INPATIENT APRDRG 4201: DIABETES
|
Facility
|
IP
|
$2,730.09
|
|
Service Code
|
APR-DRG 4201
|
Hospital Charge Code |
APRDRG 4201
|
Min. Negotiated Rate |
$2,600.09 |
Max. Negotiated Rate |
$2,730.09 |
Rate for Payer: BCBS Complete |
$2,730.09
|
Rate for Payer: Mclaren Medicaid |
$2,600.09
|
Rate for Payer: Meridian Medicaid |
$2,730.09
|
Rate for Payer: Priority Health Choice Medicaid |
$2,600.09
|
|
INPATIENT APRDRG 4202: DIABETES
|
Facility
|
IP
|
$3,392.56
|
|
Service Code
|
APR-DRG 4202
|
Hospital Charge Code |
APRDRG 4202
|
Min. Negotiated Rate |
$3,231.01 |
Max. Negotiated Rate |
$3,392.56 |
Rate for Payer: BCBS Complete |
$3,392.56
|
Rate for Payer: Mclaren Medicaid |
$3,231.01
|
Rate for Payer: Meridian Medicaid |
$3,392.56
|
Rate for Payer: Priority Health Choice Medicaid |
$3,231.01
|
|
INPATIENT APRDRG 4203: DIABETES
|
Facility
|
IP
|
$4,977.16
|
|
Service Code
|
APR-DRG 4203
|
Hospital Charge Code |
APRDRG 4203
|
Min. Negotiated Rate |
$4,740.15 |
Max. Negotiated Rate |
$4,977.16 |
Rate for Payer: BCBS Complete |
$4,977.16
|
Rate for Payer: Mclaren Medicaid |
$4,740.15
|
Rate for Payer: Meridian Medicaid |
$4,977.16
|
Rate for Payer: Priority Health Choice Medicaid |
$4,740.15
|
|
INPATIENT APRDRG 4204: DIABETES
|
Facility
|
IP
|
$9,049.53
|
|
Service Code
|
APR-DRG 4204
|
Hospital Charge Code |
APRDRG 4204
|
Min. Negotiated Rate |
$8,618.60 |
Max. Negotiated Rate |
$9,049.53 |
Rate for Payer: BCBS Complete |
$9,049.53
|
Rate for Payer: Mclaren Medicaid |
$8,618.60
|
Rate for Payer: Meridian Medicaid |
$9,049.53
|
Rate for Payer: Priority Health Choice Medicaid |
$8,618.60
|
|
INPATIENT APRDRG 4211: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,795.69
|
|
Service Code
|
APR-DRG 4211
|
Hospital Charge Code |
APRDRG 4211
|
Min. Negotiated Rate |
$2,662.56 |
Max. Negotiated Rate |
$2,795.69 |
Rate for Payer: BCBS Complete |
$2,795.69
|
Rate for Payer: Mclaren Medicaid |
$2,662.56
|
Rate for Payer: Meridian Medicaid |
$2,795.69
|
Rate for Payer: Priority Health Choice Medicaid |
$2,662.56
|
|
INPATIENT APRDRG 4212: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$4,836.21
|
|
Service Code
|
APR-DRG 4212
|
Hospital Charge Code |
APRDRG 4212
|
Min. Negotiated Rate |
$4,605.91 |
Max. Negotiated Rate |
$4,836.21 |
Rate for Payer: BCBS Complete |
$4,836.21
|
Rate for Payer: Mclaren Medicaid |
$4,605.91
|
Rate for Payer: Meridian Medicaid |
$4,836.21
|
Rate for Payer: Priority Health Choice Medicaid |
$4,605.91
|
|
INPATIENT APRDRG 4213: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$7,540.82
|
|
Service Code
|
APR-DRG 4213
|
Hospital Charge Code |
APRDRG 4213
|
Min. Negotiated Rate |
$7,181.73 |
Max. Negotiated Rate |
$7,540.82 |
Rate for Payer: BCBS Complete |
$7,540.82
|
Rate for Payer: Mclaren Medicaid |
$7,181.73
|
Rate for Payer: Meridian Medicaid |
$7,540.82
|
Rate for Payer: Priority Health Choice Medicaid |
$7,181.73
|
|
INPATIENT APRDRG 4214: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$11,073.78
|
|
Service Code
|
APR-DRG 4214
|
Hospital Charge Code |
APRDRG 4214
|
Min. Negotiated Rate |
$10,546.46 |
Max. Negotiated Rate |
$11,073.78 |
Rate for Payer: BCBS Complete |
$11,073.78
|
Rate for Payer: Mclaren Medicaid |
$10,546.46
|
Rate for Payer: Meridian Medicaid |
$11,073.78
|
Rate for Payer: Priority Health Choice Medicaid |
$10,546.46
|
|
INPATIENT APRDRG 4221: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,034.55
|
|
Service Code
|
APR-DRG 4221
|
Hospital Charge Code |
APRDRG 4221
|
Min. Negotiated Rate |
$1,937.67 |
Max. Negotiated Rate |
$2,034.55 |
Rate for Payer: BCBS Complete |
$2,034.55
|
Rate for Payer: Mclaren Medicaid |
$1,937.67
|
Rate for Payer: Meridian Medicaid |
$2,034.55
|
Rate for Payer: Priority Health Choice Medicaid |
$1,937.67
|
|
INPATIENT APRDRG 4222: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,629.80
|
|
Service Code
|
APR-DRG 4222
|
Hospital Charge Code |
APRDRG 4222
|
Min. Negotiated Rate |
$2,504.57 |
Max. Negotiated Rate |
$2,629.80 |
Rate for Payer: BCBS Complete |
$2,629.80
|
Rate for Payer: Mclaren Medicaid |
$2,504.57
|
Rate for Payer: Meridian Medicaid |
$2,629.80
|
Rate for Payer: Priority Health Choice Medicaid |
$2,504.57
|
|
INPATIENT APRDRG 4223: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,702.10
|
|
Service Code
|
APR-DRG 4223
|
Hospital Charge Code |
APRDRG 4223
|
Min. Negotiated Rate |
$3,525.81 |
Max. Negotiated Rate |
$3,702.10 |
Rate for Payer: BCBS Complete |
$3,702.10
|
Rate for Payer: Mclaren Medicaid |
$3,525.81
|
Rate for Payer: Meridian Medicaid |
$3,702.10
|
Rate for Payer: Priority Health Choice Medicaid |
$3,525.81
|
|
INPATIENT APRDRG 4224: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,641.11
|
|
Service Code
|
APR-DRG 4224
|
Hospital Charge Code |
APRDRG 4224
|
Min. Negotiated Rate |
$7,277.25 |
Max. Negotiated Rate |
$7,641.11 |
Rate for Payer: BCBS Complete |
$7,641.11
|
Rate for Payer: Mclaren Medicaid |
$7,277.25
|
Rate for Payer: Meridian Medicaid |
$7,641.11
|
Rate for Payer: Priority Health Choice Medicaid |
$7,277.25
|
|
INPATIENT APRDRG 4231: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,366.53
|
|
Service Code
|
APR-DRG 4231
|
Hospital Charge Code |
APRDRG 4231
|
Min. Negotiated Rate |
$3,206.22 |
Max. Negotiated Rate |
$3,366.53 |
Rate for Payer: BCBS Complete |
$3,366.53
|
Rate for Payer: Mclaren Medicaid |
$3,206.22
|
Rate for Payer: Meridian Medicaid |
$3,366.53
|
Rate for Payer: Priority Health Choice Medicaid |
$3,206.22
|
|
INPATIENT APRDRG 4232: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$6,063.56
|
|
Service Code
|
APR-DRG 4232
|
Hospital Charge Code |
APRDRG 4232
|
Min. Negotiated Rate |
$5,774.82 |
Max. Negotiated Rate |
$6,063.56 |
Rate for Payer: BCBS Complete |
$6,063.56
|
Rate for Payer: Mclaren Medicaid |
$5,774.82
|
Rate for Payer: Meridian Medicaid |
$6,063.56
|
Rate for Payer: Priority Health Choice Medicaid |
$5,774.82
|
|
INPATIENT APRDRG 4233: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$10,210.19
|
|
Service Code
|
APR-DRG 4233
|
Hospital Charge Code |
APRDRG 4233
|
Min. Negotiated Rate |
$9,723.99 |
Max. Negotiated Rate |
$10,210.19 |
Rate for Payer: BCBS Complete |
$10,210.19
|
Rate for Payer: Mclaren Medicaid |
$9,723.99
|
Rate for Payer: Meridian Medicaid |
$10,210.19
|
Rate for Payer: Priority Health Choice Medicaid |
$9,723.99
|
|
INPATIENT APRDRG 4234: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$20,150.96
|
|
Service Code
|
APR-DRG 4234
|
Hospital Charge Code |
APRDRG 4234
|
Min. Negotiated Rate |
$19,191.39 |
Max. Negotiated Rate |
$20,150.96 |
Rate for Payer: BCBS Complete |
$20,150.96
|
Rate for Payer: Mclaren Medicaid |
$19,191.39
|
Rate for Payer: Meridian Medicaid |
$20,150.96
|
Rate for Payer: Priority Health Choice Medicaid |
$19,191.39
|
|
INPATIENT APRDRG 4241: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,680.96
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG 4241
|
Min. Negotiated Rate |
$3,505.68 |
Max. Negotiated Rate |
$3,680.96 |
Rate for Payer: BCBS Complete |
$3,680.96
|
Rate for Payer: Mclaren Medicaid |
$3,505.68
|
Rate for Payer: Meridian Medicaid |
$3,680.96
|
Rate for Payer: Priority Health Choice Medicaid |
$3,505.68
|
|
INPATIENT APRDRG 4242: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,316.32
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG 4242
|
Min. Negotiated Rate |
$4,110.78 |
Max. Negotiated Rate |
$4,316.32 |
Rate for Payer: BCBS Complete |
$4,316.32
|
Rate for Payer: Mclaren Medicaid |
$4,110.78
|
Rate for Payer: Meridian Medicaid |
$4,316.32
|
Rate for Payer: Priority Health Choice Medicaid |
$4,110.78
|
|
INPATIENT APRDRG 4243: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$7,070.80
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG 4243
|
Min. Negotiated Rate |
$6,734.10 |
Max. Negotiated Rate |
$7,070.80 |
Rate for Payer: BCBS Complete |
$7,070.80
|
Rate for Payer: Mclaren Medicaid |
$6,734.10
|
Rate for Payer: Meridian Medicaid |
$7,070.80
|
Rate for Payer: Priority Health Choice Medicaid |
$6,734.10
|
|
INPATIENT APRDRG 4244: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$13,490.54
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG 4244
|
Min. Negotiated Rate |
$12,848.13 |
Max. Negotiated Rate |
$13,490.54 |
Rate for Payer: BCBS Complete |
$13,490.54
|
Rate for Payer: Mclaren Medicaid |
$12,848.13
|
Rate for Payer: Meridian Medicaid |
$13,490.54
|
Rate for Payer: Priority Health Choice Medicaid |
$12,848.13
|
|
INPATIENT APRDRG 4251: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,603.23
|
|
Service Code
|
APR-DRG 4251
|
Hospital Charge Code |
APRDRG 4251
|
Min. Negotiated Rate |
$2,479.27 |
Max. Negotiated Rate |
$2,603.23 |
Rate for Payer: BCBS Complete |
$2,603.23
|
Rate for Payer: Mclaren Medicaid |
$2,479.27
|
Rate for Payer: Meridian Medicaid |
$2,603.23
|
Rate for Payer: Priority Health Choice Medicaid |
$2,479.27
|
|
INPATIENT APRDRG 4252: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,499.36
|
|
Service Code
|
APR-DRG 4252
|
Hospital Charge Code |
APRDRG 4252
|
Min. Negotiated Rate |
$3,332.72 |
Max. Negotiated Rate |
$3,499.36 |
Rate for Payer: BCBS Complete |
$3,499.36
|
Rate for Payer: Mclaren Medicaid |
$3,332.72
|
Rate for Payer: Meridian Medicaid |
$3,499.36
|
Rate for Payer: Priority Health Choice Medicaid |
$3,332.72
|
|
INPATIENT APRDRG 4253: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,003.72
|
|
Service Code
|
APR-DRG 4253
|
Hospital Charge Code |
APRDRG 4253
|
Min. Negotiated Rate |
$4,765.45 |
Max. Negotiated Rate |
$5,003.72 |
Rate for Payer: BCBS Complete |
$5,003.72
|
Rate for Payer: Mclaren Medicaid |
$4,765.45
|
Rate for Payer: Meridian Medicaid |
$5,003.72
|
Rate for Payer: Priority Health Choice Medicaid |
$4,765.45
|
|
INPATIENT APRDRG 4254: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$11,034.75
|
|
Service Code
|
APR-DRG 4254
|
Hospital Charge Code |
APRDRG 4254
|
Min. Negotiated Rate |
$10,509.29 |
Max. Negotiated Rate |
$11,034.75 |
Rate for Payer: BCBS Complete |
$11,034.75
|
Rate for Payer: Mclaren Medicaid |
$10,509.29
|
Rate for Payer: Meridian Medicaid |
$11,034.75
|
Rate for Payer: Priority Health Choice Medicaid |
$10,509.29
|
|
INPATIENT APRDRG 4261: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,824.42
|
|
Service Code
|
APR-DRG 4261
|
Hospital Charge Code |
APRDRG 4261
|
Min. Negotiated Rate |
$2,689.92 |
Max. Negotiated Rate |
$2,824.42 |
Rate for Payer: BCBS Complete |
$2,824.42
|
Rate for Payer: Mclaren Medicaid |
$2,689.92
|
Rate for Payer: Meridian Medicaid |
$2,824.42
|
Rate for Payer: Priority Health Choice Medicaid |
$2,689.92
|
|