INPATIENT APRDRG 6903: ACUTE LEUKEMIA
|
Facility
|
IP
|
$27,376.81
|
|
Service Code
|
APR-DRG 6903
|
Hospital Charge Code |
APRDRG 6903
|
Min. Negotiated Rate |
$26,073.15 |
Max. Negotiated Rate |
$27,376.81 |
Rate for Payer: BCBS Complete |
$27,376.81
|
Rate for Payer: Mclaren Medicaid |
$26,073.15
|
Rate for Payer: Meridian Medicaid |
$27,376.81
|
Rate for Payer: Priority Health Choice Medicaid |
$26,073.15
|
|
INPATIENT APRDRG 6904: ACUTE LEUKEMIA
|
Facility
|
IP
|
$41,755.86
|
|
Service Code
|
APR-DRG 6904
|
Hospital Charge Code |
APRDRG 6904
|
Min. Negotiated Rate |
$39,767.49 |
Max. Negotiated Rate |
$41,755.86 |
Rate for Payer: BCBS Complete |
$41,755.86
|
Rate for Payer: Mclaren Medicaid |
$39,767.49
|
Rate for Payer: Meridian Medicaid |
$41,755.86
|
Rate for Payer: Priority Health Choice Medicaid |
$39,767.49
|
|
INPATIENT APRDRG 6911: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,221.31
|
|
Service Code
|
APR-DRG 6911
|
Hospital Charge Code |
APRDRG 6911
|
Min. Negotiated Rate |
$5,925.06 |
Max. Negotiated Rate |
$6,221.31 |
Rate for Payer: BCBS Complete |
$6,221.31
|
Rate for Payer: Mclaren Medicaid |
$5,925.06
|
Rate for Payer: Meridian Medicaid |
$6,221.31
|
Rate for Payer: Priority Health Choice Medicaid |
$5,925.06
|
|
INPATIENT APRDRG 6912: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$8,644.57
|
|
Service Code
|
APR-DRG 6912
|
Hospital Charge Code |
APRDRG 6912
|
Min. Negotiated Rate |
$8,232.92 |
Max. Negotiated Rate |
$8,644.57 |
Rate for Payer: BCBS Complete |
$8,644.57
|
Rate for Payer: Mclaren Medicaid |
$8,232.92
|
Rate for Payer: Meridian Medicaid |
$8,644.57
|
Rate for Payer: Priority Health Choice Medicaid |
$8,232.92
|
|
INPATIENT APRDRG 6913: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,191.48
|
|
Service Code
|
APR-DRG 6913
|
Hospital Charge Code |
APRDRG 6913
|
Min. Negotiated Rate |
$13,515.70 |
Max. Negotiated Rate |
$14,191.48 |
Rate for Payer: BCBS Complete |
$14,191.48
|
Rate for Payer: Mclaren Medicaid |
$13,515.70
|
Rate for Payer: Meridian Medicaid |
$14,191.48
|
Rate for Payer: Priority Health Choice Medicaid |
$13,515.70
|
|
INPATIENT APRDRG 6914: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$21,751.28
|
|
Service Code
|
APR-DRG 6914
|
Hospital Charge Code |
APRDRG 6914
|
Min. Negotiated Rate |
$20,715.50 |
Max. Negotiated Rate |
$21,751.28 |
Rate for Payer: BCBS Complete |
$21,751.28
|
Rate for Payer: Mclaren Medicaid |
$20,715.50
|
Rate for Payer: Meridian Medicaid |
$21,751.28
|
Rate for Payer: Priority Health Choice Medicaid |
$20,715.50
|
|
INPATIENT APRDRG 6921: RADIOTHERAPY
|
Facility
|
IP
|
$4,651.89
|
|
Service Code
|
APR-DRG 6921
|
Hospital Charge Code |
APRDRG 6921
|
Min. Negotiated Rate |
$4,430.37 |
Max. Negotiated Rate |
$4,651.89 |
Rate for Payer: BCBS Complete |
$4,651.89
|
Rate for Payer: Mclaren Medicaid |
$4,430.37
|
Rate for Payer: Meridian Medicaid |
$4,651.89
|
Rate for Payer: Priority Health Choice Medicaid |
$4,430.37
|
|
INPATIENT APRDRG 6922: RADIOTHERAPY
|
Facility
|
IP
|
$9,676.21
|
|
Service Code
|
APR-DRG 6922
|
Hospital Charge Code |
APRDRG 6922
|
Min. Negotiated Rate |
$9,215.44 |
Max. Negotiated Rate |
$9,676.21 |
Rate for Payer: BCBS Complete |
$9,676.21
|
Rate for Payer: Mclaren Medicaid |
$9,215.44
|
Rate for Payer: Meridian Medicaid |
$9,676.21
|
Rate for Payer: Priority Health Choice Medicaid |
$9,215.44
|
|
INPATIENT APRDRG 6923: RADIOTHERAPY
|
Facility
|
IP
|
$12,805.30
|
|
Service Code
|
APR-DRG 6923
|
Hospital Charge Code |
APRDRG 6923
|
Min. Negotiated Rate |
$12,195.52 |
Max. Negotiated Rate |
$12,805.30 |
Rate for Payer: BCBS Complete |
$12,805.30
|
Rate for Payer: Mclaren Medicaid |
$12,195.52
|
Rate for Payer: Meridian Medicaid |
$12,805.30
|
Rate for Payer: Priority Health Choice Medicaid |
$12,195.52
|
|
INPATIENT APRDRG 6924: RADIOTHERAPY
|
Facility
|
IP
|
$18,229.16
|
|
Service Code
|
APR-DRG 6924
|
Hospital Charge Code |
APRDRG 6924
|
Min. Negotiated Rate |
$17,361.10 |
Max. Negotiated Rate |
$18,229.16 |
Rate for Payer: BCBS Complete |
$18,229.16
|
Rate for Payer: Mclaren Medicaid |
$17,361.10
|
Rate for Payer: Meridian Medicaid |
$18,229.16
|
Rate for Payer: Priority Health Choice Medicaid |
$17,361.10
|
|
INPATIENT APRDRG 6941: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,551.59
|
|
Service Code
|
APR-DRG 6941
|
Hospital Charge Code |
APRDRG 6941
|
Min. Negotiated Rate |
$4,334.85 |
Max. Negotiated Rate |
$4,551.59 |
Rate for Payer: BCBS Complete |
$4,551.59
|
Rate for Payer: Mclaren Medicaid |
$4,334.85
|
Rate for Payer: Meridian Medicaid |
$4,551.59
|
Rate for Payer: Priority Health Choice Medicaid |
$4,334.85
|
|
INPATIENT APRDRG 6942: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$5,669.98
|
|
Service Code
|
APR-DRG 6942
|
Hospital Charge Code |
APRDRG 6942
|
Min. Negotiated Rate |
$5,399.98 |
Max. Negotiated Rate |
$5,669.98 |
Rate for Payer: BCBS Complete |
$5,669.98
|
Rate for Payer: Mclaren Medicaid |
$5,399.98
|
Rate for Payer: Meridian Medicaid |
$5,669.98
|
Rate for Payer: Priority Health Choice Medicaid |
$5,399.98
|
|
INPATIENT APRDRG 6943: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,175.44
|
|
Service Code
|
APR-DRG 6943
|
Hospital Charge Code |
APRDRG 6943
|
Min. Negotiated Rate |
$6,833.75 |
Max. Negotiated Rate |
$7,175.44 |
Rate for Payer: BCBS Complete |
$7,175.44
|
Rate for Payer: Mclaren Medicaid |
$6,833.75
|
Rate for Payer: Meridian Medicaid |
$7,175.44
|
Rate for Payer: Priority Health Choice Medicaid |
$6,833.75
|
|
INPATIENT APRDRG 6944: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$11,732.99
|
|
Service Code
|
APR-DRG 6944
|
Hospital Charge Code |
APRDRG 6944
|
Min. Negotiated Rate |
$11,174.28 |
Max. Negotiated Rate |
$11,732.99 |
Rate for Payer: BCBS Complete |
$11,732.99
|
Rate for Payer: Mclaren Medicaid |
$11,174.28
|
Rate for Payer: Meridian Medicaid |
$11,732.99
|
Rate for Payer: Priority Health Choice Medicaid |
$11,174.28
|
|
INPATIENT APRDRG 6951: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$3,297.68
|
|
Service Code
|
APR-DRG 6951
|
Hospital Charge Code |
APRDRG 6951
|
Min. Negotiated Rate |
$3,140.65 |
Max. Negotiated Rate |
$3,297.68 |
Rate for Payer: BCBS Complete |
$3,297.68
|
Rate for Payer: Mclaren Medicaid |
$3,140.65
|
Rate for Payer: Meridian Medicaid |
$3,297.68
|
Rate for Payer: Priority Health Choice Medicaid |
$3,140.65
|
|
INPATIENT APRDRG 6952: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,550.17
|
|
Service Code
|
APR-DRG 6952
|
Hospital Charge Code |
APRDRG 6952
|
Min. Negotiated Rate |
$5,285.88 |
Max. Negotiated Rate |
$5,550.17 |
Rate for Payer: BCBS Complete |
$5,550.17
|
Rate for Payer: Mclaren Medicaid |
$5,285.88
|
Rate for Payer: Meridian Medicaid |
$5,550.17
|
Rate for Payer: Priority Health Choice Medicaid |
$5,285.88
|
|
INPATIENT APRDRG 6953: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$13,205.92
|
|
Service Code
|
APR-DRG 6953
|
Hospital Charge Code |
APRDRG 6953
|
Min. Negotiated Rate |
$12,577.07 |
Max. Negotiated Rate |
$13,205.92 |
Rate for Payer: BCBS Complete |
$13,205.92
|
Rate for Payer: Mclaren Medicaid |
$12,577.07
|
Rate for Payer: Meridian Medicaid |
$13,205.92
|
Rate for Payer: Priority Health Choice Medicaid |
$12,577.07
|
|
INPATIENT APRDRG 6954: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$36,126.01
|
|
Service Code
|
APR-DRG 6954
|
Hospital Charge Code |
APRDRG 6954
|
Min. Negotiated Rate |
$34,405.72 |
Max. Negotiated Rate |
$36,126.01 |
Rate for Payer: BCBS Complete |
$36,126.01
|
Rate for Payer: Mclaren Medicaid |
$34,405.72
|
Rate for Payer: Meridian Medicaid |
$36,126.01
|
Rate for Payer: Priority Health Choice Medicaid |
$34,405.72
|
|
INPATIENT APRDRG 6961: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,613.40
|
|
Service Code
|
APR-DRG 6961
|
Hospital Charge Code |
APRDRG 6961
|
Min. Negotiated Rate |
$4,393.71 |
Max. Negotiated Rate |
$4,613.40 |
Rate for Payer: BCBS Complete |
$4,613.40
|
Rate for Payer: Mclaren Medicaid |
$4,393.71
|
Rate for Payer: Meridian Medicaid |
$4,613.40
|
Rate for Payer: Priority Health Choice Medicaid |
$4,393.71
|
|
INPATIENT APRDRG 6962: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,631.49
|
|
Service Code
|
APR-DRG 6962
|
Hospital Charge Code |
APRDRG 6962
|
Min. Negotiated Rate |
$5,363.32 |
Max. Negotiated Rate |
$5,631.49 |
Rate for Payer: BCBS Complete |
$5,631.49
|
Rate for Payer: Mclaren Medicaid |
$5,363.32
|
Rate for Payer: Meridian Medicaid |
$5,631.49
|
Rate for Payer: Priority Health Choice Medicaid |
$5,363.32
|
|
INPATIENT APRDRG 6963: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$9,112.95
|
|
Service Code
|
APR-DRG 6963
|
Hospital Charge Code |
APRDRG 6963
|
Min. Negotiated Rate |
$8,679.00 |
Max. Negotiated Rate |
$9,112.95 |
Rate for Payer: BCBS Complete |
$9,112.95
|
Rate for Payer: Mclaren Medicaid |
$8,679.00
|
Rate for Payer: Meridian Medicaid |
$9,112.95
|
Rate for Payer: Priority Health Choice Medicaid |
$8,679.00
|
|
INPATIENT APRDRG 6964: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$19,828.95
|
|
Service Code
|
APR-DRG 6964
|
Hospital Charge Code |
APRDRG 6964
|
Min. Negotiated Rate |
$18,884.71 |
Max. Negotiated Rate |
$19,828.95 |
Rate for Payer: BCBS Complete |
$19,828.95
|
Rate for Payer: Mclaren Medicaid |
$18,884.71
|
Rate for Payer: Meridian Medicaid |
$19,828.95
|
Rate for Payer: Priority Health Choice Medicaid |
$18,884.71
|
|
INPATIENT APRDRG 7101: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$6,301.00
|
|
Service Code
|
APR-DRG 7101
|
Hospital Charge Code |
APRDRG 7101
|
Min. Negotiated Rate |
$6,000.95 |
Max. Negotiated Rate |
$6,301.00 |
Rate for Payer: BCBS Complete |
$6,301.00
|
Rate for Payer: Mclaren Medicaid |
$6,000.95
|
Rate for Payer: Meridian Medicaid |
$6,301.00
|
Rate for Payer: Priority Health Choice Medicaid |
$6,000.95
|
|
INPATIENT APRDRG 7102: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$8,299.78
|
|
Service Code
|
APR-DRG 7102
|
Hospital Charge Code |
APRDRG 7102
|
Min. Negotiated Rate |
$7,904.55 |
Max. Negotiated Rate |
$8,299.78 |
Rate for Payer: BCBS Complete |
$8,299.78
|
Rate for Payer: Mclaren Medicaid |
$7,904.55
|
Rate for Payer: Meridian Medicaid |
$8,299.78
|
Rate for Payer: Priority Health Choice Medicaid |
$7,904.55
|
|
INPATIENT APRDRG 7103: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$13,813.63
|
|
Service Code
|
APR-DRG 7103
|
Hospital Charge Code |
APRDRG 7103
|
Min. Negotiated Rate |
$13,155.84 |
Max. Negotiated Rate |
$13,813.63 |
Rate for Payer: BCBS Complete |
$13,813.63
|
Rate for Payer: Mclaren Medicaid |
$13,155.84
|
Rate for Payer: Meridian Medicaid |
$13,813.63
|
Rate for Payer: Priority Health Choice Medicaid |
$13,155.84
|
|