INPATIENT APRDRG 0041: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$30,511.04
|
|
Service Code
|
APR-DRG 0041
|
Hospital Charge Code |
APRDRG 0041
|
Min. Negotiated Rate |
$29,058.13 |
Max. Negotiated Rate |
$30,511.04 |
Rate for Payer: BCBS Complete |
$30,511.04
|
Rate for Payer: Mclaren Medicaid |
$29,058.13
|
Rate for Payer: Meridian Medicaid |
$30,511.04
|
Rate for Payer: Priority Health Choice Medicaid |
$29,058.13
|
|
INPATIENT APRDRG 0042: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$34,143.93
|
|
Service Code
|
APR-DRG 0042
|
Hospital Charge Code |
APRDRG 0042
|
Min. Negotiated Rate |
$32,518.03 |
Max. Negotiated Rate |
$34,143.93 |
Rate for Payer: BCBS Complete |
$34,143.93
|
Rate for Payer: Mclaren Medicaid |
$32,518.03
|
Rate for Payer: Meridian Medicaid |
$34,143.93
|
Rate for Payer: Priority Health Choice Medicaid |
$32,518.03
|
|
INPATIENT APRDRG 0043: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$55,526.84
|
|
Service Code
|
APR-DRG 0043
|
Hospital Charge Code |
APRDRG 0043
|
Min. Negotiated Rate |
$52,882.70 |
Max. Negotiated Rate |
$55,526.84 |
Rate for Payer: BCBS Complete |
$55,526.84
|
Rate for Payer: Mclaren Medicaid |
$52,882.70
|
Rate for Payer: Meridian Medicaid |
$55,526.84
|
Rate for Payer: Priority Health Choice Medicaid |
$52,882.70
|
|
INPATIENT APRDRG 0044: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$89,695.20
|
|
Service Code
|
APR-DRG 0044
|
Hospital Charge Code |
APRDRG 0044
|
Min. Negotiated Rate |
$85,424.00 |
Max. Negotiated Rate |
$89,695.20 |
Rate for Payer: BCBS Complete |
$89,695.20
|
Rate for Payer: Mclaren Medicaid |
$85,424.00
|
Rate for Payer: Meridian Medicaid |
$89,695.20
|
Rate for Payer: Priority Health Choice Medicaid |
$85,424.00
|
|
INPATIENT APRDRG 0051: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$15,651.28
|
|
Service Code
|
APR-DRG 0051
|
Hospital Charge Code |
APRDRG 0051
|
Min. Negotiated Rate |
$14,905.98 |
Max. Negotiated Rate |
$15,651.28 |
Rate for Payer: BCBS Complete |
$15,651.28
|
Rate for Payer: Mclaren Medicaid |
$14,905.98
|
Rate for Payer: Meridian Medicaid |
$15,651.28
|
Rate for Payer: Priority Health Choice Medicaid |
$14,905.98
|
|
INPATIENT APRDRG 0052: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$20,159.48
|
|
Service Code
|
APR-DRG 0052
|
Hospital Charge Code |
APRDRG 0052
|
Min. Negotiated Rate |
$19,199.50 |
Max. Negotiated Rate |
$20,159.48 |
Rate for Payer: BCBS Complete |
$20,159.48
|
Rate for Payer: Mclaren Medicaid |
$19,199.50
|
Rate for Payer: Meridian Medicaid |
$20,159.48
|
Rate for Payer: Priority Health Choice Medicaid |
$19,199.50
|
|
INPATIENT APRDRG 0053: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$46,195.22
|
|
Service Code
|
APR-DRG 0053
|
Hospital Charge Code |
APRDRG 0053
|
Min. Negotiated Rate |
$43,995.45 |
Max. Negotiated Rate |
$46,195.22 |
Rate for Payer: BCBS Complete |
$46,195.22
|
Rate for Payer: Mclaren Medicaid |
$43,995.45
|
Rate for Payer: Meridian Medicaid |
$46,195.22
|
Rate for Payer: Priority Health Choice Medicaid |
$43,995.45
|
|
INPATIENT APRDRG 0054: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE
|
Facility
|
IP
|
$54,090.44
|
|
Service Code
|
APR-DRG 0054
|
Hospital Charge Code |
APRDRG 0054
|
Min. Negotiated Rate |
$51,514.70 |
Max. Negotiated Rate |
$54,090.44 |
Rate for Payer: BCBS Complete |
$54,090.44
|
Rate for Payer: Mclaren Medicaid |
$51,514.70
|
Rate for Payer: Meridian Medicaid |
$54,090.44
|
Rate for Payer: Priority Health Choice Medicaid |
$51,514.70
|
|
INPATIENT APRDRG 0071: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$50,778.24
|
|
Service Code
|
APR-DRG 0071
|
Hospital Charge Code |
APRDRG 0071
|
Min. Negotiated Rate |
$48,360.23 |
Max. Negotiated Rate |
$50,778.24 |
Rate for Payer: BCBS Complete |
$50,778.24
|
Rate for Payer: Mclaren Medicaid |
$48,360.23
|
Rate for Payer: Meridian Medicaid |
$50,778.24
|
Rate for Payer: Priority Health Choice Medicaid |
$48,360.23
|
|
INPATIENT APRDRG 0072: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$44,946.86
|
|
Service Code
|
APR-DRG 0072
|
Hospital Charge Code |
APRDRG 0072
|
Min. Negotiated Rate |
$42,806.53 |
Max. Negotiated Rate |
$44,946.86 |
Rate for Payer: BCBS Complete |
$44,946.86
|
Rate for Payer: Mclaren Medicaid |
$42,806.53
|
Rate for Payer: Meridian Medicaid |
$44,946.86
|
Rate for Payer: Priority Health Choice Medicaid |
$42,806.53
|
|
INPATIENT APRDRG 0073: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$56,051.03
|
|
Service Code
|
APR-DRG 0073
|
Hospital Charge Code |
APRDRG 0073
|
Min. Negotiated Rate |
$53,381.93 |
Max. Negotiated Rate |
$56,051.03 |
Rate for Payer: BCBS Complete |
$56,051.03
|
Rate for Payer: Mclaren Medicaid |
$53,381.93
|
Rate for Payer: Meridian Medicaid |
$56,051.03
|
Rate for Payer: Priority Health Choice Medicaid |
$53,381.93
|
|
INPATIENT APRDRG 0074: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$114,117.50
|
|
Service Code
|
APR-DRG 0074
|
Hospital Charge Code |
APRDRG 0074
|
Min. Negotiated Rate |
$108,683.33 |
Max. Negotiated Rate |
$114,117.50 |
Rate for Payer: BCBS Complete |
$114,117.50
|
Rate for Payer: Mclaren Medicaid |
$108,683.33
|
Rate for Payer: Meridian Medicaid |
$114,117.50
|
Rate for Payer: Priority Health Choice Medicaid |
$108,683.33
|
|
INPATIENT APRDRG 0081: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$14,317.62
|
|
Service Code
|
APR-DRG 0081
|
Hospital Charge Code |
APRDRG 0081
|
Min. Negotiated Rate |
$13,635.83 |
Max. Negotiated Rate |
$14,317.62 |
Rate for Payer: BCBS Complete |
$14,317.62
|
Rate for Payer: Mclaren Medicaid |
$13,635.83
|
Rate for Payer: Meridian Medicaid |
$14,317.62
|
Rate for Payer: Priority Health Choice Medicaid |
$13,635.83
|
|
INPATIENT APRDRG 0082: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$21,762.96
|
|
Service Code
|
APR-DRG 0082
|
Hospital Charge Code |
APRDRG 0082
|
Min. Negotiated Rate |
$20,726.63 |
Max. Negotiated Rate |
$21,762.96 |
Rate for Payer: BCBS Complete |
$21,762.96
|
Rate for Payer: Mclaren Medicaid |
$20,726.63
|
Rate for Payer: Meridian Medicaid |
$21,762.96
|
Rate for Payer: Priority Health Choice Medicaid |
$20,726.63
|
|
INPATIENT APRDRG 0083: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$29,553.44
|
|
Service Code
|
APR-DRG 0083
|
Hospital Charge Code |
APRDRG 0083
|
Min. Negotiated Rate |
$28,146.13 |
Max. Negotiated Rate |
$29,553.44 |
Rate for Payer: BCBS Complete |
$29,553.44
|
Rate for Payer: Mclaren Medicaid |
$28,146.13
|
Rate for Payer: Meridian Medicaid |
$29,553.44
|
Rate for Payer: Priority Health Choice Medicaid |
$28,146.13
|
|
INPATIENT APRDRG 0084: AUTOLOGOUS BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$57,922.34
|
|
Service Code
|
APR-DRG 0084
|
Hospital Charge Code |
APRDRG 0084
|
Min. Negotiated Rate |
$55,164.13 |
Max. Negotiated Rate |
$57,922.34 |
Rate for Payer: BCBS Complete |
$57,922.34
|
Rate for Payer: Mclaren Medicaid |
$55,164.13
|
Rate for Payer: Meridian Medicaid |
$57,922.34
|
Rate for Payer: Priority Health Choice Medicaid |
$55,164.13
|
|
INPATIENT APRDRG 0091: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$28,054.69
|
|
Service Code
|
APR-DRG 0091
|
Hospital Charge Code |
APRDRG 0091
|
Min. Negotiated Rate |
$26,718.75 |
Max. Negotiated Rate |
$28,054.69 |
Rate for Payer: BCBS Complete |
$28,054.69
|
Rate for Payer: Mclaren Medicaid |
$26,718.75
|
Rate for Payer: Meridian Medicaid |
$28,054.69
|
Rate for Payer: Priority Health Choice Medicaid |
$26,718.75
|
|
INPATIENT APRDRG 0092: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$30,222.26
|
|
Service Code
|
APR-DRG 0092
|
Hospital Charge Code |
APRDRG 0092
|
Min. Negotiated Rate |
$28,783.10 |
Max. Negotiated Rate |
$30,222.26 |
Rate for Payer: BCBS Complete |
$30,222.26
|
Rate for Payer: Mclaren Medicaid |
$28,783.10
|
Rate for Payer: Meridian Medicaid |
$30,222.26
|
Rate for Payer: Priority Health Choice Medicaid |
$28,783.10
|
|
INPATIENT APRDRG 0093: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$41,682.53
|
|
Service Code
|
APR-DRG 0093
|
Hospital Charge Code |
APRDRG 0093
|
Min. Negotiated Rate |
$39,697.65 |
Max. Negotiated Rate |
$41,682.53 |
Rate for Payer: BCBS Complete |
$41,682.53
|
Rate for Payer: Mclaren Medicaid |
$39,697.65
|
Rate for Payer: Meridian Medicaid |
$41,682.53
|
Rate for Payer: Priority Health Choice Medicaid |
$39,697.65
|
|
INPATIENT APRDRG 0094: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$90,353.55
|
|
Service Code
|
APR-DRG 0094
|
Hospital Charge Code |
APRDRG 0094
|
Min. Negotiated Rate |
$86,051.00 |
Max. Negotiated Rate |
$90,353.55 |
Rate for Payer: BCBS Complete |
$90,353.55
|
Rate for Payer: Mclaren Medicaid |
$86,051.00
|
Rate for Payer: Meridian Medicaid |
$90,353.55
|
Rate for Payer: Priority Health Choice Medicaid |
$86,051.00
|
|
INPATIENT APRDRG 0111: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$31,771.88
|
|
Service Code
|
APR-DRG 0111
|
Hospital Charge Code |
APRDRG 0111
|
Min. Negotiated Rate |
$30,258.93 |
Max. Negotiated Rate |
$31,771.88 |
Rate for Payer: BCBS Complete |
$31,771.88
|
Rate for Payer: Mclaren Medicaid |
$30,258.93
|
Rate for Payer: Meridian Medicaid |
$31,771.88
|
Rate for Payer: Priority Health Choice Medicaid |
$30,258.93
|
|
INPATIENT APRDRG 0112: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$69,675.38
|
|
Service Code
|
APR-DRG 0112
|
Hospital Charge Code |
APRDRG 0112
|
Min. Negotiated Rate |
$66,357.50 |
Max. Negotiated Rate |
$69,675.38 |
Rate for Payer: BCBS Complete |
$69,675.38
|
Rate for Payer: Mclaren Medicaid |
$66,357.50
|
Rate for Payer: Meridian Medicaid |
$69,675.38
|
Rate for Payer: Priority Health Choice Medicaid |
$66,357.50
|
|
INPATIENT APRDRG 0113: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$81,146.62
|
|
Service Code
|
APR-DRG 0113
|
Hospital Charge Code |
APRDRG 0113
|
Min. Negotiated Rate |
$77,282.50 |
Max. Negotiated Rate |
$81,146.62 |
Rate for Payer: BCBS Complete |
$81,146.62
|
Rate for Payer: Mclaren Medicaid |
$77,282.50
|
Rate for Payer: Meridian Medicaid |
$81,146.62
|
Rate for Payer: Priority Health Choice Medicaid |
$77,282.50
|
|
INPATIENT APRDRG 0114: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$139,139.78
|
|
Service Code
|
APR-DRG 0114
|
Hospital Charge Code |
APRDRG 0114
|
Min. Negotiated Rate |
$132,514.08 |
Max. Negotiated Rate |
$139,139.78 |
Rate for Payer: BCBS Complete |
$139,139.78
|
Rate for Payer: Mclaren Medicaid |
$132,514.08
|
Rate for Payer: Meridian Medicaid |
$139,139.78
|
Rate for Payer: Priority Health Choice Medicaid |
$132,514.08
|
|
INPATIENT APRDRG 0201: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$9,754.06
|
|
Service Code
|
APR-DRG 0201
|
Hospital Charge Code |
APRDRG 0201
|
Min. Negotiated Rate |
$9,289.58 |
Max. Negotiated Rate |
$9,754.06 |
Rate for Payer: BCBS Complete |
$9,754.06
|
Rate for Payer: Mclaren Medicaid |
$9,289.58
|
Rate for Payer: Meridian Medicaid |
$9,754.06
|
Rate for Payer: Priority Health Choice Medicaid |
$9,289.58
|
|