INPATIENT APRDRG 8602: REHABILITATION
|
Facility
|
IP
|
$11,786.66
|
|
Service Code
|
APR-DRG 8602
|
Hospital Charge Code |
APRDRG 8602
|
Min. Negotiated Rate |
$11,225.39 |
Max. Negotiated Rate |
$11,786.66 |
Rate for Payer: BCBS Complete |
$11,786.66
|
Rate for Payer: Mclaren Medicaid |
$11,225.39
|
Rate for Payer: Meridian Medicaid |
$11,786.66
|
Rate for Payer: Priority Health Choice Medicaid |
$11,225.39
|
|
INPATIENT APRDRG 8603: REHABILITATION
|
Facility
|
IP
|
$11,373.03
|
|
Service Code
|
APR-DRG 8603
|
Hospital Charge Code |
APRDRG 8603
|
Min. Negotiated Rate |
$10,831.46 |
Max. Negotiated Rate |
$11,373.03 |
Rate for Payer: BCBS Complete |
$11,373.03
|
Rate for Payer: Mclaren Medicaid |
$10,831.46
|
Rate for Payer: Meridian Medicaid |
$11,373.03
|
Rate for Payer: Priority Health Choice Medicaid |
$10,831.46
|
|
INPATIENT APRDRG 8604: REHABILITATION
|
Facility
|
IP
|
$13,444.45
|
|
Service Code
|
APR-DRG 8604
|
Hospital Charge Code |
APRDRG 8604
|
Min. Negotiated Rate |
$12,804.24 |
Max. Negotiated Rate |
$13,444.45 |
Rate for Payer: BCBS Complete |
$13,444.45
|
Rate for Payer: Mclaren Medicaid |
$12,804.24
|
Rate for Payer: Meridian Medicaid |
$13,444.45
|
Rate for Payer: Priority Health Choice Medicaid |
$12,804.24
|
|
INPATIENT APRDRG 8611: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$2,470.96
|
|
Service Code
|
APR-DRG 8611
|
Hospital Charge Code |
APRDRG 8611
|
Min. Negotiated Rate |
$2,353.30 |
Max. Negotiated Rate |
$2,470.96 |
Rate for Payer: BCBS Complete |
$2,470.96
|
Rate for Payer: Mclaren Medicaid |
$2,353.30
|
Rate for Payer: Meridian Medicaid |
$2,470.96
|
Rate for Payer: Priority Health Choice Medicaid |
$2,353.30
|
|
INPATIENT APRDRG 8612: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$3,807.27
|
|
Service Code
|
APR-DRG 8612
|
Hospital Charge Code |
APRDRG 8612
|
Min. Negotiated Rate |
$3,625.97 |
Max. Negotiated Rate |
$3,807.27 |
Rate for Payer: BCBS Complete |
$3,807.27
|
Rate for Payer: Mclaren Medicaid |
$3,625.97
|
Rate for Payer: Meridian Medicaid |
$3,807.27
|
Rate for Payer: Priority Health Choice Medicaid |
$3,625.97
|
|
INPATIENT APRDRG 8613: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$6,216.43
|
|
Service Code
|
APR-DRG 8613
|
Hospital Charge Code |
APRDRG 8613
|
Min. Negotiated Rate |
$5,920.41 |
Max. Negotiated Rate |
$6,216.43 |
Rate for Payer: BCBS Complete |
$6,216.43
|
Rate for Payer: Mclaren Medicaid |
$5,920.41
|
Rate for Payer: Meridian Medicaid |
$6,216.43
|
Rate for Payer: Priority Health Choice Medicaid |
$5,920.41
|
|
INPATIENT APRDRG 8614: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,608.25
|
|
Service Code
|
APR-DRG 8614
|
Hospital Charge Code |
APRDRG 8614
|
Min. Negotiated Rate |
$8,198.33 |
Max. Negotiated Rate |
$8,608.25 |
Rate for Payer: BCBS Complete |
$8,608.25
|
Rate for Payer: Mclaren Medicaid |
$8,198.33
|
Rate for Payer: Meridian Medicaid |
$8,608.25
|
Rate for Payer: Priority Health Choice Medicaid |
$8,198.33
|
|
INPATIENT APRDRG 8621: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$3,037.47
|
|
Service Code
|
APR-DRG 8621
|
Hospital Charge Code |
APRDRG 8621
|
Min. Negotiated Rate |
$2,892.83 |
Max. Negotiated Rate |
$3,037.47 |
Rate for Payer: BCBS Complete |
$3,037.47
|
Rate for Payer: Mclaren Medicaid |
$2,892.83
|
Rate for Payer: Meridian Medicaid |
$3,037.47
|
Rate for Payer: Priority Health Choice Medicaid |
$2,892.83
|
|
INPATIENT APRDRG 8622: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$5,737.75
|
|
Service Code
|
APR-DRG 8622
|
Hospital Charge Code |
APRDRG 8622
|
Min. Negotiated Rate |
$5,464.52 |
Max. Negotiated Rate |
$5,737.75 |
Rate for Payer: BCBS Complete |
$5,737.75
|
Rate for Payer: Mclaren Medicaid |
$5,464.52
|
Rate for Payer: Meridian Medicaid |
$5,737.75
|
Rate for Payer: Priority Health Choice Medicaid |
$5,464.52
|
|
INPATIENT APRDRG 8623: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$5,915.02
|
|
Service Code
|
APR-DRG 8623
|
Hospital Charge Code |
APRDRG 8623
|
Min. Negotiated Rate |
$5,633.35 |
Max. Negotiated Rate |
$5,915.02 |
Rate for Payer: BCBS Complete |
$5,915.02
|
Rate for Payer: Mclaren Medicaid |
$5,633.35
|
Rate for Payer: Meridian Medicaid |
$5,915.02
|
Rate for Payer: Priority Health Choice Medicaid |
$5,633.35
|
|
INPATIENT APRDRG 8624: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$6,155.72
|
|
Service Code
|
APR-DRG 8624
|
Hospital Charge Code |
APRDRG 8624
|
Min. Negotiated Rate |
$5,862.59 |
Max. Negotiated Rate |
$6,155.72 |
Rate for Payer: BCBS Complete |
$6,155.72
|
Rate for Payer: Mclaren Medicaid |
$5,862.59
|
Rate for Payer: Meridian Medicaid |
$6,155.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,862.59
|
|
INPATIENT APRDRG 8631: NEONATAL AFTERCARE
|
Facility
|
IP
|
$6,721.14
|
|
Service Code
|
APR-DRG 8631
|
Hospital Charge Code |
APRDRG 8631
|
Min. Negotiated Rate |
$6,401.09 |
Max. Negotiated Rate |
$6,721.14 |
Rate for Payer: BCBS Complete |
$6,721.14
|
Rate for Payer: Mclaren Medicaid |
$6,401.09
|
Rate for Payer: Meridian Medicaid |
$6,721.14
|
Rate for Payer: Priority Health Choice Medicaid |
$6,401.09
|
|
INPATIENT APRDRG 8632: NEONATAL AFTERCARE
|
Facility
|
IP
|
$13,022.69
|
|
Service Code
|
APR-DRG 8632
|
Hospital Charge Code |
APRDRG 8632
|
Min. Negotiated Rate |
$12,402.56 |
Max. Negotiated Rate |
$13,022.69 |
Rate for Payer: BCBS Complete |
$13,022.69
|
Rate for Payer: Mclaren Medicaid |
$12,402.56
|
Rate for Payer: Meridian Medicaid |
$13,022.69
|
Rate for Payer: Priority Health Choice Medicaid |
$12,402.56
|
|
INPATIENT APRDRG 8633: NEONATAL AFTERCARE
|
Facility
|
IP
|
$23,109.28
|
|
Service Code
|
APR-DRG 8633
|
Hospital Charge Code |
APRDRG 8633
|
Min. Negotiated Rate |
$22,008.84 |
Max. Negotiated Rate |
$23,109.28 |
Rate for Payer: BCBS Complete |
$23,109.28
|
Rate for Payer: Mclaren Medicaid |
$22,008.84
|
Rate for Payer: Meridian Medicaid |
$23,109.28
|
Rate for Payer: Priority Health Choice Medicaid |
$22,008.84
|
|
INPATIENT APRDRG 8634: NEONATAL AFTERCARE
|
Facility
|
IP
|
$48,846.74
|
|
Service Code
|
APR-DRG 8634
|
Hospital Charge Code |
APRDRG 8634
|
Min. Negotiated Rate |
$46,520.70 |
Max. Negotiated Rate |
$48,846.74 |
Rate for Payer: BCBS Complete |
$48,846.74
|
Rate for Payer: Mclaren Medicaid |
$46,520.70
|
Rate for Payer: Meridian Medicaid |
$48,846.74
|
Rate for Payer: Priority Health Choice Medicaid |
$46,520.70
|
|
INPATIENT APRDRG 8901: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,170.69
|
|
Service Code
|
APR-DRG 8901
|
Hospital Charge Code |
APRDRG 8901
|
Min. Negotiated Rate |
$4,924.47 |
Max. Negotiated Rate |
$5,170.69 |
Rate for Payer: BCBS Complete |
$5,170.69
|
Rate for Payer: Mclaren Medicaid |
$4,924.47
|
Rate for Payer: Meridian Medicaid |
$5,170.69
|
Rate for Payer: Priority Health Choice Medicaid |
$4,924.47
|
|
INPATIENT APRDRG 8902: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,454.21
|
|
Service Code
|
APR-DRG 8902
|
Hospital Charge Code |
APRDRG 8902
|
Min. Negotiated Rate |
$5,194.49 |
Max. Negotiated Rate |
$5,454.21 |
Rate for Payer: BCBS Complete |
$5,454.21
|
Rate for Payer: Mclaren Medicaid |
$5,194.49
|
Rate for Payer: Meridian Medicaid |
$5,454.21
|
Rate for Payer: Priority Health Choice Medicaid |
$5,194.49
|
|
INPATIENT APRDRG 8903: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$7,233.44
|
|
Service Code
|
APR-DRG 8903
|
Hospital Charge Code |
APRDRG 8903
|
Min. Negotiated Rate |
$6,888.99 |
Max. Negotiated Rate |
$7,233.44 |
Rate for Payer: BCBS Complete |
$7,233.44
|
Rate for Payer: Mclaren Medicaid |
$6,888.99
|
Rate for Payer: Meridian Medicaid |
$7,233.44
|
Rate for Payer: Priority Health Choice Medicaid |
$6,888.99
|
|
INPATIENT APRDRG 8904: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$13,397.83
|
|
Service Code
|
APR-DRG 8904
|
Hospital Charge Code |
APRDRG 8904
|
Min. Negotiated Rate |
$12,759.84 |
Max. Negotiated Rate |
$13,397.83 |
Rate for Payer: BCBS Complete |
$13,397.83
|
Rate for Payer: Mclaren Medicaid |
$12,759.84
|
Rate for Payer: Meridian Medicaid |
$13,397.83
|
Rate for Payer: Priority Health Choice Medicaid |
$12,759.84
|
|
INPATIENT APRDRG 8921: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$3,339.97
|
|
Service Code
|
APR-DRG 8921
|
Hospital Charge Code |
APRDRG 8921
|
Min. Negotiated Rate |
$3,180.92 |
Max. Negotiated Rate |
$3,339.97 |
Rate for Payer: BCBS Complete |
$3,339.97
|
Rate for Payer: Mclaren Medicaid |
$3,180.92
|
Rate for Payer: Meridian Medicaid |
$3,339.97
|
Rate for Payer: Priority Health Choice Medicaid |
$3,180.92
|
|
INPATIENT APRDRG 8922: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,004.06
|
|
Service Code
|
APR-DRG 8922
|
Hospital Charge Code |
APRDRG 8922
|
Min. Negotiated Rate |
$3,813.39 |
Max. Negotiated Rate |
$4,004.06 |
Rate for Payer: BCBS Complete |
$4,004.06
|
Rate for Payer: Mclaren Medicaid |
$3,813.39
|
Rate for Payer: Meridian Medicaid |
$4,004.06
|
Rate for Payer: Priority Health Choice Medicaid |
$3,813.39
|
|
INPATIENT APRDRG 8923: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$6,422.44
|
|
Service Code
|
APR-DRG 8923
|
Hospital Charge Code |
APRDRG 8923
|
Min. Negotiated Rate |
$6,116.61 |
Max. Negotiated Rate |
$6,422.44 |
Rate for Payer: BCBS Complete |
$6,422.44
|
Rate for Payer: Mclaren Medicaid |
$6,116.61
|
Rate for Payer: Meridian Medicaid |
$6,422.44
|
Rate for Payer: Priority Health Choice Medicaid |
$6,116.61
|
|
INPATIENT APRDRG 8924: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$10,684.55
|
|
Service Code
|
APR-DRG 8924
|
Hospital Charge Code |
APRDRG 8924
|
Min. Negotiated Rate |
$10,175.76 |
Max. Negotiated Rate |
$10,684.55 |
Rate for Payer: BCBS Complete |
$10,684.55
|
Rate for Payer: Mclaren Medicaid |
$10,175.76
|
Rate for Payer: Meridian Medicaid |
$10,684.55
|
Rate for Payer: Priority Health Choice Medicaid |
$10,175.76
|
|
INPATIENT APRDRG 8931: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,040.04
|
|
Service Code
|
APR-DRG 8931
|
Hospital Charge Code |
APRDRG 8931
|
Min. Negotiated Rate |
$4,800.04 |
Max. Negotiated Rate |
$5,040.04 |
Rate for Payer: BCBS Complete |
$5,040.04
|
Rate for Payer: Mclaren Medicaid |
$4,800.04
|
Rate for Payer: Meridian Medicaid |
$5,040.04
|
Rate for Payer: Priority Health Choice Medicaid |
$4,800.04
|
|
INPATIENT APRDRG 8932: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,368.02
|
|
Service Code
|
APR-DRG 8932
|
Hospital Charge Code |
APRDRG 8932
|
Min. Negotiated Rate |
$5,112.40 |
Max. Negotiated Rate |
$5,368.02 |
Rate for Payer: BCBS Complete |
$5,368.02
|
Rate for Payer: Mclaren Medicaid |
$5,112.40
|
Rate for Payer: Meridian Medicaid |
$5,368.02
|
Rate for Payer: Priority Health Choice Medicaid |
$5,112.40
|
|