INPATIENT APRDRG 6602: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$4,757.06
|
|
Service Code
|
APR-DRG 6602
|
Hospital Charge Code |
APRDRG 6602
|
Min. Negotiated Rate |
$4,530.53 |
Max. Negotiated Rate |
$4,757.06 |
Rate for Payer: BCBS Complete |
$4,757.06
|
Rate for Payer: Mclaren Medicaid |
$4,530.53
|
Rate for Payer: Meridian Medicaid |
$4,757.06
|
Rate for Payer: Priority Health Choice Medicaid |
$4,530.53
|
|
INPATIENT APRDRG 6603: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$7,676.35
|
|
Service Code
|
APR-DRG 6603
|
Hospital Charge Code |
APRDRG 6603
|
Min. Negotiated Rate |
$7,310.81 |
Max. Negotiated Rate |
$7,676.35 |
Rate for Payer: BCBS Complete |
$7,676.35
|
Rate for Payer: Mclaren Medicaid |
$7,310.81
|
Rate for Payer: Meridian Medicaid |
$7,676.35
|
Rate for Payer: Priority Health Choice Medicaid |
$7,310.81
|
|
INPATIENT APRDRG 6604: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$18,983.78
|
|
Service Code
|
APR-DRG 6604
|
Hospital Charge Code |
APRDRG 6604
|
Min. Negotiated Rate |
$18,079.79 |
Max. Negotiated Rate |
$18,983.78 |
Rate for Payer: BCBS Complete |
$18,983.78
|
Rate for Payer: Mclaren Medicaid |
$18,079.79
|
Rate for Payer: Meridian Medicaid |
$18,983.78
|
Rate for Payer: Priority Health Choice Medicaid |
$18,079.79
|
|
INPATIENT APRDRG 6611: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$4,500.10
|
|
Service Code
|
APR-DRG 6611
|
Hospital Charge Code |
APRDRG 6611
|
Min. Negotiated Rate |
$4,285.81 |
Max. Negotiated Rate |
$4,500.10 |
Rate for Payer: BCBS Complete |
$4,500.10
|
Rate for Payer: Mclaren Medicaid |
$4,285.81
|
Rate for Payer: Meridian Medicaid |
$4,500.10
|
Rate for Payer: Priority Health Choice Medicaid |
$4,285.81
|
|
INPATIENT APRDRG 6612: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$7,166.76
|
|
Service Code
|
APR-DRG 6612
|
Hospital Charge Code |
APRDRG 6612
|
Min. Negotiated Rate |
$6,825.49 |
Max. Negotiated Rate |
$7,166.76 |
Rate for Payer: BCBS Complete |
$7,166.76
|
Rate for Payer: Mclaren Medicaid |
$6,825.49
|
Rate for Payer: Meridian Medicaid |
$7,166.76
|
Rate for Payer: Priority Health Choice Medicaid |
$6,825.49
|
|
INPATIENT APRDRG 6613: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$13,182.61
|
|
Service Code
|
APR-DRG 6613
|
Hospital Charge Code |
APRDRG 6613
|
Min. Negotiated Rate |
$12,554.87 |
Max. Negotiated Rate |
$13,182.61 |
Rate for Payer: BCBS Complete |
$13,182.61
|
Rate for Payer: Mclaren Medicaid |
$12,554.87
|
Rate for Payer: Meridian Medicaid |
$13,182.61
|
Rate for Payer: Priority Health Choice Medicaid |
$12,554.87
|
|
INPATIENT APRDRG 6614: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$24,545.88
|
|
Service Code
|
APR-DRG 6614
|
Hospital Charge Code |
APRDRG 6614
|
Min. Negotiated Rate |
$23,377.03 |
Max. Negotiated Rate |
$24,545.88 |
Rate for Payer: BCBS Complete |
$24,545.88
|
Rate for Payer: Mclaren Medicaid |
$23,377.03
|
Rate for Payer: Meridian Medicaid |
$24,545.88
|
Rate for Payer: Priority Health Choice Medicaid |
$23,377.03
|
|
INPATIENT APRDRG 6621: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$2,980.55
|
|
Service Code
|
APR-DRG 6621
|
Hospital Charge Code |
APRDRG 6621
|
Min. Negotiated Rate |
$2,838.62 |
Max. Negotiated Rate |
$2,980.55 |
Rate for Payer: BCBS Complete |
$2,980.55
|
Rate for Payer: Mclaren Medicaid |
$2,838.62
|
Rate for Payer: Meridian Medicaid |
$2,980.55
|
Rate for Payer: Priority Health Choice Medicaid |
$2,838.62
|
|
INPATIENT APRDRG 6622: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$4,267.53
|
|
Service Code
|
APR-DRG 6622
|
Hospital Charge Code |
APRDRG 6622
|
Min. Negotiated Rate |
$4,064.31 |
Max. Negotiated Rate |
$4,267.53 |
Rate for Payer: BCBS Complete |
$4,267.53
|
Rate for Payer: Mclaren Medicaid |
$4,064.31
|
Rate for Payer: Meridian Medicaid |
$4,267.53
|
Rate for Payer: Priority Health Choice Medicaid |
$4,064.31
|
|
INPATIENT APRDRG 6623: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$6,823.60
|
|
Service Code
|
APR-DRG 6623
|
Hospital Charge Code |
APRDRG 6623
|
Min. Negotiated Rate |
$6,498.67 |
Max. Negotiated Rate |
$6,823.60 |
Rate for Payer: BCBS Complete |
$6,823.60
|
Rate for Payer: Mclaren Medicaid |
$6,498.67
|
Rate for Payer: Meridian Medicaid |
$6,823.60
|
Rate for Payer: Priority Health Choice Medicaid |
$6,498.67
|
|
INPATIENT APRDRG 6624: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$11,903.22
|
|
Service Code
|
APR-DRG 6624
|
Hospital Charge Code |
APRDRG 6624
|
Min. Negotiated Rate |
$11,336.40 |
Max. Negotiated Rate |
$11,903.22 |
Rate for Payer: BCBS Complete |
$11,903.22
|
Rate for Payer: Mclaren Medicaid |
$11,336.40
|
Rate for Payer: Meridian Medicaid |
$11,903.22
|
Rate for Payer: Priority Health Choice Medicaid |
$11,336.40
|
|
INPATIENT APRDRG 6631: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,064.57
|
|
Service Code
|
APR-DRG 6631
|
Hospital Charge Code |
APRDRG 6631
|
Min. Negotiated Rate |
$2,918.64 |
Max. Negotiated Rate |
$3,064.57 |
Rate for Payer: BCBS Complete |
$3,064.57
|
Rate for Payer: Mclaren Medicaid |
$2,918.64
|
Rate for Payer: Meridian Medicaid |
$3,064.57
|
Rate for Payer: Priority Health Choice Medicaid |
$2,918.64
|
|
INPATIENT APRDRG 6632: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,331.50
|
|
Service Code
|
APR-DRG 6632
|
Hospital Charge Code |
APRDRG 6632
|
Min. Negotiated Rate |
$4,125.24 |
Max. Negotiated Rate |
$4,331.50 |
Rate for Payer: BCBS Complete |
$4,331.50
|
Rate for Payer: Mclaren Medicaid |
$4,125.24
|
Rate for Payer: Meridian Medicaid |
$4,331.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,125.24
|
|
INPATIENT APRDRG 6633: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,409.97
|
|
Service Code
|
APR-DRG 6633
|
Hospital Charge Code |
APRDRG 6633
|
Min. Negotiated Rate |
$6,104.73 |
Max. Negotiated Rate |
$6,409.97 |
Rate for Payer: BCBS Complete |
$6,409.97
|
Rate for Payer: Mclaren Medicaid |
$6,104.73
|
Rate for Payer: Meridian Medicaid |
$6,409.97
|
Rate for Payer: Priority Health Choice Medicaid |
$6,104.73
|
|
INPATIENT APRDRG 6634: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,318.08
|
|
Service Code
|
APR-DRG 6634
|
Hospital Charge Code |
APRDRG 6634
|
Min. Negotiated Rate |
$9,826.74 |
Max. Negotiated Rate |
$10,318.08 |
Rate for Payer: BCBS Complete |
$10,318.08
|
Rate for Payer: Mclaren Medicaid |
$9,826.74
|
Rate for Payer: Meridian Medicaid |
$10,318.08
|
Rate for Payer: Priority Health Choice Medicaid |
$9,826.74
|
|
INPATIENT APRDRG 6801: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$10,408.61
|
|
Service Code
|
APR-DRG 6801
|
Hospital Charge Code |
APRDRG 6801
|
Min. Negotiated Rate |
$9,912.96 |
Max. Negotiated Rate |
$10,408.61 |
Rate for Payer: BCBS Complete |
$10,408.61
|
Rate for Payer: Mclaren Medicaid |
$9,912.96
|
Rate for Payer: Meridian Medicaid |
$10,408.61
|
Rate for Payer: Priority Health Choice Medicaid |
$9,912.96
|
|
INPATIENT APRDRG 6802: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$13,971.38
|
|
Service Code
|
APR-DRG 6802
|
Hospital Charge Code |
APRDRG 6802
|
Min. Negotiated Rate |
$13,306.08 |
Max. Negotiated Rate |
$13,971.38 |
Rate for Payer: BCBS Complete |
$13,971.38
|
Rate for Payer: Mclaren Medicaid |
$13,306.08
|
Rate for Payer: Meridian Medicaid |
$13,971.38
|
Rate for Payer: Priority Health Choice Medicaid |
$13,306.08
|
|
INPATIENT APRDRG 6803: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$20,239.32
|
|
Service Code
|
APR-DRG 6803
|
Hospital Charge Code |
APRDRG 6803
|
Min. Negotiated Rate |
$19,275.54 |
Max. Negotiated Rate |
$20,239.32 |
Rate for Payer: BCBS Complete |
$20,239.32
|
Rate for Payer: Mclaren Medicaid |
$19,275.54
|
Rate for Payer: Meridian Medicaid |
$20,239.32
|
Rate for Payer: Priority Health Choice Medicaid |
$19,275.54
|
|
INPATIENT APRDRG 6804: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$44,775.99
|
|
Service Code
|
APR-DRG 6804
|
Hospital Charge Code |
APRDRG 6804
|
Min. Negotiated Rate |
$42,643.80 |
Max. Negotiated Rate |
$44,775.99 |
Rate for Payer: BCBS Complete |
$44,775.99
|
Rate for Payer: Mclaren Medicaid |
$42,643.80
|
Rate for Payer: Meridian Medicaid |
$44,775.99
|
Rate for Payer: Priority Health Choice Medicaid |
$42,643.80
|
|
INPATIENT APRDRG 6811: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$8,695.52
|
|
Service Code
|
APR-DRG 6811
|
Hospital Charge Code |
APRDRG 6811
|
Min. Negotiated Rate |
$8,281.45 |
Max. Negotiated Rate |
$8,695.52 |
Rate for Payer: BCBS Complete |
$8,695.52
|
Rate for Payer: Mclaren Medicaid |
$8,281.45
|
Rate for Payer: Meridian Medicaid |
$8,695.52
|
Rate for Payer: Priority Health Choice Medicaid |
$8,281.45
|
|
INPATIENT APRDRG 6812: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$11,107.94
|
|
Service Code
|
APR-DRG 6812
|
Hospital Charge Code |
APRDRG 6812
|
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 6813: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$14,508.08
|
|
Service Code
|
APR-DRG 6813
|
Hospital Charge Code |
APRDRG 6813
|
Min. Negotiated Rate |
$13,817.22 |
Max. Negotiated Rate |
$14,508.08 |
Rate for Payer: BCBS Complete |
$14,508.08
|
Rate for Payer: Mclaren Medicaid |
$13,817.22
|
Rate for Payer: Meridian Medicaid |
$14,508.08
|
Rate for Payer: Priority Health Choice Medicaid |
$13,817.22
|
|
INPATIENT APRDRG 6814: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$36,623.66
|
|
Service Code
|
APR-DRG 6814
|
Hospital Charge Code |
APRDRG 6814
|
Min. Negotiated Rate |
$34,879.68 |
Max. Negotiated Rate |
$36,623.66 |
Rate for Payer: BCBS Complete |
$36,623.66
|
Rate for Payer: Mclaren Medicaid |
$34,879.68
|
Rate for Payer: Meridian Medicaid |
$36,623.66
|
Rate for Payer: Priority Health Choice Medicaid |
$34,879.68
|
|
INPATIENT APRDRG 6901: ACUTE LEUKEMIA
|
Facility
|
IP
|
$10,587.51
|
|
Service Code
|
APR-DRG 6901
|
Hospital Charge Code |
APRDRG 6901
|
Min. Negotiated Rate |
$10,083.34 |
Max. Negotiated Rate |
$10,587.51 |
Rate for Payer: BCBS Complete |
$10,587.51
|
Rate for Payer: Mclaren Medicaid |
$10,083.34
|
Rate for Payer: Meridian Medicaid |
$10,587.51
|
Rate for Payer: Priority Health Choice Medicaid |
$10,083.34
|
|
INPATIENT APRDRG 6902: ACUTE LEUKEMIA
|
Facility
|
IP
|
$15,918.13
|
|
Service Code
|
APR-DRG 6902
|
Hospital Charge Code |
APRDRG 6902
|
Min. Negotiated Rate |
$15,160.12 |
Max. Negotiated Rate |
$15,918.13 |
Rate for Payer: BCBS Complete |
$15,918.13
|
Rate for Payer: Mclaren Medicaid |
$15,160.12
|
Rate for Payer: Meridian Medicaid |
$15,918.13
|
Rate for Payer: Priority Health Choice Medicaid |
$15,160.12
|
|