INPATIENT APRDRG 4654: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$10,108.82
|
|
Service Code
|
APR-DRG 4654
|
Hospital Charge Code |
APRDRG 4654
|
Min. Negotiated Rate |
$9,627.45 |
Max. Negotiated Rate |
$10,108.82 |
Rate for Payer: BCBS Complete |
$10,108.82
|
Rate for Payer: Mclaren Medicaid |
$9,627.45
|
Rate for Payer: Meridian Medicaid |
$10,108.82
|
Rate for Payer: Priority Health Choice Medicaid |
$9,627.45
|
|
INPATIENT APRDRG 4661: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$2,948.57
|
|
Service Code
|
APR-DRG 4661
|
Hospital Charge Code |
APRDRG 4661
|
Min. Negotiated Rate |
$2,808.16 |
Max. Negotiated Rate |
$2,948.57 |
Rate for Payer: BCBS Complete |
$2,948.57
|
Rate for Payer: Mclaren Medicaid |
$2,808.16
|
Rate for Payer: Meridian Medicaid |
$2,948.57
|
Rate for Payer: Priority Health Choice Medicaid |
$2,808.16
|
|
INPATIENT APRDRG 4662: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$3,892.38
|
|
Service Code
|
APR-DRG 4662
|
Hospital Charge Code |
APRDRG 4662
|
Min. Negotiated Rate |
$3,707.03 |
Max. Negotiated Rate |
$3,892.38 |
Rate for Payer: BCBS Complete |
$3,892.38
|
Rate for Payer: Mclaren Medicaid |
$3,707.03
|
Rate for Payer: Meridian Medicaid |
$3,892.38
|
Rate for Payer: Priority Health Choice Medicaid |
$3,707.03
|
|
INPATIENT APRDRG 4663: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$5,504.64
|
|
Service Code
|
APR-DRG 4663
|
Hospital Charge Code |
APRDRG 4663
|
Min. Negotiated Rate |
$5,242.51 |
Max. Negotiated Rate |
$5,504.64 |
Rate for Payer: BCBS Complete |
$5,504.64
|
Rate for Payer: Mclaren Medicaid |
$5,242.51
|
Rate for Payer: Meridian Medicaid |
$5,504.64
|
Rate for Payer: Priority Health Choice Medicaid |
$5,242.51
|
|
INPATIENT APRDRG 4664: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$7,686.10
|
|
Service Code
|
APR-DRG 4664
|
Hospital Charge Code |
APRDRG 4664
|
Min. Negotiated Rate |
$7,320.10 |
Max. Negotiated Rate |
$7,686.10 |
Rate for Payer: BCBS Complete |
$7,686.10
|
Rate for Payer: Mclaren Medicaid |
$7,320.10
|
Rate for Payer: Meridian Medicaid |
$7,686.10
|
Rate for Payer: Priority Health Choice Medicaid |
$7,320.10
|
|
INPATIENT APRDRG 4681: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$3,624.58
|
|
Service Code
|
APR-DRG 4681
|
Hospital Charge Code |
APRDRG 4681
|
Min. Negotiated Rate |
$3,451.98 |
Max. Negotiated Rate |
$3,624.58 |
Rate for Payer: BCBS Complete |
$3,624.58
|
Rate for Payer: Mclaren Medicaid |
$3,451.98
|
Rate for Payer: Meridian Medicaid |
$3,624.58
|
Rate for Payer: Priority Health Choice Medicaid |
$3,451.98
|
|
INPATIENT APRDRG 4682: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$4,098.93
|
|
Service Code
|
APR-DRG 4682
|
Hospital Charge Code |
APRDRG 4682
|
Min. Negotiated Rate |
$3,903.74 |
Max. Negotiated Rate |
$4,098.93 |
Rate for Payer: BCBS Complete |
$4,098.93
|
Rate for Payer: Mclaren Medicaid |
$3,903.74
|
Rate for Payer: Meridian Medicaid |
$4,098.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,903.74
|
|
INPATIENT APRDRG 4683: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$5,756.72
|
|
Service Code
|
APR-DRG 4683
|
Hospital Charge Code |
APRDRG 4683
|
Min. Negotiated Rate |
$5,482.59 |
Max. Negotiated Rate |
$5,756.72 |
Rate for Payer: BCBS Complete |
$5,756.72
|
Rate for Payer: Mclaren Medicaid |
$5,482.59
|
Rate for Payer: Meridian Medicaid |
$5,756.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,482.59
|
|
INPATIENT APRDRG 4684: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$9,229.51
|
|
Service Code
|
APR-DRG 4684
|
Hospital Charge Code |
APRDRG 4684
|
Min. Negotiated Rate |
$8,790.01 |
Max. Negotiated Rate |
$9,229.51 |
Rate for Payer: BCBS Complete |
$9,229.51
|
Rate for Payer: Mclaren Medicaid |
$8,790.01
|
Rate for Payer: Meridian Medicaid |
$9,229.51
|
Rate for Payer: Priority Health Choice Medicaid |
$8,790.01
|
|
INPATIENT APRDRG 4691: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,768.04
|
|
Service Code
|
APR-DRG 4691
|
Hospital Charge Code |
APRDRG 4691
|
Min. Negotiated Rate |
$2,636.23 |
Max. Negotiated Rate |
$2,768.04 |
Rate for Payer: BCBS Complete |
$2,768.04
|
Rate for Payer: Mclaren Medicaid |
$2,636.23
|
Rate for Payer: Meridian Medicaid |
$2,768.04
|
Rate for Payer: Priority Health Choice Medicaid |
$2,636.23
|
|
INPATIENT APRDRG 4692: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,750.89
|
|
Service Code
|
APR-DRG 4692
|
Hospital Charge Code |
APRDRG 4692
|
Min. Negotiated Rate |
$3,572.28 |
Max. Negotiated Rate |
$3,750.89 |
Rate for Payer: BCBS Complete |
$3,750.89
|
Rate for Payer: Mclaren Medicaid |
$3,572.28
|
Rate for Payer: Meridian Medicaid |
$3,750.89
|
Rate for Payer: Priority Health Choice Medicaid |
$3,572.28
|
|
INPATIENT APRDRG 4693: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,297.75
|
|
Service Code
|
APR-DRG 4693
|
Hospital Charge Code |
APRDRG 4693
|
Min. Negotiated Rate |
$5,997.86 |
Max. Negotiated Rate |
$6,297.75 |
Rate for Payer: BCBS Complete |
$6,297.75
|
Rate for Payer: Mclaren Medicaid |
$5,997.86
|
Rate for Payer: Meridian Medicaid |
$6,297.75
|
Rate for Payer: Priority Health Choice Medicaid |
$5,997.86
|
|
INPATIENT APRDRG 4694: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$12,991.79
|
|
Service Code
|
APR-DRG 4694
|
Hospital Charge Code |
APRDRG 4694
|
Min. Negotiated Rate |
$12,373.13 |
Max. Negotiated Rate |
$12,991.79 |
Rate for Payer: BCBS Complete |
$12,991.79
|
Rate for Payer: Mclaren Medicaid |
$12,373.13
|
Rate for Payer: Meridian Medicaid |
$12,991.79
|
Rate for Payer: Priority Health Choice Medicaid |
$12,373.13
|
|
INPATIENT APRDRG 4701: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$2,813.03
|
|
Service Code
|
APR-DRG 4701
|
Hospital Charge Code |
APRDRG 4701
|
Min. Negotiated Rate |
$2,679.08 |
Max. Negotiated Rate |
$2,813.03 |
Rate for Payer: BCBS Complete |
$2,813.03
|
Rate for Payer: Mclaren Medicaid |
$2,679.08
|
Rate for Payer: Meridian Medicaid |
$2,813.03
|
Rate for Payer: Priority Health Choice Medicaid |
$2,679.08
|
|
INPATIENT APRDRG 4702: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,692.35
|
|
Service Code
|
APR-DRG 4702
|
Hospital Charge Code |
APRDRG 4702
|
Min. Negotiated Rate |
$3,516.52 |
Max. Negotiated Rate |
$3,692.35 |
Rate for Payer: BCBS Complete |
$3,692.35
|
Rate for Payer: Mclaren Medicaid |
$3,516.52
|
Rate for Payer: Meridian Medicaid |
$3,692.35
|
Rate for Payer: Priority Health Choice Medicaid |
$3,516.52
|
|
INPATIENT APRDRG 4703: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,016.93
|
|
Service Code
|
APR-DRG 4703
|
Hospital Charge Code |
APRDRG 4703
|
Min. Negotiated Rate |
$5,730.41 |
Max. Negotiated Rate |
$6,016.93 |
Rate for Payer: BCBS Complete |
$6,016.93
|
Rate for Payer: Mclaren Medicaid |
$5,730.41
|
Rate for Payer: Meridian Medicaid |
$6,016.93
|
Rate for Payer: Priority Health Choice Medicaid |
$5,730.41
|
|
INPATIENT APRDRG 4704: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$12,448.04
|
|
Service Code
|
APR-DRG 4704
|
Hospital Charge Code |
APRDRG 4704
|
Min. Negotiated Rate |
$11,855.28 |
Max. Negotiated Rate |
$12,448.04 |
Rate for Payer: BCBS Complete |
$12,448.04
|
Rate for Payer: Mclaren Medicaid |
$11,855.28
|
Rate for Payer: Meridian Medicaid |
$12,448.04
|
Rate for Payer: Priority Health Choice Medicaid |
$11,855.28
|
|
INPATIENT APRDRG 4801: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$9,798.73
|
|
Service Code
|
APR-DRG 4801
|
Hospital Charge Code |
APRDRG 4801
|
Min. Negotiated Rate |
$9,332.12 |
Max. Negotiated Rate |
$9,798.73 |
Rate for Payer: BCBS Complete |
$9,798.73
|
Rate for Payer: Mclaren Medicaid |
$9,332.12
|
Rate for Payer: Meridian Medicaid |
$9,798.73
|
Rate for Payer: Priority Health Choice Medicaid |
$9,332.12
|
|
INPATIENT APRDRG 4802: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$10,447.10
|
|
Service Code
|
APR-DRG 4802
|
Hospital Charge Code |
APRDRG 4802
|
Min. Negotiated Rate |
$9,949.62 |
Max. Negotiated Rate |
$10,447.10 |
Rate for Payer: BCBS Complete |
$10,447.10
|
Rate for Payer: Mclaren Medicaid |
$9,949.62
|
Rate for Payer: Meridian Medicaid |
$10,447.10
|
Rate for Payer: Priority Health Choice Medicaid |
$9,949.62
|
|
INPATIENT APRDRG 4803: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$15,367.87
|
|
Service Code
|
APR-DRG 4803
|
Hospital Charge Code |
APRDRG 4803
|
Min. Negotiated Rate |
$14,636.07 |
Max. Negotiated Rate |
$15,367.87 |
Rate for Payer: BCBS Complete |
$15,367.87
|
Rate for Payer: Mclaren Medicaid |
$14,636.07
|
Rate for Payer: Meridian Medicaid |
$15,367.87
|
Rate for Payer: Priority Health Choice Medicaid |
$14,636.07
|
|
INPATIENT APRDRG 4804: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$25,683.79
|
|
Service Code
|
APR-DRG 4804
|
Hospital Charge Code |
APRDRG 4804
|
Min. Negotiated Rate |
$24,460.75 |
Max. Negotiated Rate |
$25,683.79 |
Rate for Payer: BCBS Complete |
$25,683.79
|
Rate for Payer: Mclaren Medicaid |
$24,460.75
|
Rate for Payer: Meridian Medicaid |
$25,683.79
|
Rate for Payer: Priority Health Choice Medicaid |
$24,460.75
|
|
INPATIENT APRDRG 4821: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$4,692.01
|
|
Service Code
|
APR-DRG 4821
|
Hospital Charge Code |
APRDRG 4821
|
Min. Negotiated Rate |
$4,468.58 |
Max. Negotiated Rate |
$4,692.01 |
Rate for Payer: BCBS Complete |
$4,692.01
|
Rate for Payer: Mclaren Medicaid |
$4,468.58
|
Rate for Payer: Meridian Medicaid |
$4,692.01
|
Rate for Payer: Priority Health Choice Medicaid |
$4,468.58
|
|
INPATIENT APRDRG 4822: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$5,765.94
|
|
Service Code
|
APR-DRG 4822
|
Hospital Charge Code |
APRDRG 4822
|
Min. Negotiated Rate |
$5,491.37 |
Max. Negotiated Rate |
$5,765.94 |
Rate for Payer: BCBS Complete |
$5,765.94
|
Rate for Payer: Mclaren Medicaid |
$5,491.37
|
Rate for Payer: Meridian Medicaid |
$5,765.94
|
Rate for Payer: Priority Health Choice Medicaid |
$5,491.37
|
|
INPATIENT APRDRG 4823: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$10,690.51
|
|
Service Code
|
APR-DRG 4823
|
Hospital Charge Code |
APRDRG 4823
|
Min. Negotiated Rate |
$10,181.44 |
Max. Negotiated Rate |
$10,690.51 |
Rate for Payer: BCBS Complete |
$10,690.51
|
Rate for Payer: Mclaren Medicaid |
$10,181.44
|
Rate for Payer: Meridian Medicaid |
$10,690.51
|
Rate for Payer: Priority Health Choice Medicaid |
$10,181.44
|
|
INPATIENT APRDRG 4824: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$18,598.88
|
|
Service Code
|
APR-DRG 4824
|
Hospital Charge Code |
APRDRG 4824
|
Min. Negotiated Rate |
$17,713.22 |
Max. Negotiated Rate |
$18,598.88 |
Rate for Payer: BCBS Complete |
$18,598.88
|
Rate for Payer: Mclaren Medicaid |
$17,713.22
|
Rate for Payer: Meridian Medicaid |
$18,598.88
|
Rate for Payer: Priority Health Choice Medicaid |
$17,713.22
|
|