,930.73
|
|
Service Code
|
APR-DRG 3622
|
Hospital Charge Code |
APRDRG 3622
|
Min. Negotiated Rate |
$13,267.36 |
Max. Negotiated Rate |
$13,930.73 |
Rate for Payer: BCBS Complete |
$13,930.73
|
Rate for Payer: Mclaren Medicaid |
$13,267.36
|
Rate for Payer: Meridian Medicaid |
$13,930.73
|
Rate for Payer: Priority Health Choice Medicaid |
$13,267.36
|
|