INPATIENT APRDRG 0273: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$15,759.50
|
|
Service Code
|
APR-DRG 0273
|
Hospital Charge Code |
APRDRG 0273
|
Min. Negotiated Rate |
$15,009.05 |
Max. Negotiated Rate |
$15,759.50 |
Rate for Payer: BCBS Complete |
$15,759.50
|
Rate for Payer: Mclaren Medicaid |
$15,009.05
|
Rate for Payer: Meridian Medicaid |
$15,759.50
|
Rate for Payer: Priority Health Choice Medicaid |
$15,009.05
|
|
INPATIENT APRDRG 0274: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$27,541.48
|
|
Service Code
|
APR-DRG 0274
|
Hospital Charge Code |
APRDRG 0274
|
Min. Negotiated Rate |
$26,229.98 |
Max. Negotiated Rate |
$27,541.48 |
Rate for Payer: BCBS Complete |
$27,541.48
|
Rate for Payer: Mclaren Medicaid |
$26,229.98
|
Rate for Payer: Meridian Medicaid |
$27,541.48
|
Rate for Payer: Priority Health Choice Medicaid |
$26,229.98
|
|
INPATIENT APRDRG 0291: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$14,266.24
|
|
Service Code
|
APR-DRG 0291
|
Hospital Charge Code |
APRDRG 0291
|
Min. Negotiated Rate |
$13,586.90 |
Max. Negotiated Rate |
$14,266.24 |
Rate for Payer: BCBS Complete |
$14,266.24
|
Rate for Payer: Mclaren Medicaid |
$13,586.90
|
Rate for Payer: Meridian Medicaid |
$14,266.24
|
Rate for Payer: Priority Health Choice Medicaid |
$13,586.90
|
|
INPATIENT APRDRG 0292: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$17,714.60
|
|
Service Code
|
APR-DRG 0292
|
Hospital Charge Code |
APRDRG 0292
|
Min. Negotiated Rate |
$16,871.05 |
Max. Negotiated Rate |
$17,714.60 |
Rate for Payer: BCBS Complete |
$17,714.60
|
Rate for Payer: Mclaren Medicaid |
$16,871.05
|
Rate for Payer: Meridian Medicaid |
$17,714.60
|
Rate for Payer: Priority Health Choice Medicaid |
$16,871.05
|
|
INPATIENT APRDRG 0293: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$19,952.50
|
|
Service Code
|
APR-DRG 0293
|
Hospital Charge Code |
APRDRG 0293
|
Min. Negotiated Rate |
$19,002.38 |
Max. Negotiated Rate |
$19,952.50 |
Rate for Payer: BCBS Complete |
$19,952.50
|
Rate for Payer: Mclaren Medicaid |
$19,002.38
|
Rate for Payer: Meridian Medicaid |
$19,952.50
|
Rate for Payer: Priority Health Choice Medicaid |
$19,002.38
|
|
INPATIENT APRDRG 0294: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$19,330.06
|
|
Service Code
|
APR-DRG 0294
|
Hospital Charge Code |
APRDRG 0294
|
Min. Negotiated Rate |
$18,409.58 |
Max. Negotiated Rate |
$19,330.06 |
Rate for Payer: BCBS Complete |
$19,330.06
|
Rate for Payer: Mclaren Medicaid |
$18,409.58
|
Rate for Payer: Meridian Medicaid |
$19,330.06
|
Rate for Payer: Priority Health Choice Medicaid |
$18,409.58
|
|
INPATIENT APRDRG 0301: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,606.43
|
|
Service Code
|
APR-DRG 0301
|
Hospital Charge Code |
APRDRG 0301
|
Min. Negotiated Rate |
$8,196.60 |
Max. Negotiated Rate |
$8,606.43 |
Rate for Payer: BCBS Complete |
$8,606.43
|
Rate for Payer: Mclaren Medicaid |
$8,196.60
|
Rate for Payer: Meridian Medicaid |
$8,606.43
|
Rate for Payer: Priority Health Choice Medicaid |
$8,196.60
|
|
INPATIENT APRDRG 0302: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$11,881.73
|
|
Service Code
|
APR-DRG 0302
|
Hospital Charge Code |
APRDRG 0302
|
Min. Negotiated Rate |
$11,315.93 |
Max. Negotiated Rate |
$11,881.73 |
Rate for Payer: BCBS Complete |
$11,881.73
|
Rate for Payer: Mclaren Medicaid |
$11,315.93
|
Rate for Payer: Meridian Medicaid |
$11,881.73
|
Rate for Payer: Priority Health Choice Medicaid |
$11,315.93
|
|
INPATIENT APRDRG 0303: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,135.07
|
|
Service Code
|
APR-DRG 0303
|
Hospital Charge Code |
APRDRG 0303
|
Min. Negotiated Rate |
$15,366.73 |
Max. Negotiated Rate |
$16,135.07 |
Rate for Payer: BCBS Complete |
$16,135.07
|
Rate for Payer: Mclaren Medicaid |
$15,366.73
|
Rate for Payer: Meridian Medicaid |
$16,135.07
|
Rate for Payer: Priority Health Choice Medicaid |
$15,366.73
|
|
INPATIENT APRDRG 0304: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$21,666.70
|
|
Service Code
|
APR-DRG 0304
|
Hospital Charge Code |
APRDRG 0304
|
Min. Negotiated Rate |
$20,634.95 |
Max. Negotiated Rate |
$21,666.70 |
Rate for Payer: BCBS Complete |
$21,666.70
|
Rate for Payer: Mclaren Medicaid |
$20,634.95
|
Rate for Payer: Meridian Medicaid |
$21,666.70
|
Rate for Payer: Priority Health Choice Medicaid |
$20,634.95
|
|
INPATIENT APRDRG 0401: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$6,280.76
|
|
Service Code
|
APR-DRG 0401
|
Hospital Charge Code |
APRDRG 0401
|
Min. Negotiated Rate |
$5,981.68 |
Max. Negotiated Rate |
$6,280.76 |
Rate for Payer: BCBS Complete |
$6,280.76
|
Rate for Payer: Mclaren Medicaid |
$5,981.68
|
Rate for Payer: Meridian Medicaid |
$6,280.76
|
Rate for Payer: Priority Health Choice Medicaid |
$5,981.68
|
|
INPATIENT APRDRG 0402: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$7,882.75
|
|
Service Code
|
APR-DRG 0402
|
Hospital Charge Code |
APRDRG 0402
|
Min. Negotiated Rate |
$7,507.38 |
Max. Negotiated Rate |
$7,882.75 |
Rate for Payer: BCBS Complete |
$7,882.75
|
Rate for Payer: Mclaren Medicaid |
$7,507.38
|
Rate for Payer: Meridian Medicaid |
$7,882.75
|
Rate for Payer: Priority Health Choice Medicaid |
$7,507.38
|
|
INPATIENT APRDRG 0403: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$9,219.89
|
|
Service Code
|
APR-DRG 0403
|
Hospital Charge Code |
APRDRG 0403
|
Min. Negotiated Rate |
$8,780.85 |
Max. Negotiated Rate |
$9,219.89 |
Rate for Payer: BCBS Complete |
$9,219.89
|
Rate for Payer: Mclaren Medicaid |
$8,780.85
|
Rate for Payer: Meridian Medicaid |
$9,219.89
|
Rate for Payer: Priority Health Choice Medicaid |
$8,780.85
|
|
INPATIENT APRDRG 0404: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$12,795.44
|
|
Service Code
|
APR-DRG 0404
|
Hospital Charge Code |
APRDRG 0404
|
Min. Negotiated Rate |
$12,186.13 |
Max. Negotiated Rate |
$12,795.44 |
Rate for Payer: BCBS Complete |
$12,795.44
|
Rate for Payer: Mclaren Medicaid |
$12,186.13
|
Rate for Payer: Meridian Medicaid |
$12,795.44
|
Rate for Payer: Priority Health Choice Medicaid |
$12,186.13
|
|
INPATIENT APRDRG 0411: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,460.33
|
|
Service Code
|
APR-DRG 0411
|
Hospital Charge Code |
APRDRG 0411
|
Min. Negotiated Rate |
$4,247.93 |
Max. Negotiated Rate |
$4,460.33 |
Rate for Payer: BCBS Complete |
$4,460.33
|
Rate for Payer: Mclaren Medicaid |
$4,247.93
|
Rate for Payer: Meridian Medicaid |
$4,460.33
|
Rate for Payer: Priority Health Choice Medicaid |
$4,247.93
|
|
INPATIENT APRDRG 0412: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,632.39
|
|
Service Code
|
APR-DRG 0412
|
Hospital Charge Code |
APRDRG 0412
|
Min. Negotiated Rate |
$4,411.80 |
Max. Negotiated Rate |
$4,632.39 |
Rate for Payer: BCBS Complete |
$4,632.39
|
Rate for Payer: Mclaren Medicaid |
$4,411.80
|
Rate for Payer: Meridian Medicaid |
$4,632.39
|
Rate for Payer: Priority Health Choice Medicaid |
$4,411.80
|
|
INPATIENT APRDRG 0413: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$6,655.32
|
|
Service Code
|
APR-DRG 0413
|
Hospital Charge Code |
APRDRG 0413
|
Min. Negotiated Rate |
$6,338.40 |
Max. Negotiated Rate |
$6,655.32 |
Rate for Payer: BCBS Complete |
$6,655.32
|
Rate for Payer: Mclaren Medicaid |
$6,338.40
|
Rate for Payer: Meridian Medicaid |
$6,655.32
|
Rate for Payer: Priority Health Choice Medicaid |
$6,338.40
|
|
INPATIENT APRDRG 0414: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$8,834.36
|
|
Service Code
|
APR-DRG 0414
|
Hospital Charge Code |
APRDRG 0414
|
Min. Negotiated Rate |
$8,413.68 |
Max. Negotiated Rate |
$8,834.36 |
Rate for Payer: BCBS Complete |
$8,834.36
|
Rate for Payer: Mclaren Medicaid |
$8,413.68
|
Rate for Payer: Meridian Medicaid |
$8,834.36
|
Rate for Payer: Priority Health Choice Medicaid |
$8,413.68
|
|
INPATIENT APRDRG 0421: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$4,804.46
|
|
Service Code
|
APR-DRG 0421
|
Hospital Charge Code |
APRDRG 0421
|
Min. Negotiated Rate |
$4,575.68 |
Max. Negotiated Rate |
$4,804.46 |
Rate for Payer: BCBS Complete |
$4,804.46
|
Rate for Payer: Mclaren Medicaid |
$4,575.68
|
Rate for Payer: Meridian Medicaid |
$4,804.46
|
Rate for Payer: Priority Health Choice Medicaid |
$4,575.68
|
|
INPATIENT APRDRG 0422: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$5,064.31
|
|
Service Code
|
APR-DRG 0422
|
Hospital Charge Code |
APRDRG 0422
|
Min. Negotiated Rate |
$4,823.15 |
Max. Negotiated Rate |
$5,064.31 |
Rate for Payer: BCBS Complete |
$5,064.31
|
Rate for Payer: Mclaren Medicaid |
$4,823.15
|
Rate for Payer: Meridian Medicaid |
$5,064.31
|
Rate for Payer: Priority Health Choice Medicaid |
$4,823.15
|
|
INPATIENT APRDRG 0423: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$7,542.10
|
|
Service Code
|
APR-DRG 0423
|
Hospital Charge Code |
APRDRG 0423
|
Min. Negotiated Rate |
$7,182.95 |
Max. Negotiated Rate |
$7,542.10 |
Rate for Payer: BCBS Complete |
$7,542.10
|
Rate for Payer: Mclaren Medicaid |
$7,182.95
|
Rate for Payer: Meridian Medicaid |
$7,542.10
|
Rate for Payer: Priority Health Choice Medicaid |
$7,182.95
|
|
INPATIENT APRDRG 0424: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$8,126.14
|
|
Service Code
|
APR-DRG 0424
|
Hospital Charge Code |
APRDRG 0424
|
Min. Negotiated Rate |
$7,739.18 |
Max. Negotiated Rate |
$8,126.14 |
Rate for Payer: BCBS Complete |
$8,126.14
|
Rate for Payer: Mclaren Medicaid |
$7,739.18
|
Rate for Payer: Meridian Medicaid |
$8,126.14
|
Rate for Payer: Priority Health Choice Medicaid |
$7,739.18
|
|
INPATIENT APRDRG 0431: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$4,289.25
|
|
Service Code
|
APR-DRG 0431
|
Hospital Charge Code |
APRDRG 0431
|
Min. Negotiated Rate |
$4,085.00 |
Max. Negotiated Rate |
$4,289.25 |
Rate for Payer: BCBS Complete |
$4,289.25
|
Rate for Payer: Mclaren Medicaid |
$4,085.00
|
Rate for Payer: Meridian Medicaid |
$4,289.25
|
Rate for Payer: Priority Health Choice Medicaid |
$4,085.00
|
|
INPATIENT APRDRG 0432: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$5,966.55
|
|
Service Code
|
APR-DRG 0432
|
Hospital Charge Code |
APRDRG 0432
|
Min. Negotiated Rate |
$5,682.43 |
Max. Negotiated Rate |
$5,966.55 |
Rate for Payer: BCBS Complete |
$5,966.55
|
Rate for Payer: Mclaren Medicaid |
$5,682.43
|
Rate for Payer: Meridian Medicaid |
$5,966.55
|
Rate for Payer: Priority Health Choice Medicaid |
$5,682.43
|
|
INPATIENT APRDRG 0433: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$9,647.33
|
|
Service Code
|
APR-DRG 0433
|
Hospital Charge Code |
APRDRG 0433
|
Min. Negotiated Rate |
$9,187.93 |
Max. Negotiated Rate |
$9,647.33 |
Rate for Payer: BCBS Complete |
$9,647.33
|
Rate for Payer: Mclaren Medicaid |
$9,187.93
|
Rate for Payer: Meridian Medicaid |
$9,647.33
|
Rate for Payer: Priority Health Choice Medicaid |
$9,187.93
|
|