INPATIENT APRDRG 8933: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,625.73
|
|
Service Code
|
APR-DRG 8933
|
Hospital Charge Code |
APRDRG 8933
|
Min. Negotiated Rate |
$6,310.22 |
Max. Negotiated Rate |
$6,625.73 |
Rate for Payer: BCBS Complete |
$6,625.73
|
Rate for Payer: Mclaren Medicaid |
$6,310.22
|
Rate for Payer: Meridian Medicaid |
$6,625.73
|
Rate for Payer: Priority Health Choice Medicaid |
$6,310.22
|
|
INPATIENT APRDRG 8934: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$9,585.68
|
|
Service Code
|
APR-DRG 8934
|
Hospital Charge Code |
APRDRG 8934
|
Min. Negotiated Rate |
$9,129.22 |
Max. Negotiated Rate |
$9,585.68 |
Rate for Payer: BCBS Complete |
$9,585.68
|
Rate for Payer: Mclaren Medicaid |
$9,129.22
|
Rate for Payer: Meridian Medicaid |
$9,585.68
|
Rate for Payer: Priority Health Choice Medicaid |
$9,129.22
|
|
INPATIENT APRDRG 8941: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$3,737.34
|
|
Service Code
|
APR-DRG 8941
|
Hospital Charge Code |
APRDRG 8941
|
Min. Negotiated Rate |
$3,559.37 |
Max. Negotiated Rate |
$3,737.34 |
Rate for Payer: BCBS Complete |
$3,737.34
|
Rate for Payer: Mclaren Medicaid |
$3,559.37
|
Rate for Payer: Meridian Medicaid |
$3,737.34
|
Rate for Payer: Priority Health Choice Medicaid |
$3,559.37
|
|
INPATIENT APRDRG 8942: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$3,962.86
|
|
Service Code
|
APR-DRG 8942
|
Hospital Charge Code |
APRDRG 8942
|
Min. Negotiated Rate |
$3,774.15 |
Max. Negotiated Rate |
$3,962.86 |
Rate for Payer: BCBS Complete |
$3,962.86
|
Rate for Payer: Mclaren Medicaid |
$3,774.15
|
Rate for Payer: Meridian Medicaid |
$3,962.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,774.15
|
|
INPATIENT APRDRG 8943: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$4,816.15
|
|
Service Code
|
APR-DRG 8943
|
Hospital Charge Code |
APRDRG 8943
|
Min. Negotiated Rate |
$4,586.81 |
Max. Negotiated Rate |
$4,816.15 |
Rate for Payer: BCBS Complete |
$4,816.15
|
Rate for Payer: Mclaren Medicaid |
$4,586.81
|
Rate for Payer: Meridian Medicaid |
$4,816.15
|
Rate for Payer: Priority Health Choice Medicaid |
$4,586.81
|
|
INPATIENT APRDRG 8944: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$7,038.82
|
|
Service Code
|
APR-DRG 8944
|
Hospital Charge Code |
APRDRG 8944
|
Min. Negotiated Rate |
$6,703.64 |
Max. Negotiated Rate |
$7,038.82 |
Rate for Payer: BCBS Complete |
$7,038.82
|
Rate for Payer: Mclaren Medicaid |
$6,703.64
|
Rate for Payer: Meridian Medicaid |
$7,038.82
|
Rate for Payer: Priority Health Choice Medicaid |
$6,703.64
|
|
INPATIENT APRDRG 9101: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,455.16
|
|
Service Code
|
APR-DRG 9101
|
Hospital Charge Code |
APRDRG 9101
|
Min. Negotiated Rate |
$14,719.20 |
Max. Negotiated Rate |
$15,455.16 |
Rate for Payer: BCBS Complete |
$15,455.16
|
Rate for Payer: Mclaren Medicaid |
$14,719.20
|
Rate for Payer: Meridian Medicaid |
$15,455.16
|
Rate for Payer: Priority Health Choice Medicaid |
$14,719.20
|
|
INPATIENT APRDRG 9102: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$16,117.08
|
|
Service Code
|
APR-DRG 9102
|
Hospital Charge Code |
APRDRG 9102
|
Min. Negotiated Rate |
$15,349.60 |
Max. Negotiated Rate |
$16,117.08 |
Rate for Payer: BCBS Complete |
$16,117.08
|
Rate for Payer: Mclaren Medicaid |
$15,349.60
|
Rate for Payer: Meridian Medicaid |
$16,117.08
|
Rate for Payer: Priority Health Choice Medicaid |
$15,349.60
|
|
INPATIENT APRDRG 9103: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$28,359.12
|
|
Service Code
|
APR-DRG 9103
|
Hospital Charge Code |
APRDRG 9103
|
Min. Negotiated Rate |
$27,008.69 |
Max. Negotiated Rate |
$28,359.12 |
Rate for Payer: BCBS Complete |
$28,359.12
|
Rate for Payer: Mclaren Medicaid |
$27,008.69
|
Rate for Payer: Meridian Medicaid |
$28,359.12
|
Rate for Payer: Priority Health Choice Medicaid |
$27,008.69
|
|
INPATIENT APRDRG 9104: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$24,898.26
|
|
Service Code
|
APR-DRG 9104
|
Hospital Charge Code |
APRDRG 9104
|
Min. Negotiated Rate |
$23,712.63 |
Max. Negotiated Rate |
$24,898.26 |
Rate for Payer: BCBS Complete |
$24,898.26
|
Rate for Payer: Mclaren Medicaid |
$23,712.63
|
Rate for Payer: Meridian Medicaid |
$24,898.26
|
Rate for Payer: Priority Health Choice Medicaid |
$23,712.63
|
|
INPATIENT APRDRG 9111: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,322.95
|
|
Service Code
|
APR-DRG 9111
|
Hospital Charge Code |
APRDRG 9111
|
Min. Negotiated Rate |
$9,831.38 |
Max. Negotiated Rate |
$10,322.95 |
Rate for Payer: BCBS Complete |
$10,322.95
|
Rate for Payer: Mclaren Medicaid |
$9,831.38
|
Rate for Payer: Meridian Medicaid |
$10,322.95
|
Rate for Payer: Priority Health Choice Medicaid |
$9,831.38
|
|
INPATIENT APRDRG 9112: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,958.51
|
|
Service Code
|
APR-DRG 9112
|
Hospital Charge Code |
APRDRG 9112
|
Min. Negotiated Rate |
$11,389.06 |
Max. Negotiated Rate |
$11,958.51 |
Rate for Payer: BCBS Complete |
$11,958.51
|
Rate for Payer: Mclaren Medicaid |
$11,389.06
|
Rate for Payer: Meridian Medicaid |
$11,958.51
|
Rate for Payer: Priority Health Choice Medicaid |
$11,389.06
|
|
INPATIENT APRDRG 9113: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$16,479.75
|
|
Service Code
|
APR-DRG 9113
|
Hospital Charge Code |
APRDRG 9113
|
Min. Negotiated Rate |
$15,695.00 |
Max. Negotiated Rate |
$16,479.75 |
Rate for Payer: BCBS Complete |
$16,479.75
|
Rate for Payer: Mclaren Medicaid |
$15,695.00
|
Rate for Payer: Meridian Medicaid |
$16,479.75
|
Rate for Payer: Priority Health Choice Medicaid |
$15,695.00
|
|
INPATIENT APRDRG 9114: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$37,974.62
|
|
Service Code
|
APR-DRG 9114
|
Hospital Charge Code |
APRDRG 9114
|
Min. Negotiated Rate |
$36,166.30 |
Max. Negotiated Rate |
$37,974.62 |
Rate for Payer: BCBS Complete |
$37,974.62
|
Rate for Payer: Mclaren Medicaid |
$36,166.30
|
Rate for Payer: Meridian Medicaid |
$37,974.62
|
Rate for Payer: Priority Health Choice Medicaid |
$36,166.30
|
|
INPATIENT APRDRG 9121: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,193.25
|
|
Service Code
|
APR-DRG 9121
|
Hospital Charge Code |
APRDRG 9121
|
Min. Negotiated Rate |
$11,612.62 |
Max. Negotiated Rate |
$12,193.25 |
Rate for Payer: BCBS Complete |
$12,193.25
|
Rate for Payer: Mclaren Medicaid |
$11,612.62
|
Rate for Payer: Meridian Medicaid |
$12,193.25
|
Rate for Payer: Priority Health Choice Medicaid |
$11,612.62
|
|
INPATIENT APRDRG 9122: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,830.23
|
|
Service Code
|
APR-DRG 9122
|
Hospital Charge Code |
APRDRG 9122
|
Min. Negotiated Rate |
$12,219.27 |
Max. Negotiated Rate |
$12,830.23 |
Rate for Payer: BCBS Complete |
$12,830.23
|
Rate for Payer: Mclaren Medicaid |
$12,219.27
|
Rate for Payer: Meridian Medicaid |
$12,830.23
|
Rate for Payer: Priority Health Choice Medicaid |
$12,219.27
|
|
INPATIENT APRDRG 9123: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$19,611.01
|
|
Service Code
|
APR-DRG 9123
|
Hospital Charge Code |
APRDRG 9123
|
Min. Negotiated Rate |
$18,677.15 |
Max. Negotiated Rate |
$19,611.01 |
Rate for Payer: BCBS Complete |
$19,611.01
|
Rate for Payer: Mclaren Medicaid |
$18,677.15
|
Rate for Payer: Meridian Medicaid |
$19,611.01
|
Rate for Payer: Priority Health Choice Medicaid |
$18,677.15
|
|
INPATIENT APRDRG 9124: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$33,025.65
|
|
Service Code
|
APR-DRG 9124
|
Hospital Charge Code |
APRDRG 9124
|
Min. Negotiated Rate |
$31,453.00 |
Max. Negotiated Rate |
$33,025.65 |
Rate for Payer: BCBS Complete |
$33,025.65
|
Rate for Payer: Mclaren Medicaid |
$31,453.00
|
Rate for Payer: Meridian Medicaid |
$33,025.65
|
Rate for Payer: Priority Health Choice Medicaid |
$31,453.00
|
|
INPATIENT APRDRG 9301: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$4,316.86
|
|
Service Code
|
APR-DRG 9301
|
Hospital Charge Code |
APRDRG 9301
|
Min. Negotiated Rate |
$4,111.30 |
Max. Negotiated Rate |
$4,316.86 |
Rate for Payer: BCBS Complete |
$4,316.86
|
Rate for Payer: Mclaren Medicaid |
$4,111.30
|
Rate for Payer: Meridian Medicaid |
$4,316.86
|
Rate for Payer: Priority Health Choice Medicaid |
$4,111.30
|
|
INPATIENT APRDRG 9302: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$5,053.05
|
|
Service Code
|
APR-DRG 9302
|
Hospital Charge Code |
APRDRG 9302
|
Min. Negotiated Rate |
$4,812.43 |
Max. Negotiated Rate |
$5,053.05 |
Rate for Payer: BCBS Complete |
$5,053.05
|
Rate for Payer: Mclaren Medicaid |
$4,812.43
|
Rate for Payer: Meridian Medicaid |
$5,053.05
|
Rate for Payer: Priority Health Choice Medicaid |
$4,812.43
|
|
INPATIENT APRDRG 9303: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$9,690.30
|
|
Service Code
|
APR-DRG 9303
|
Hospital Charge Code |
APRDRG 9303
|
Min. Negotiated Rate |
$9,228.86 |
Max. Negotiated Rate |
$9,690.30 |
Rate for Payer: BCBS Complete |
$9,690.30
|
Rate for Payer: Mclaren Medicaid |
$9,228.86
|
Rate for Payer: Meridian Medicaid |
$9,690.30
|
Rate for Payer: Priority Health Choice Medicaid |
$9,228.86
|
|
INPATIENT APRDRG 9304: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$14,766.68
|
|
Service Code
|
APR-DRG 9304
|
Hospital Charge Code |
APRDRG 9304
|
Min. Negotiated Rate |
$14,063.50 |
Max. Negotiated Rate |
$14,766.68 |
Rate for Payer: BCBS Complete |
$14,766.68
|
Rate for Payer: Mclaren Medicaid |
$14,063.50
|
Rate for Payer: Meridian Medicaid |
$14,766.68
|
Rate for Payer: Priority Health Choice Medicaid |
$14,063.50
|
|
INPATIENT APRDRG 9501: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,469.46
|
|
Service Code
|
APR-DRG 9501
|
Hospital Charge Code |
APRDRG 9501
|
Min. Negotiated Rate |
$8,066.15 |
Max. Negotiated Rate |
$8,469.46 |
Rate for Payer: BCBS Complete |
$8,469.46
|
Rate for Payer: Mclaren Medicaid |
$8,066.15
|
Rate for Payer: Meridian Medicaid |
$8,469.46
|
Rate for Payer: Priority Health Choice Medicaid |
$8,066.15
|
|
INPATIENT APRDRG 9502: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$12,157.47
|
|
Service Code
|
APR-DRG 9502
|
Hospital Charge Code |
APRDRG 9502
|
Min. Negotiated Rate |
$11,578.54 |
Max. Negotiated Rate |
$12,157.47 |
Rate for Payer: BCBS Complete |
$12,157.47
|
Rate for Payer: Mclaren Medicaid |
$11,578.54
|
Rate for Payer: Meridian Medicaid |
$12,157.47
|
Rate for Payer: Priority Health Choice Medicaid |
$11,578.54
|
|
INPATIENT APRDRG 9503: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,340.63
|
|
Service Code
|
APR-DRG 9503
|
Hospital Charge Code |
APRDRG 9503
|
Min. Negotiated Rate |
$16,514.89 |
Max. Negotiated Rate |
$17,340.63 |
Rate for Payer: BCBS Complete |
$17,340.63
|
Rate for Payer: Mclaren Medicaid |
$16,514.89
|
Rate for Payer: Meridian Medicaid |
$17,340.63
|
Rate for Payer: Priority Health Choice Medicaid |
$16,514.89
|
|