INPATIENT APRDRG 4453: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$10,260.61
|
|
Service Code
|
APR-DRG 4453
|
Hospital Charge Code |
APRDRG 4453
|
Min. Negotiated Rate |
$9,772.01 |
Max. Negotiated Rate |
$10,260.61 |
Rate for Payer: BCBS Complete |
$10,260.61
|
Rate for Payer: Mclaren Medicaid |
$9,772.01
|
Rate for Payer: Meridian Medicaid |
$10,260.61
|
Rate for Payer: Priority Health Choice Medicaid |
$9,772.01
|
|
INPATIENT APRDRG 4454: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$13,907.42
|
|
Service Code
|
APR-DRG 4454
|
Hospital Charge Code |
APRDRG 4454
|
Min. Negotiated Rate |
$13,245.16 |
Max. Negotiated Rate |
$13,907.42 |
Rate for Payer: BCBS Complete |
$13,907.42
|
Rate for Payer: Mclaren Medicaid |
$13,245.16
|
Rate for Payer: Meridian Medicaid |
$13,907.42
|
Rate for Payer: Priority Health Choice Medicaid |
$13,245.16
|
|
INPATIENT APRDRG 4461: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$6,054.88
|
|
Service Code
|
APR-DRG 4461
|
Hospital Charge Code |
APRDRG 4461
|
Min. Negotiated Rate |
$5,766.55 |
Max. Negotiated Rate |
$6,054.88 |
Rate for Payer: BCBS Complete |
$6,054.88
|
Rate for Payer: Mclaren Medicaid |
$5,766.55
|
Rate for Payer: Meridian Medicaid |
$6,054.88
|
Rate for Payer: Priority Health Choice Medicaid |
$5,766.55
|
|
INPATIENT APRDRG 4462: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$6,400.21
|
|
Service Code
|
APR-DRG 4462
|
Hospital Charge Code |
APRDRG 4462
|
Min. Negotiated Rate |
$6,095.44 |
Max. Negotiated Rate |
$6,400.21 |
Rate for Payer: BCBS Complete |
$6,400.21
|
Rate for Payer: Mclaren Medicaid |
$6,095.44
|
Rate for Payer: Meridian Medicaid |
$6,400.21
|
Rate for Payer: Priority Health Choice Medicaid |
$6,095.44
|
|
INPATIENT APRDRG 4463: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$9,764.03
|
|
Service Code
|
APR-DRG 4463
|
Hospital Charge Code |
APRDRG 4463
|
Min. Negotiated Rate |
$9,299.08 |
Max. Negotiated Rate |
$9,764.03 |
Rate for Payer: BCBS Complete |
$9,764.03
|
Rate for Payer: Mclaren Medicaid |
$9,299.08
|
Rate for Payer: Meridian Medicaid |
$9,764.03
|
Rate for Payer: Priority Health Choice Medicaid |
$9,299.08
|
|
INPATIENT APRDRG 4464: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$17,734.75
|
|
Service Code
|
APR-DRG 4464
|
Hospital Charge Code |
APRDRG 4464
|
Min. Negotiated Rate |
$16,890.24 |
Max. Negotiated Rate |
$17,734.75 |
Rate for Payer: BCBS Complete |
$17,734.75
|
Rate for Payer: Mclaren Medicaid |
$16,890.24
|
Rate for Payer: Meridian Medicaid |
$17,734.75
|
Rate for Payer: Priority Health Choice Medicaid |
$16,890.24
|
|
INPATIENT APRDRG 4471: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$7,755.50
|
|
Service Code
|
APR-DRG 4471
|
Hospital Charge Code |
APRDRG 4471
|
Min. Negotiated Rate |
$7,386.19 |
Max. Negotiated Rate |
$7,755.50 |
Rate for Payer: BCBS Complete |
$7,755.50
|
Rate for Payer: Mclaren Medicaid |
$7,386.19
|
Rate for Payer: Meridian Medicaid |
$7,755.50
|
Rate for Payer: Priority Health Choice Medicaid |
$7,386.19
|
|
INPATIENT APRDRG 4472: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$9,295.65
|
|
Service Code
|
APR-DRG 4472
|
Hospital Charge Code |
APRDRG 4472
|
Min. Negotiated Rate |
$8,853.00 |
Max. Negotiated Rate |
$9,295.65 |
Rate for Payer: BCBS Complete |
$9,295.65
|
Rate for Payer: Mclaren Medicaid |
$8,853.00
|
Rate for Payer: Meridian Medicaid |
$9,295.65
|
Rate for Payer: Priority Health Choice Medicaid |
$8,853.00
|
|
INPATIENT APRDRG 4473: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$12,091.87
|
|
Service Code
|
APR-DRG 4473
|
Hospital Charge Code |
APRDRG 4473
|
Min. Negotiated Rate |
$11,516.07 |
Max. Negotiated Rate |
$12,091.87 |
Rate for Payer: BCBS Complete |
$12,091.87
|
Rate for Payer: Mclaren Medicaid |
$11,516.07
|
Rate for Payer: Meridian Medicaid |
$12,091.87
|
Rate for Payer: Priority Health Choice Medicaid |
$11,516.07
|
|
INPATIENT APRDRG 4474: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$22,000.65
|
|
Service Code
|
APR-DRG 4474
|
Hospital Charge Code |
APRDRG 4474
|
Min. Negotiated Rate |
$20,953.00 |
Max. Negotiated Rate |
$22,000.65 |
Rate for Payer: BCBS Complete |
$22,000.65
|
Rate for Payer: Mclaren Medicaid |
$20,953.00
|
Rate for Payer: Meridian Medicaid |
$22,000.65
|
Rate for Payer: Priority Health Choice Medicaid |
$20,953.00
|
|
INPATIENT APRDRG 4611: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$4,965.23
|
|
Service Code
|
APR-DRG 4611
|
Hospital Charge Code |
APRDRG 4611
|
Min. Negotiated Rate |
$4,728.79 |
Max. Negotiated Rate |
$4,965.23 |
Rate for Payer: BCBS Complete |
$4,965.23
|
Rate for Payer: Mclaren Medicaid |
$4,728.79
|
Rate for Payer: Meridian Medicaid |
$4,965.23
|
Rate for Payer: Priority Health Choice Medicaid |
$4,728.79
|
|
INPATIENT APRDRG 4612: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,558.30
|
|
Service Code
|
APR-DRG 4612
|
Hospital Charge Code |
APRDRG 4612
|
Min. Negotiated Rate |
$5,293.62 |
Max. Negotiated Rate |
$5,558.30 |
Rate for Payer: BCBS Complete |
$5,558.30
|
Rate for Payer: Mclaren Medicaid |
$5,293.62
|
Rate for Payer: Meridian Medicaid |
$5,558.30
|
Rate for Payer: Priority Health Choice Medicaid |
$5,293.62
|
|
INPATIENT APRDRG 4613: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$7,421.56
|
|
Service Code
|
APR-DRG 4613
|
Hospital Charge Code |
APRDRG 4613
|
Min. Negotiated Rate |
$7,068.15 |
Max. Negotiated Rate |
$7,421.56 |
Rate for Payer: BCBS Complete |
$7,421.56
|
Rate for Payer: Mclaren Medicaid |
$7,068.15
|
Rate for Payer: Meridian Medicaid |
$7,421.56
|
Rate for Payer: Priority Health Choice Medicaid |
$7,068.15
|
|
INPATIENT APRDRG 4614: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$12,196.51
|
|
Service Code
|
APR-DRG 4614
|
Hospital Charge Code |
APRDRG 4614
|
Min. Negotiated Rate |
$11,615.72 |
Max. Negotiated Rate |
$12,196.51 |
Rate for Payer: BCBS Complete |
$12,196.51
|
Rate for Payer: Mclaren Medicaid |
$11,615.72
|
Rate for Payer: Meridian Medicaid |
$12,196.51
|
Rate for Payer: Priority Health Choice Medicaid |
$11,615.72
|
|
INPATIENT APRDRG 4621: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$2,937.72
|
|
Service Code
|
APR-DRG 4621
|
Hospital Charge Code |
APRDRG 4621
|
Min. Negotiated Rate |
$2,797.83 |
Max. Negotiated Rate |
$2,937.72 |
Rate for Payer: BCBS Complete |
$2,937.72
|
Rate for Payer: Mclaren Medicaid |
$2,797.83
|
Rate for Payer: Meridian Medicaid |
$2,937.72
|
Rate for Payer: Priority Health Choice Medicaid |
$2,797.83
|
|
INPATIENT APRDRG 4622: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$4,074.54
|
|
Service Code
|
APR-DRG 4622
|
Hospital Charge Code |
APRDRG 4622
|
Min. Negotiated Rate |
$3,880.51 |
Max. Negotiated Rate |
$4,074.54 |
Rate for Payer: BCBS Complete |
$4,074.54
|
Rate for Payer: Mclaren Medicaid |
$3,880.51
|
Rate for Payer: Meridian Medicaid |
$4,074.54
|
Rate for Payer: Priority Health Choice Medicaid |
$3,880.51
|
|
INPATIENT APRDRG 4623: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$6,620.85
|
|
Service Code
|
APR-DRG 4623
|
Hospital Charge Code |
APRDRG 4623
|
Min. Negotiated Rate |
$6,305.57 |
Max. Negotiated Rate |
$6,620.85 |
Rate for Payer: BCBS Complete |
$6,620.85
|
Rate for Payer: Mclaren Medicaid |
$6,305.57
|
Rate for Payer: Meridian Medicaid |
$6,620.85
|
Rate for Payer: Priority Health Choice Medicaid |
$6,305.57
|
|
INPATIENT APRDRG 4624: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$17,796.01
|
|
Service Code
|
APR-DRG 4624
|
Hospital Charge Code |
APRDRG 4624
|
Min. Negotiated Rate |
$16,948.58 |
Max. Negotiated Rate |
$17,796.01 |
Rate for Payer: BCBS Complete |
$17,796.01
|
Rate for Payer: Mclaren Medicaid |
$16,948.58
|
Rate for Payer: Meridian Medicaid |
$17,796.01
|
Rate for Payer: Priority Health Choice Medicaid |
$16,948.58
|
|
INPATIENT APRDRG 4631: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$2,892.73
|
|
Service Code
|
APR-DRG 4631
|
Hospital Charge Code |
APRDRG 4631
|
Min. Negotiated Rate |
$2,754.98 |
Max. Negotiated Rate |
$2,892.73 |
Rate for Payer: BCBS Complete |
$2,892.73
|
Rate for Payer: Mclaren Medicaid |
$2,754.98
|
Rate for Payer: Meridian Medicaid |
$2,892.73
|
Rate for Payer: Priority Health Choice Medicaid |
$2,754.98
|
|
INPATIENT APRDRG 4632: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,390.93
|
|
Service Code
|
APR-DRG 4632
|
Hospital Charge Code |
APRDRG 4632
|
Min. Negotiated Rate |
$3,229.46 |
Max. Negotiated Rate |
$3,390.93 |
Rate for Payer: BCBS Complete |
$3,390.93
|
Rate for Payer: Mclaren Medicaid |
$3,229.46
|
Rate for Payer: Meridian Medicaid |
$3,390.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,229.46
|
|
INPATIENT APRDRG 4633: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$4,747.85
|
|
Service Code
|
APR-DRG 4633
|
Hospital Charge Code |
APRDRG 4633
|
Min. Negotiated Rate |
$4,521.76 |
Max. Negotiated Rate |
$4,747.85 |
Rate for Payer: BCBS Complete |
$4,747.85
|
Rate for Payer: Mclaren Medicaid |
$4,521.76
|
Rate for Payer: Meridian Medicaid |
$4,747.85
|
Rate for Payer: Priority Health Choice Medicaid |
$4,521.76
|
|
INPATIENT APRDRG 4634: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$7,650.33
|
|
Service Code
|
APR-DRG 4634
|
Hospital Charge Code |
APRDRG 4634
|
Min. Negotiated Rate |
$7,286.03 |
Max. Negotiated Rate |
$7,650.33 |
Rate for Payer: BCBS Complete |
$7,650.33
|
Rate for Payer: Mclaren Medicaid |
$7,286.03
|
Rate for Payer: Meridian Medicaid |
$7,650.33
|
Rate for Payer: Priority Health Choice Medicaid |
$7,286.03
|
|
INPATIENT APRDRG 4651: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,073.99
|
|
Service Code
|
APR-DRG 4651
|
Hospital Charge Code |
APRDRG 4651
|
Min. Negotiated Rate |
$3,879.99 |
Max. Negotiated Rate |
$4,073.99 |
Rate for Payer: BCBS Complete |
$4,073.99
|
Rate for Payer: Mclaren Medicaid |
$3,879.99
|
Rate for Payer: Meridian Medicaid |
$4,073.99
|
Rate for Payer: Priority Health Choice Medicaid |
$3,879.99
|
|
INPATIENT APRDRG 4652: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,261.56
|
|
Service Code
|
APR-DRG 4652
|
Hospital Charge Code |
APRDRG 4652
|
Min. Negotiated Rate |
$4,058.63 |
Max. Negotiated Rate |
$4,261.56 |
Rate for Payer: BCBS Complete |
$4,261.56
|
Rate for Payer: Mclaren Medicaid |
$4,058.63
|
Rate for Payer: Meridian Medicaid |
$4,261.56
|
Rate for Payer: Priority Health Choice Medicaid |
$4,058.63
|
|
INPATIENT APRDRG 4653: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$5,796.84
|
|
Service Code
|
APR-DRG 4653
|
Hospital Charge Code |
APRDRG 4653
|
Min. Negotiated Rate |
$5,520.80 |
Max. Negotiated Rate |
$5,796.84 |
Rate for Payer: BCBS Complete |
$5,796.84
|
Rate for Payer: Mclaren Medicaid |
$5,520.80
|
Rate for Payer: Meridian Medicaid |
$5,796.84
|
Rate for Payer: Priority Health Choice Medicaid |
$5,520.80
|
|