INPATIENT APRDRG 7944: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$19,293.33
|
|
Service Code
|
APR-DRG 7944
|
Hospital Charge Code |
APRDRG 7944
|
Min. Negotiated Rate |
$18,374.60 |
Max. Negotiated Rate |
$19,293.33 |
Rate for Payer: BCBS Complete |
$19,293.33
|
Rate for Payer: Mclaren Medicaid |
$18,374.60
|
Rate for Payer: Meridian Medicaid |
$19,293.33
|
Rate for Payer: Priority Health Choice Medicaid |
$18,374.60
|
|
INPATIENT APRDRG 8101: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,033.14
|
|
Service Code
|
APR-DRG 8101
|
Hospital Charge Code |
APRDRG 8101
|
Min. Negotiated Rate |
$2,888.70 |
Max. Negotiated Rate |
$3,033.14 |
Rate for Payer: BCBS Complete |
$3,033.14
|
Rate for Payer: Mclaren Medicaid |
$2,888.70
|
Rate for Payer: Meridian Medicaid |
$3,033.14
|
Rate for Payer: Priority Health Choice Medicaid |
$2,888.70
|
|
INPATIENT APRDRG 8102: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,053.93
|
|
Service Code
|
APR-DRG 8102
|
Hospital Charge Code |
APRDRG 8102
|
Min. Negotiated Rate |
$3,860.89 |
Max. Negotiated Rate |
$4,053.93 |
Rate for Payer: BCBS Complete |
$4,053.93
|
Rate for Payer: Mclaren Medicaid |
$3,860.89
|
Rate for Payer: Meridian Medicaid |
$4,053.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,860.89
|
|
INPATIENT APRDRG 8103: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,555.26
|
|
Service Code
|
APR-DRG 8103
|
Hospital Charge Code |
APRDRG 8103
|
Min. Negotiated Rate |
$6,243.10 |
Max. Negotiated Rate |
$6,555.26 |
Rate for Payer: BCBS Complete |
$6,555.26
|
Rate for Payer: Mclaren Medicaid |
$6,243.10
|
Rate for Payer: Meridian Medicaid |
$6,555.26
|
Rate for Payer: Priority Health Choice Medicaid |
$6,243.10
|
|
INPATIENT APRDRG 8104: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$13,767.55
|
|
Service Code
|
APR-DRG 8104
|
Hospital Charge Code |
APRDRG 8104
|
Min. Negotiated Rate |
$13,111.95 |
Max. Negotiated Rate |
$13,767.55 |
Rate for Payer: BCBS Complete |
$13,767.55
|
Rate for Payer: Mclaren Medicaid |
$13,111.95
|
Rate for Payer: Meridian Medicaid |
$13,767.55
|
Rate for Payer: Priority Health Choice Medicaid |
$13,111.95
|
|
INPATIENT APRDRG 8111: ALLERGIC REACTIONS
|
Facility
|
IP
|
$1,470.22
|
|
Service Code
|
APR-DRG 8111
|
Hospital Charge Code |
APRDRG 8111
|
Min. Negotiated Rate |
$1,400.21 |
Max. Negotiated Rate |
$1,470.22 |
Rate for Payer: BCBS Complete |
$1,470.22
|
Rate for Payer: Mclaren Medicaid |
$1,400.21
|
Rate for Payer: Meridian Medicaid |
$1,470.22
|
Rate for Payer: Priority Health Choice Medicaid |
$1,400.21
|
|
INPATIENT APRDRG 8112: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,168.46
|
|
Service Code
|
APR-DRG 8112
|
Hospital Charge Code |
APRDRG 8112
|
Min. Negotiated Rate |
$2,065.20 |
Max. Negotiated Rate |
$2,168.46 |
Rate for Payer: BCBS Complete |
$2,168.46
|
Rate for Payer: Mclaren Medicaid |
$2,065.20
|
Rate for Payer: Meridian Medicaid |
$2,168.46
|
Rate for Payer: Priority Health Choice Medicaid |
$2,065.20
|
|
INPATIENT APRDRG 8113: ALLERGIC REACTIONS
|
Facility
|
IP
|
$4,913.19
|
|
Service Code
|
APR-DRG 8113
|
Hospital Charge Code |
APRDRG 8113
|
Min. Negotiated Rate |
$4,679.23 |
Max. Negotiated Rate |
$4,913.19 |
Rate for Payer: BCBS Complete |
$4,913.19
|
Rate for Payer: Mclaren Medicaid |
$4,679.23
|
Rate for Payer: Meridian Medicaid |
$4,913.19
|
Rate for Payer: Priority Health Choice Medicaid |
$4,679.23
|
|
INPATIENT APRDRG 8114: ALLERGIC REACTIONS
|
Facility
|
IP
|
$10,027.50
|
|
Service Code
|
APR-DRG 8114
|
Hospital Charge Code |
APRDRG 8114
|
Min. Negotiated Rate |
$9,550.00 |
Max. Negotiated Rate |
$10,027.50 |
Rate for Payer: BCBS Complete |
$10,027.50
|
Rate for Payer: Mclaren Medicaid |
$9,550.00
|
Rate for Payer: Meridian Medicaid |
$10,027.50
|
Rate for Payer: Priority Health Choice Medicaid |
$9,550.00
|
|
INPATIENT APRDRG 8121: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$2,389.10
|
|
Service Code
|
APR-DRG 8121
|
Hospital Charge Code |
APRDRG 8121
|
Min. Negotiated Rate |
$2,275.33 |
Max. Negotiated Rate |
$2,389.10 |
Rate for Payer: BCBS Complete |
$2,389.10
|
Rate for Payer: Mclaren Medicaid |
$2,275.33
|
Rate for Payer: Meridian Medicaid |
$2,389.10
|
Rate for Payer: Priority Health Choice Medicaid |
$2,275.33
|
|
INPATIENT APRDRG 8122: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$3,255.40
|
|
Service Code
|
APR-DRG 8122
|
Hospital Charge Code |
APRDRG 8122
|
Min. Negotiated Rate |
$3,100.38 |
Max. Negotiated Rate |
$3,255.40 |
Rate for Payer: BCBS Complete |
$3,255.40
|
Rate for Payer: Mclaren Medicaid |
$3,100.38
|
Rate for Payer: Meridian Medicaid |
$3,255.40
|
Rate for Payer: Priority Health Choice Medicaid |
$3,100.38
|
|
INPATIENT APRDRG 8123: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$4,565.69
|
|
Service Code
|
APR-DRG 8123
|
Hospital Charge Code |
APRDRG 8123
|
Min. Negotiated Rate |
$4,348.28 |
Max. Negotiated Rate |
$4,565.69 |
Rate for Payer: BCBS Complete |
$4,565.69
|
Rate for Payer: Mclaren Medicaid |
$4,348.28
|
Rate for Payer: Meridian Medicaid |
$4,565.69
|
Rate for Payer: Priority Health Choice Medicaid |
$4,348.28
|
|
INPATIENT APRDRG 8124: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$8,953.57
|
|
Service Code
|
APR-DRG 8124
|
Hospital Charge Code |
APRDRG 8124
|
Min. Negotiated Rate |
$8,527.21 |
Max. Negotiated Rate |
$8,953.57 |
Rate for Payer: BCBS Complete |
$8,953.57
|
Rate for Payer: Mclaren Medicaid |
$8,527.21
|
Rate for Payer: Meridian Medicaid |
$8,953.57
|
Rate for Payer: Priority Health Choice Medicaid |
$8,527.21
|
|
INPATIENT APRDRG 8131: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,904.86
|
|
Service Code
|
APR-DRG 8131
|
Hospital Charge Code |
APRDRG 8131
|
Min. Negotiated Rate |
$3,718.91 |
Max. Negotiated Rate |
$3,904.86 |
Rate for Payer: BCBS Complete |
$3,904.86
|
Rate for Payer: Mclaren Medicaid |
$3,718.91
|
Rate for Payer: Meridian Medicaid |
$3,904.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,718.91
|
|
INPATIENT APRDRG 8132: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,649.73
|
|
Service Code
|
APR-DRG 8132
|
Hospital Charge Code |
APRDRG 8132
|
Min. Negotiated Rate |
$4,428.31 |
Max. Negotiated Rate |
$4,649.73 |
Rate for Payer: BCBS Complete |
$4,649.73
|
Rate for Payer: Mclaren Medicaid |
$4,428.31
|
Rate for Payer: Meridian Medicaid |
$4,649.73
|
Rate for Payer: Priority Health Choice Medicaid |
$4,428.31
|
|
INPATIENT APRDRG 8133: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,488.57
|
|
Service Code
|
APR-DRG 8133
|
Hospital Charge Code |
APRDRG 8133
|
Min. Negotiated Rate |
$6,179.59 |
Max. Negotiated Rate |
$6,488.57 |
Rate for Payer: BCBS Complete |
$6,488.57
|
Rate for Payer: Mclaren Medicaid |
$6,179.59
|
Rate for Payer: Meridian Medicaid |
$6,488.57
|
Rate for Payer: Priority Health Choice Medicaid |
$6,179.59
|
|
INPATIENT APRDRG 8134: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,197.73
|
|
Service Code
|
APR-DRG 8134
|
Hospital Charge Code |
APRDRG 8134
|
Min. Negotiated Rate |
$9,712.12 |
Max. Negotiated Rate |
$10,197.73 |
Rate for Payer: BCBS Complete |
$10,197.73
|
Rate for Payer: Mclaren Medicaid |
$9,712.12
|
Rate for Payer: Meridian Medicaid |
$10,197.73
|
Rate for Payer: Priority Health Choice Medicaid |
$9,712.12
|
|
INPATIENT APRDRG 8151: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$2,236.76
|
|
Service Code
|
APR-DRG 8151
|
Hospital Charge Code |
APRDRG 8151
|
Min. Negotiated Rate |
$2,130.25 |
Max. Negotiated Rate |
$2,236.76 |
Rate for Payer: BCBS Complete |
$2,236.76
|
Rate for Payer: Mclaren Medicaid |
$2,130.25
|
Rate for Payer: Meridian Medicaid |
$2,236.76
|
Rate for Payer: Priority Health Choice Medicaid |
$2,130.25
|
|
INPATIENT APRDRG 8152: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$4,168.32
|
|
Service Code
|
APR-DRG 8152
|
Hospital Charge Code |
APRDRG 8152
|
Min. Negotiated Rate |
$3,969.83 |
Max. Negotiated Rate |
$4,168.32 |
Rate for Payer: BCBS Complete |
$4,168.32
|
Rate for Payer: Mclaren Medicaid |
$3,969.83
|
Rate for Payer: Meridian Medicaid |
$4,168.32
|
Rate for Payer: Priority Health Choice Medicaid |
$3,969.83
|
|
INPATIENT APRDRG 8153: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$7,710.50
|
|
Service Code
|
APR-DRG 8153
|
Hospital Charge Code |
APRDRG 8153
|
Min. Negotiated Rate |
$7,343.33 |
Max. Negotiated Rate |
$7,710.50 |
Rate for Payer: BCBS Complete |
$7,710.50
|
Rate for Payer: Mclaren Medicaid |
$7,343.33
|
Rate for Payer: Meridian Medicaid |
$7,710.50
|
Rate for Payer: Priority Health Choice Medicaid |
$7,343.33
|
|
INPATIENT APRDRG 8154: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$12,741.33
|
|
Service Code
|
APR-DRG 8154
|
Hospital Charge Code |
APRDRG 8154
|
Min. Negotiated Rate |
$12,134.60 |
Max. Negotiated Rate |
$12,741.33 |
Rate for Payer: BCBS Complete |
$12,741.33
|
Rate for Payer: Mclaren Medicaid |
$12,134.60
|
Rate for Payer: Meridian Medicaid |
$12,741.33
|
Rate for Payer: Priority Health Choice Medicaid |
$12,134.60
|
|
INPATIENT APRDRG 8161: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,714.37
|
|
Service Code
|
APR-DRG 8161
|
Hospital Charge Code |
APRDRG 8161
|
Min. Negotiated Rate |
$2,585.11 |
Max. Negotiated Rate |
$2,714.37 |
Rate for Payer: BCBS Complete |
$2,714.37
|
Rate for Payer: Mclaren Medicaid |
$2,585.11
|
Rate for Payer: Meridian Medicaid |
$2,714.37
|
Rate for Payer: Priority Health Choice Medicaid |
$2,585.11
|
|
INPATIENT APRDRG 8162: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,158.90
|
|
Service Code
|
APR-DRG 8162
|
Hospital Charge Code |
APRDRG 8162
|
Min. Negotiated Rate |
$3,008.48 |
Max. Negotiated Rate |
$3,158.90 |
Rate for Payer: BCBS Complete |
$3,158.90
|
Rate for Payer: Mclaren Medicaid |
$3,008.48
|
Rate for Payer: Meridian Medicaid |
$3,158.90
|
Rate for Payer: Priority Health Choice Medicaid |
$3,008.48
|
|
INPATIENT APRDRG 8163: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$4,668.70
|
|
Service Code
|
APR-DRG 8163
|
Hospital Charge Code |
APRDRG 8163
|
Min. Negotiated Rate |
$4,446.38 |
Max. Negotiated Rate |
$4,668.70 |
Rate for Payer: BCBS Complete |
$4,668.70
|
Rate for Payer: Mclaren Medicaid |
$4,446.38
|
Rate for Payer: Meridian Medicaid |
$4,668.70
|
Rate for Payer: Priority Health Choice Medicaid |
$4,446.38
|
|
INPATIENT APRDRG 8164: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$7,857.41
|
|
Service Code
|
APR-DRG 8164
|
Hospital Charge Code |
APRDRG 8164
|
Min. Negotiated Rate |
$7,483.25 |
Max. Negotiated Rate |
$7,857.41 |
Rate for Payer: BCBS Complete |
$7,857.41
|
Rate for Payer: Mclaren Medicaid |
$7,483.25
|
Rate for Payer: Meridian Medicaid |
$7,857.41
|
Rate for Payer: Priority Health Choice Medicaid |
$7,483.25
|
|