INPATIENT APRDRG 3623: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$14,406.17
|
|
Service Code
|
APR-DRG 3623
|
Hospital Charge Code |
APRDRG 3623
|
Min. Negotiated Rate |
$13,720.16 |
Max. Negotiated Rate |
$14,406.17 |
Rate for Payer: BCBS Complete |
$14,406.17
|
Rate for Payer: Mclaren Medicaid |
$13,720.16
|
Rate for Payer: Meridian Medicaid |
$14,406.17
|
Rate for Payer: Priority Health Choice Medicaid |
$13,720.16
|
|
INPATIENT APRDRG 3624: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$18,769.11
|
|
Service Code
|
APR-DRG 3624
|
Hospital Charge Code |
APRDRG 3624
|
Min. Negotiated Rate |
$17,875.34 |
Max. Negotiated Rate |
$18,769.11 |
Rate for Payer: BCBS Complete |
$18,769.11
|
Rate for Payer: Mclaren Medicaid |
$17,875.34
|
Rate for Payer: Meridian Medicaid |
$18,769.11
|
Rate for Payer: Priority Health Choice Medicaid |
$17,875.34
|
|
INPATIENT APRDRG 3631: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$7,566.30
|
|
Service Code
|
APR-DRG 3631
|
Hospital Charge Code |
APRDRG 3631
|
Min. Negotiated Rate |
$7,206.00 |
Max. Negotiated Rate |
$7,566.30 |
Rate for Payer: BCBS Complete |
$7,566.30
|
Rate for Payer: Mclaren Medicaid |
$7,206.00
|
Rate for Payer: Meridian Medicaid |
$7,566.30
|
Rate for Payer: Priority Health Choice Medicaid |
$7,206.00
|
|
INPATIENT APRDRG 3632: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$11,333.99
|
|
Service Code
|
APR-DRG 3632
|
Hospital Charge Code |
APRDRG 3632
|
Min. Negotiated Rate |
$10,794.28 |
Max. Negotiated Rate |
$11,333.99 |
Rate for Payer: BCBS Complete |
$11,333.99
|
Rate for Payer: Mclaren Medicaid |
$10,794.28
|
Rate for Payer: Meridian Medicaid |
$11,333.99
|
Rate for Payer: Priority Health Choice Medicaid |
$10,794.28
|
|
INPATIENT APRDRG 3633: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$15,014.41
|
|
Service Code
|
APR-DRG 3633
|
Hospital Charge Code |
APRDRG 3633
|
Min. Negotiated Rate |
$14,299.44 |
Max. Negotiated Rate |
$15,014.41 |
Rate for Payer: BCBS Complete |
$15,014.41
|
Rate for Payer: Mclaren Medicaid |
$14,299.44
|
Rate for Payer: Meridian Medicaid |
$15,014.41
|
Rate for Payer: Priority Health Choice Medicaid |
$14,299.44
|
|
INPATIENT APRDRG 3634: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$28,817.21
|
|
Service Code
|
APR-DRG 3634
|
Hospital Charge Code |
APRDRG 3634
|
Min. Negotiated Rate |
$27,444.96 |
Max. Negotiated Rate |
$28,817.21 |
Rate for Payer: BCBS Complete |
$28,817.21
|
Rate for Payer: Mclaren Medicaid |
$27,444.96
|
Rate for Payer: Meridian Medicaid |
$28,817.21
|
Rate for Payer: Priority Health Choice Medicaid |
$27,444.96
|
|
INPATIENT APRDRG 3641: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$5,128.95
|
|
Service Code
|
APR-DRG 3641
|
Hospital Charge Code |
APRDRG 3641
|
Min. Negotiated Rate |
$4,884.71 |
Max. Negotiated Rate |
$5,128.95 |
Rate for Payer: BCBS Complete |
$5,128.95
|
Rate for Payer: Mclaren Medicaid |
$4,884.71
|
Rate for Payer: Meridian Medicaid |
$5,128.95
|
Rate for Payer: Priority Health Choice Medicaid |
$4,884.71
|
|
INPATIENT APRDRG 3642: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$6,203.42
|
|
Service Code
|
APR-DRG 3642
|
Hospital Charge Code |
APRDRG 3642
|
Min. Negotiated Rate |
$5,908.02 |
Max. Negotiated Rate |
$6,203.42 |
Rate for Payer: BCBS Complete |
$6,203.42
|
Rate for Payer: Mclaren Medicaid |
$5,908.02
|
Rate for Payer: Meridian Medicaid |
$6,203.42
|
Rate for Payer: Priority Health Choice Medicaid |
$5,908.02
|
|
INPATIENT APRDRG 3643: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$9,568.87
|
|
Service Code
|
APR-DRG 3643
|
Hospital Charge Code |
APRDRG 3643
|
Min. Negotiated Rate |
$9,113.21 |
Max. Negotiated Rate |
$9,568.87 |
Rate for Payer: BCBS Complete |
$9,568.87
|
Rate for Payer: Mclaren Medicaid |
$9,113.21
|
Rate for Payer: Meridian Medicaid |
$9,568.87
|
Rate for Payer: Priority Health Choice Medicaid |
$9,113.21
|
|
INPATIENT APRDRG 3644: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$12,806.38
|
|
Service Code
|
APR-DRG 3644
|
Hospital Charge Code |
APRDRG 3644
|
Min. Negotiated Rate |
$12,196.55 |
Max. Negotiated Rate |
$12,806.38 |
Rate for Payer: BCBS Complete |
$12,806.38
|
Rate for Payer: Mclaren Medicaid |
$12,196.55
|
Rate for Payer: Meridian Medicaid |
$12,806.38
|
Rate for Payer: Priority Health Choice Medicaid |
$12,196.55
|
|
INPATIENT APRDRG 3801: SKIN ULCERS
|
Facility
|
IP
|
$3,315.03
|
|
Service Code
|
APR-DRG 3801
|
Hospital Charge Code |
APRDRG 3801
|
Min. Negotiated Rate |
$3,157.17 |
Max. Negotiated Rate |
$3,315.03 |
Rate for Payer: BCBS Complete |
$3,315.03
|
Rate for Payer: Mclaren Medicaid |
$3,157.17
|
Rate for Payer: Meridian Medicaid |
$3,315.03
|
Rate for Payer: Priority Health Choice Medicaid |
$3,157.17
|
|
INPATIENT APRDRG 3802: SKIN ULCERS
|
Facility
|
IP
|
$4,338.55
|
|
Service Code
|
APR-DRG 3802
|
Hospital Charge Code |
APRDRG 3802
|
Min. Negotiated Rate |
$4,131.95 |
Max. Negotiated Rate |
$4,338.55 |
Rate for Payer: BCBS Complete |
$4,338.55
|
Rate for Payer: Mclaren Medicaid |
$4,131.95
|
Rate for Payer: Meridian Medicaid |
$4,338.55
|
Rate for Payer: Priority Health Choice Medicaid |
$4,131.95
|
|
INPATIENT APRDRG 3803: SKIN ULCERS
|
Facility
|
IP
|
$5,411.40
|
|
Service Code
|
APR-DRG 3803
|
Hospital Charge Code |
APRDRG 3803
|
Min. Negotiated Rate |
$5,153.71 |
Max. Negotiated Rate |
$5,411.40 |
Rate for Payer: BCBS Complete |
$5,411.40
|
Rate for Payer: Mclaren Medicaid |
$5,153.71
|
Rate for Payer: Meridian Medicaid |
$5,411.40
|
Rate for Payer: Priority Health Choice Medicaid |
$5,153.71
|
|
INPATIENT APRDRG 3804: SKIN ULCERS
|
Facility
|
IP
|
$7,752.79
|
|
Service Code
|
APR-DRG 3804
|
Hospital Charge Code |
APRDRG 3804
|
Min. Negotiated Rate |
$7,383.61 |
Max. Negotiated Rate |
$7,752.79 |
Rate for Payer: BCBS Complete |
$7,752.79
|
Rate for Payer: Mclaren Medicaid |
$7,383.61
|
Rate for Payer: Meridian Medicaid |
$7,752.79
|
Rate for Payer: Priority Health Choice Medicaid |
$7,383.61
|
|
INPATIENT APRDRG 3811: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,285.56
|
|
Service Code
|
APR-DRG 3811
|
Hospital Charge Code |
APRDRG 3811
|
Min. Negotiated Rate |
$2,176.72 |
Max. Negotiated Rate |
$2,285.56 |
Rate for Payer: BCBS Complete |
$2,285.56
|
Rate for Payer: Mclaren Medicaid |
$2,176.72
|
Rate for Payer: Meridian Medicaid |
$2,285.56
|
Rate for Payer: Priority Health Choice Medicaid |
$2,176.72
|
|
INPATIENT APRDRG 3812: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$4,862.22
|
|
Service Code
|
APR-DRG 3812
|
Hospital Charge Code |
APRDRG 3812
|
Min. Negotiated Rate |
$4,630.69 |
Max. Negotiated Rate |
$4,862.22 |
Rate for Payer: BCBS Complete |
$4,862.22
|
Rate for Payer: Mclaren Medicaid |
$4,630.69
|
Rate for Payer: Meridian Medicaid |
$4,862.22
|
Rate for Payer: Priority Health Choice Medicaid |
$4,630.69
|
|
INPATIENT APRDRG 3813: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$9,438.22
|
|
Service Code
|
APR-DRG 3813
|
Hospital Charge Code |
APRDRG 3813
|
Min. Negotiated Rate |
$8,988.78 |
Max. Negotiated Rate |
$9,438.22 |
Rate for Payer: BCBS Complete |
$9,438.22
|
Rate for Payer: Mclaren Medicaid |
$8,988.78
|
Rate for Payer: Meridian Medicaid |
$9,438.22
|
Rate for Payer: Priority Health Choice Medicaid |
$8,988.78
|
|
INPATIENT APRDRG 3814: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$20,443.15
|
|
Service Code
|
APR-DRG 3814
|
Hospital Charge Code |
APRDRG 3814
|
Min. Negotiated Rate |
$19,469.67 |
Max. Negotiated Rate |
$20,443.15 |
Rate for Payer: BCBS Complete |
$20,443.15
|
Rate for Payer: Mclaren Medicaid |
$19,469.67
|
Rate for Payer: Meridian Medicaid |
$20,443.15
|
Rate for Payer: Priority Health Choice Medicaid |
$19,469.67
|
|
INPATIENT APRDRG 3821: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,016.53
|
|
Service Code
|
APR-DRG 3821
|
Hospital Charge Code |
APRDRG 3821
|
Min. Negotiated Rate |
$3,825.27 |
Max. Negotiated Rate |
$4,016.53 |
Rate for Payer: BCBS Complete |
$4,016.53
|
Rate for Payer: Mclaren Medicaid |
$3,825.27
|
Rate for Payer: Meridian Medicaid |
$4,016.53
|
Rate for Payer: Priority Health Choice Medicaid |
$3,825.27
|
|
INPATIENT APRDRG 3822: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,867.65
|
|
Service Code
|
APR-DRG 3822
|
Hospital Charge Code |
APRDRG 3822
|
Min. Negotiated Rate |
$4,635.86 |
Max. Negotiated Rate |
$4,867.65 |
Rate for Payer: BCBS Complete |
$4,867.65
|
Rate for Payer: Mclaren Medicaid |
$4,635.86
|
Rate for Payer: Meridian Medicaid |
$4,867.65
|
Rate for Payer: Priority Health Choice Medicaid |
$4,635.86
|
|
INPATIENT APRDRG 3823: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$8,532.89
|
|
Service Code
|
APR-DRG 3823
|
Hospital Charge Code |
APRDRG 3823
|
Min. Negotiated Rate |
$8,126.56 |
Max. Negotiated Rate |
$8,532.89 |
Rate for Payer: BCBS Complete |
$8,532.89
|
Rate for Payer: Mclaren Medicaid |
$8,126.56
|
Rate for Payer: Meridian Medicaid |
$8,532.89
|
Rate for Payer: Priority Health Choice Medicaid |
$8,126.56
|
|
INPATIENT APRDRG 3824: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$12,674.11
|
|
Service Code
|
APR-DRG 3824
|
Hospital Charge Code |
APRDRG 3824
|
Min. Negotiated Rate |
$12,070.58 |
Max. Negotiated Rate |
$12,674.11 |
Rate for Payer: BCBS Complete |
$12,674.11
|
Rate for Payer: Mclaren Medicaid |
$12,070.58
|
Rate for Payer: Meridian Medicaid |
$12,674.11
|
Rate for Payer: Priority Health Choice Medicaid |
$12,070.58
|
|
INPATIENT APRDRG 3831: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,070.54
|
|
Service Code
|
APR-DRG 3831
|
Hospital Charge Code |
APRDRG 3831
|
Min. Negotiated Rate |
$2,924.32 |
Max. Negotiated Rate |
$3,070.54 |
Rate for Payer: BCBS Complete |
$3,070.54
|
Rate for Payer: Mclaren Medicaid |
$2,924.32
|
Rate for Payer: Meridian Medicaid |
$3,070.54
|
Rate for Payer: Priority Health Choice Medicaid |
$2,924.32
|
|
INPATIENT APRDRG 3832: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,772.58
|
|
Service Code
|
APR-DRG 3832
|
Hospital Charge Code |
APRDRG 3832
|
Min. Negotiated Rate |
$3,592.93 |
Max. Negotiated Rate |
$3,772.58 |
Rate for Payer: BCBS Complete |
$3,772.58
|
Rate for Payer: Mclaren Medicaid |
$3,592.93
|
Rate for Payer: Meridian Medicaid |
$3,772.58
|
Rate for Payer: Priority Health Choice Medicaid |
$3,592.93
|
|
INPATIENT APRDRG 3833: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,601.13
|
|
Service Code
|
APR-DRG 3833
|
Hospital Charge Code |
APRDRG 3833
|
Min. Negotiated Rate |
$5,334.41 |
Max. Negotiated Rate |
$5,601.13 |
Rate for Payer: BCBS Complete |
$5,601.13
|
Rate for Payer: Mclaren Medicaid |
$5,334.41
|
Rate for Payer: Meridian Medicaid |
$5,601.13
|
Rate for Payer: Priority Health Choice Medicaid |
$5,334.41
|
|