INPATIENT APRDRG 4262: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,754.15
|
|
Service Code
|
APR-DRG 4262
|
Hospital Charge Code |
APRDRG 4262
|
Min. Negotiated Rate |
$3,575.38 |
Max. Negotiated Rate |
$3,754.15 |
Rate for Payer: BCBS Complete |
$3,754.15
|
Rate for Payer: Mclaren Medicaid |
$3,575.38
|
Rate for Payer: Meridian Medicaid |
$3,754.15
|
Rate for Payer: Priority Health Choice Medicaid |
$3,575.38
|
|
INPATIENT APRDRG 4263: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$5,822.86
|
|
Service Code
|
APR-DRG 4263
|
Hospital Charge Code |
APRDRG 4263
|
Min. Negotiated Rate |
$5,545.58 |
Max. Negotiated Rate |
$5,822.86 |
Rate for Payer: BCBS Complete |
$5,822.86
|
Rate for Payer: Mclaren Medicaid |
$5,545.58
|
Rate for Payer: Meridian Medicaid |
$5,822.86
|
Rate for Payer: Priority Health Choice Medicaid |
$5,545.58
|
|
INPATIENT APRDRG 4264: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,836.88
|
|
Service Code
|
APR-DRG 4264
|
Hospital Charge Code |
APRDRG 4264
|
Min. Negotiated Rate |
$10,320.84 |
Max. Negotiated Rate |
$10,836.88 |
Rate for Payer: BCBS Complete |
$10,836.88
|
Rate for Payer: Mclaren Medicaid |
$10,320.84
|
Rate for Payer: Meridian Medicaid |
$10,836.88
|
Rate for Payer: Priority Health Choice Medicaid |
$10,320.84
|
|
INPATIENT APRDRG 4271: THYROID DISORDERS
|
Facility
|
IP
|
$3,205.52
|
|
Service Code
|
APR-DRG 4271
|
Hospital Charge Code |
APRDRG 4271
|
Min. Negotiated Rate |
$3,052.88 |
Max. Negotiated Rate |
$3,205.52 |
Rate for Payer: BCBS Complete |
$3,205.52
|
Rate for Payer: Mclaren Medicaid |
$3,052.88
|
Rate for Payer: Meridian Medicaid |
$3,205.52
|
Rate for Payer: Priority Health Choice Medicaid |
$3,052.88
|
|
INPATIENT APRDRG 4272: THYROID DISORDERS
|
Facility
|
IP
|
$4,123.33
|
|
Service Code
|
APR-DRG 4272
|
Hospital Charge Code |
APRDRG 4272
|
Min. Negotiated Rate |
$3,926.98 |
Max. Negotiated Rate |
$4,123.33 |
Rate for Payer: BCBS Complete |
$4,123.33
|
Rate for Payer: Mclaren Medicaid |
$3,926.98
|
Rate for Payer: Meridian Medicaid |
$4,123.33
|
Rate for Payer: Priority Health Choice Medicaid |
$3,926.98
|
|
INPATIENT APRDRG 4273: THYROID DISORDERS
|
Facility
|
IP
|
$6,454.96
|
|
Service Code
|
APR-DRG 4273
|
Hospital Charge Code |
APRDRG 4273
|
Min. Negotiated Rate |
$6,147.58 |
Max. Negotiated Rate |
$6,454.96 |
Rate for Payer: BCBS Complete |
$6,454.96
|
Rate for Payer: Mclaren Medicaid |
$6,147.58
|
Rate for Payer: Meridian Medicaid |
$6,454.96
|
Rate for Payer: Priority Health Choice Medicaid |
$6,147.58
|
|
INPATIENT APRDRG 4274: THYROID DISORDERS
|
Facility
|
IP
|
$13,414.63
|
|
Service Code
|
APR-DRG 4274
|
Hospital Charge Code |
APRDRG 4274
|
Min. Negotiated Rate |
$12,775.84 |
Max. Negotiated Rate |
$13,414.63 |
Rate for Payer: BCBS Complete |
$13,414.63
|
Rate for Payer: Mclaren Medicaid |
$12,775.84
|
Rate for Payer: Meridian Medicaid |
$13,414.63
|
Rate for Payer: Priority Health Choice Medicaid |
$12,775.84
|
|
INPATIENT APRDRG 4411: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$8,220.63
|
|
Service Code
|
APR-DRG 4411
|
Hospital Charge Code |
APRDRG 4411
|
Min. Negotiated Rate |
$7,829.17 |
Max. Negotiated Rate |
$8,220.63 |
Rate for Payer: BCBS Complete |
$8,220.63
|
Rate for Payer: Mclaren Medicaid |
$7,829.17
|
Rate for Payer: Meridian Medicaid |
$8,220.63
|
Rate for Payer: Priority Health Choice Medicaid |
$7,829.17
|
|
INPATIENT APRDRG 4412: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$13,343.07
|
|
Service Code
|
APR-DRG 4412
|
Hospital Charge Code |
APRDRG 4412
|
Min. Negotiated Rate |
$12,707.69 |
Max. Negotiated Rate |
$13,343.07 |
Rate for Payer: BCBS Complete |
$13,343.07
|
Rate for Payer: Mclaren Medicaid |
$12,707.69
|
Rate for Payer: Meridian Medicaid |
$13,343.07
|
Rate for Payer: Priority Health Choice Medicaid |
$12,707.69
|
|
INPATIENT APRDRG 4413: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$18,113.69
|
|
Service Code
|
APR-DRG 4413
|
Hospital Charge Code |
APRDRG 4413
|
Min. Negotiated Rate |
$17,251.13 |
Max. Negotiated Rate |
$18,113.69 |
Rate for Payer: BCBS Complete |
$18,113.69
|
Rate for Payer: Mclaren Medicaid |
$17,251.13
|
Rate for Payer: Meridian Medicaid |
$18,113.69
|
Rate for Payer: Priority Health Choice Medicaid |
$17,251.13
|
|
INPATIENT APRDRG 4414: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$33,593.78
|
|
Service Code
|
APR-DRG 4414
|
Hospital Charge Code |
APRDRG 4414
|
Min. Negotiated Rate |
$31,994.08 |
Max. Negotiated Rate |
$33,593.78 |
Rate for Payer: BCBS Complete |
$33,593.78
|
Rate for Payer: Mclaren Medicaid |
$31,994.08
|
Rate for Payer: Meridian Medicaid |
$33,593.78
|
Rate for Payer: Priority Health Choice Medicaid |
$31,994.08
|
|
INPATIENT APRDRG 4421: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$8,812.08
|
|
Service Code
|
APR-DRG 4421
|
Hospital Charge Code |
APRDRG 4421
|
Min. Negotiated Rate |
$8,392.46 |
Max. Negotiated Rate |
$8,812.08 |
Rate for Payer: BCBS Complete |
$8,812.08
|
Rate for Payer: Mclaren Medicaid |
$8,392.46
|
Rate for Payer: Meridian Medicaid |
$8,812.08
|
Rate for Payer: Priority Health Choice Medicaid |
$8,392.46
|
|
INPATIENT APRDRG 4422: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$10,161.41
|
|
Service Code
|
APR-DRG 4422
|
Hospital Charge Code |
APRDRG 4422
|
Min. Negotiated Rate |
$9,677.53 |
Max. Negotiated Rate |
$10,161.41 |
Rate for Payer: BCBS Complete |
$10,161.41
|
Rate for Payer: Mclaren Medicaid |
$9,677.53
|
Rate for Payer: Meridian Medicaid |
$10,161.41
|
Rate for Payer: Priority Health Choice Medicaid |
$9,677.53
|
|
INPATIENT APRDRG 4423: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$15,331.01
|
|
Service Code
|
APR-DRG 4423
|
Hospital Charge Code |
APRDRG 4423
|
Min. Negotiated Rate |
$14,600.96 |
Max. Negotiated Rate |
$15,331.01 |
Rate for Payer: BCBS Complete |
$15,331.01
|
Rate for Payer: Mclaren Medicaid |
$14,600.96
|
Rate for Payer: Meridian Medicaid |
$15,331.01
|
Rate for Payer: Priority Health Choice Medicaid |
$14,600.96
|
|
INPATIENT APRDRG 4424: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$27,183.27
|
|
Service Code
|
APR-DRG 4424
|
Hospital Charge Code |
APRDRG 4424
|
Min. Negotiated Rate |
$25,888.83 |
Max. Negotiated Rate |
$27,183.27 |
Rate for Payer: BCBS Complete |
$27,183.27
|
Rate for Payer: Mclaren Medicaid |
$25,888.83
|
Rate for Payer: Meridian Medicaid |
$27,183.27
|
Rate for Payer: Priority Health Choice Medicaid |
$25,888.83
|
|
INPATIENT APRDRG 4431: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$8,166.42
|
|
Service Code
|
APR-DRG 4431
|
Hospital Charge Code |
APRDRG 4431
|
Min. Negotiated Rate |
$7,777.54 |
Max. Negotiated Rate |
$8,166.42 |
Rate for Payer: BCBS Complete |
$8,166.42
|
Rate for Payer: Mclaren Medicaid |
$7,777.54
|
Rate for Payer: Meridian Medicaid |
$8,166.42
|
Rate for Payer: Priority Health Choice Medicaid |
$7,777.54
|
|
INPATIENT APRDRG 4432: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$9,030.01
|
|
Service Code
|
APR-DRG 4432
|
Hospital Charge Code |
APRDRG 4432
|
Min. Negotiated Rate |
$8,600.01 |
Max. Negotiated Rate |
$9,030.01 |
Rate for Payer: BCBS Complete |
$9,030.01
|
Rate for Payer: Mclaren Medicaid |
$8,600.01
|
Rate for Payer: Meridian Medicaid |
$9,030.01
|
Rate for Payer: Priority Health Choice Medicaid |
$8,600.01
|
|
INPATIENT APRDRG 4433: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$11,107.94
|
|
Service Code
|
APR-DRG 4433
|
Hospital Charge Code |
APRDRG 4433
|
Min. Negotiated Rate |
$10,578.99 |
Max. Negotiated Rate |
$11,107.94 |
Rate for Payer: BCBS Complete |
$11,107.94
|
Rate for Payer: Mclaren Medicaid |
$10,578.99
|
Rate for Payer: Meridian Medicaid |
$11,107.94
|
Rate for Payer: Priority Health Choice Medicaid |
$10,578.99
|
|
INPATIENT APRDRG 4434: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$20,631.27
|
|
Service Code
|
APR-DRG 4434
|
Hospital Charge Code |
APRDRG 4434
|
Min. Negotiated Rate |
$19,648.83 |
Max. Negotiated Rate |
$20,631.27 |
Rate for Payer: BCBS Complete |
$20,631.27
|
Rate for Payer: Mclaren Medicaid |
$19,648.83
|
Rate for Payer: Meridian Medicaid |
$20,631.27
|
Rate for Payer: Priority Health Choice Medicaid |
$19,648.83
|
|
INPATIENT APRDRG 4441: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$5,884.12
|
|
Service Code
|
APR-DRG 4441
|
Hospital Charge Code |
APRDRG 4441
|
Min. Negotiated Rate |
$5,603.92 |
Max. Negotiated Rate |
$5,884.12 |
Rate for Payer: BCBS Complete |
$5,884.12
|
Rate for Payer: Mclaren Medicaid |
$5,603.92
|
Rate for Payer: Meridian Medicaid |
$5,884.12
|
Rate for Payer: Priority Health Choice Medicaid |
$5,603.92
|
|
INPATIENT APRDRG 4442: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$8,470.55
|
|
Service Code
|
APR-DRG 4442
|
Hospital Charge Code |
APRDRG 4442
|
Min. Negotiated Rate |
$8,067.19 |
Max. Negotiated Rate |
$8,470.55 |
Rate for Payer: BCBS Complete |
$8,470.55
|
Rate for Payer: Mclaren Medicaid |
$8,067.19
|
Rate for Payer: Meridian Medicaid |
$8,470.55
|
Rate for Payer: Priority Health Choice Medicaid |
$8,067.19
|
|
INPATIENT APRDRG 4443: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$10,959.40
|
|
Service Code
|
APR-DRG 4443
|
Hospital Charge Code |
APRDRG 4443
|
Min. Negotiated Rate |
$10,437.52 |
Max. Negotiated Rate |
$10,959.40 |
Rate for Payer: BCBS Complete |
$10,959.40
|
Rate for Payer: Mclaren Medicaid |
$10,437.52
|
Rate for Payer: Meridian Medicaid |
$10,959.40
|
Rate for Payer: Priority Health Choice Medicaid |
$10,437.52
|
|
INPATIENT APRDRG 4444: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$21,079.60
|
|
Service Code
|
APR-DRG 4444
|
Hospital Charge Code |
APRDRG 4444
|
Min. Negotiated Rate |
$20,075.81 |
Max. Negotiated Rate |
$21,079.60 |
Rate for Payer: BCBS Complete |
$21,079.60
|
Rate for Payer: Mclaren Medicaid |
$20,075.81
|
Rate for Payer: Meridian Medicaid |
$21,079.60
|
Rate for Payer: Priority Health Choice Medicaid |
$20,075.81
|
|
INPATIENT APRDRG 4451: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$7,836.28
|
|
Service Code
|
APR-DRG 4451
|
Hospital Charge Code |
APRDRG 4451
|
Min. Negotiated Rate |
$7,463.12 |
Max. Negotiated Rate |
$7,836.28 |
Rate for Payer: BCBS Complete |
$7,836.28
|
Rate for Payer: Mclaren Medicaid |
$7,463.12
|
Rate for Payer: Meridian Medicaid |
$7,836.28
|
Rate for Payer: Priority Health Choice Medicaid |
$7,463.12
|
|
INPATIENT APRDRG 4452: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$9,812.83
|
|
Service Code
|
APR-DRG 4452
|
Hospital Charge Code |
APRDRG 4452
|
Min. Negotiated Rate |
$9,345.55 |
Max. Negotiated Rate |
$9,812.83 |
Rate for Payer: BCBS Complete |
$9,812.83
|
Rate for Payer: Mclaren Medicaid |
$9,345.55
|
Rate for Payer: Meridian Medicaid |
$9,812.83
|
Rate for Payer: Priority Health Choice Medicaid |
$9,345.55
|
|