INPATIENT APRDRG 0501: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$3,307.71
|
|
Service Code
|
APR-DRG 0501
|
Hospital Charge Code |
APRDRG 0501
|
Min. Negotiated Rate |
$3,150.20 |
Max. Negotiated Rate |
$3,307.71 |
Rate for Payer: BCBS Complete |
$3,307.71
|
Rate for Payer: Mclaren Medicaid |
$3,150.20
|
Rate for Payer: Meridian Medicaid |
$3,307.71
|
Rate for Payer: Priority Health Choice Medicaid |
$3,150.20
|
|
INPATIENT APRDRG 0502: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$7,540.10
|
|
Service Code
|
APR-DRG 0502
|
Hospital Charge Code |
APRDRG 0502
|
Min. Negotiated Rate |
$7,181.05 |
Max. Negotiated Rate |
$7,540.10 |
Rate for Payer: BCBS Complete |
$7,540.10
|
Rate for Payer: Mclaren Medicaid |
$7,181.05
|
Rate for Payer: Meridian Medicaid |
$7,540.10
|
Rate for Payer: Priority Health Choice Medicaid |
$7,181.05
|
|
INPATIENT APRDRG 0503: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$10,335.10
|
|
Service Code
|
APR-DRG 0503
|
Hospital Charge Code |
APRDRG 0503
|
Min. Negotiated Rate |
$9,842.95 |
Max. Negotiated Rate |
$10,335.10 |
Rate for Payer: BCBS Complete |
$10,335.10
|
Rate for Payer: Mclaren Medicaid |
$9,842.95
|
Rate for Payer: Meridian Medicaid |
$10,335.10
|
Rate for Payer: Priority Health Choice Medicaid |
$9,842.95
|
|
INPATIENT APRDRG 0504: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$31,233.72
|
|
Service Code
|
APR-DRG 0504
|
Hospital Charge Code |
APRDRG 0504
|
Min. Negotiated Rate |
$29,746.40 |
Max. Negotiated Rate |
$31,233.72 |
Rate for Payer: BCBS Complete |
$31,233.72
|
Rate for Payer: Mclaren Medicaid |
$29,746.40
|
Rate for Payer: Meridian Medicaid |
$31,233.72
|
Rate for Payer: Priority Health Choice Medicaid |
$29,746.40
|
|
INPATIENT APRDRG 0511: VIRAL MENINGITIS
|
Facility
|
IP
|
$2,634.40
|
|
Service Code
|
APR-DRG 0511
|
Hospital Charge Code |
APRDRG 0511
|
Min. Negotiated Rate |
$2,508.95 |
Max. Negotiated Rate |
$2,634.40 |
Rate for Payer: BCBS Complete |
$2,634.40
|
Rate for Payer: Mclaren Medicaid |
$2,508.95
|
Rate for Payer: Meridian Medicaid |
$2,634.40
|
Rate for Payer: Priority Health Choice Medicaid |
$2,508.95
|
|
INPATIENT APRDRG 0512: VIRAL MENINGITIS
|
Facility
|
IP
|
$3,369.56
|
|
Service Code
|
APR-DRG 0512
|
Hospital Charge Code |
APRDRG 0512
|
Min. Negotiated Rate |
$3,209.10 |
Max. Negotiated Rate |
$3,369.56 |
Rate for Payer: BCBS Complete |
$3,369.56
|
Rate for Payer: Mclaren Medicaid |
$3,209.10
|
Rate for Payer: Meridian Medicaid |
$3,369.56
|
Rate for Payer: Priority Health Choice Medicaid |
$3,209.10
|
|
INPATIENT APRDRG 0513: VIRAL MENINGITIS
|
Facility
|
IP
|
$5,848.85
|
|
Service Code
|
APR-DRG 0513
|
Hospital Charge Code |
APRDRG 0513
|
Min. Negotiated Rate |
$5,570.33 |
Max. Negotiated Rate |
$5,848.85 |
Rate for Payer: BCBS Complete |
$5,848.85
|
Rate for Payer: Mclaren Medicaid |
$5,570.33
|
Rate for Payer: Meridian Medicaid |
$5,848.85
|
Rate for Payer: Priority Health Choice Medicaid |
$5,570.33
|
|
INPATIENT APRDRG 0514: VIRAL MENINGITIS
|
Facility
|
IP
|
$10,769.51
|
|
Service Code
|
APR-DRG 0514
|
Hospital Charge Code |
APRDRG 0514
|
Min. Negotiated Rate |
$10,256.68 |
Max. Negotiated Rate |
$10,769.51 |
Rate for Payer: BCBS Complete |
$10,769.51
|
Rate for Payer: Mclaren Medicaid |
$10,256.68
|
Rate for Payer: Meridian Medicaid |
$10,769.51
|
Rate for Payer: Priority Health Choice Medicaid |
$10,256.68
|
|
INPATIENT APRDRG 0521: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,424.92
|
|
Service Code
|
APR-DRG 0521
|
Hospital Charge Code |
APRDRG 0521
|
Min. Negotiated Rate |
$3,261.83 |
Max. Negotiated Rate |
$3,424.92 |
Rate for Payer: BCBS Complete |
$3,424.92
|
Rate for Payer: Mclaren Medicaid |
$3,261.83
|
Rate for Payer: Meridian Medicaid |
$3,424.92
|
Rate for Payer: Priority Health Choice Medicaid |
$3,261.83
|
|
INPATIENT APRDRG 0522: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,041.87
|
|
Service Code
|
APR-DRG 0522
|
Hospital Charge Code |
APRDRG 0522
|
Min. Negotiated Rate |
$3,849.40 |
Max. Negotiated Rate |
$4,041.87 |
Rate for Payer: BCBS Complete |
$4,041.87
|
Rate for Payer: Mclaren Medicaid |
$3,849.40
|
Rate for Payer: Meridian Medicaid |
$4,041.87
|
Rate for Payer: Priority Health Choice Medicaid |
$3,849.40
|
|
INPATIENT APRDRG 0523: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$5,220.42
|
|
Service Code
|
APR-DRG 0523
|
Hospital Charge Code |
APRDRG 0523
|
Min. Negotiated Rate |
$4,971.83 |
Max. Negotiated Rate |
$5,220.42 |
Rate for Payer: BCBS Complete |
$5,220.42
|
Rate for Payer: Mclaren Medicaid |
$4,971.83
|
Rate for Payer: Meridian Medicaid |
$5,220.42
|
Rate for Payer: Priority Health Choice Medicaid |
$4,971.83
|
|
INPATIENT APRDRG 0524: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$10,683.22
|
|
Service Code
|
APR-DRG 0524
|
Hospital Charge Code |
APRDRG 0524
|
Min. Negotiated Rate |
$10,174.50 |
Max. Negotiated Rate |
$10,683.22 |
Rate for Payer: BCBS Complete |
$10,683.22
|
Rate for Payer: Mclaren Medicaid |
$10,174.50
|
Rate for Payer: Meridian Medicaid |
$10,683.22
|
Rate for Payer: Priority Health Choice Medicaid |
$10,174.50
|
|
INPATIENT APRDRG 0531: SEIZURE
|
Facility
|
IP
|
$3,219.93
|
|
Service Code
|
APR-DRG 0531
|
Hospital Charge Code |
APRDRG 0531
|
Min. Negotiated Rate |
$3,066.60 |
Max. Negotiated Rate |
$3,219.93 |
Rate for Payer: BCBS Complete |
$3,219.93
|
Rate for Payer: Mclaren Medicaid |
$3,066.60
|
Rate for Payer: Meridian Medicaid |
$3,219.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,066.60
|
|
INPATIENT APRDRG 0532: SEIZURE
|
Facility
|
IP
|
$3,751.10
|
|
Service Code
|
APR-DRG 0532
|
Hospital Charge Code |
APRDRG 0532
|
Min. Negotiated Rate |
$3,572.48 |
Max. Negotiated Rate |
$3,751.10 |
Rate for Payer: BCBS Complete |
$3,751.10
|
Rate for Payer: Mclaren Medicaid |
$3,572.48
|
Rate for Payer: Meridian Medicaid |
$3,751.10
|
Rate for Payer: Priority Health Choice Medicaid |
$3,572.48
|
|
INPATIENT APRDRG 0533: SEIZURE
|
Facility
|
IP
|
$5,026.40
|
|
Service Code
|
APR-DRG 0533
|
Hospital Charge Code |
APRDRG 0533
|
Min. Negotiated Rate |
$4,787.05 |
Max. Negotiated Rate |
$5,026.40 |
Rate for Payer: BCBS Complete |
$5,026.40
|
Rate for Payer: Mclaren Medicaid |
$4,787.05
|
Rate for Payer: Meridian Medicaid |
$5,026.40
|
Rate for Payer: Priority Health Choice Medicaid |
$4,787.05
|
|
INPATIENT APRDRG 0534: SEIZURE
|
Facility
|
IP
|
$11,625.86
|
|
Service Code
|
APR-DRG 0534
|
Hospital Charge Code |
APRDRG 0534
|
Min. Negotiated Rate |
$11,072.25 |
Max. Negotiated Rate |
$11,625.86 |
Rate for Payer: BCBS Complete |
$11,625.86
|
Rate for Payer: Mclaren Medicaid |
$11,072.25
|
Rate for Payer: Meridian Medicaid |
$11,625.86
|
Rate for Payer: Priority Health Choice Medicaid |
$11,072.25
|
|
INPATIENT APRDRG 0541: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$3,430.91
|
|
Service Code
|
APR-DRG 0541
|
Hospital Charge Code |
APRDRG 0541
|
Min. Negotiated Rate |
$3,267.53 |
Max. Negotiated Rate |
$3,430.91 |
Rate for Payer: BCBS Complete |
$3,430.91
|
Rate for Payer: Mclaren Medicaid |
$3,267.53
|
Rate for Payer: Meridian Medicaid |
$3,430.91
|
Rate for Payer: Priority Health Choice Medicaid |
$3,267.53
|
|
INPATIENT APRDRG 0542: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$4,225.41
|
|
Service Code
|
APR-DRG 0542
|
Hospital Charge Code |
APRDRG 0542
|
Min. Negotiated Rate |
$4,024.20 |
Max. Negotiated Rate |
$4,225.41 |
Rate for Payer: BCBS Complete |
$4,225.41
|
Rate for Payer: Mclaren Medicaid |
$4,024.20
|
Rate for Payer: Meridian Medicaid |
$4,225.41
|
Rate for Payer: Priority Health Choice Medicaid |
$4,024.20
|
|
INPATIENT APRDRG 0543: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$5,107.70
|
|
Service Code
|
APR-DRG 0543
|
Hospital Charge Code |
APRDRG 0543
|
Min. Negotiated Rate |
$4,864.48 |
Max. Negotiated Rate |
$5,107.70 |
Rate for Payer: BCBS Complete |
$5,107.70
|
Rate for Payer: Mclaren Medicaid |
$4,864.48
|
Rate for Payer: Meridian Medicaid |
$5,107.70
|
Rate for Payer: Priority Health Choice Medicaid |
$4,864.48
|
|
INPATIENT APRDRG 0544: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$8,019.41
|
|
Service Code
|
APR-DRG 0544
|
Hospital Charge Code |
APRDRG 0544
|
Min. Negotiated Rate |
$7,637.53 |
Max. Negotiated Rate |
$8,019.41 |
Rate for Payer: BCBS Complete |
$8,019.41
|
Rate for Payer: Mclaren Medicaid |
$7,637.53
|
Rate for Payer: Meridian Medicaid |
$8,019.41
|
Rate for Payer: Priority Health Choice Medicaid |
$7,637.53
|
|
INPATIENT APRDRG 0551: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$3,861.32
|
|
Service Code
|
APR-DRG 0551
|
Hospital Charge Code |
APRDRG 0551
|
Min. Negotiated Rate |
$3,677.45 |
Max. Negotiated Rate |
$3,861.32 |
Rate for Payer: BCBS Complete |
$3,861.32
|
Rate for Payer: Mclaren Medicaid |
$3,677.45
|
Rate for Payer: Meridian Medicaid |
$3,861.32
|
Rate for Payer: Priority Health Choice Medicaid |
$3,677.45
|
|
INPATIENT APRDRG 0552: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$5,578.52
|
|
Service Code
|
APR-DRG 0552
|
Hospital Charge Code |
APRDRG 0552
|
Min. Negotiated Rate |
$5,312.88 |
Max. Negotiated Rate |
$5,578.52 |
Rate for Payer: BCBS Complete |
$5,578.52
|
Rate for Payer: Mclaren Medicaid |
$5,312.88
|
Rate for Payer: Meridian Medicaid |
$5,578.52
|
Rate for Payer: Priority Health Choice Medicaid |
$5,312.88
|
|
INPATIENT APRDRG 0553: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$9,106.18
|
|
Service Code
|
APR-DRG 0553
|
Hospital Charge Code |
APRDRG 0553
|
Min. Negotiated Rate |
$8,672.55 |
Max. Negotiated Rate |
$9,106.18 |
Rate for Payer: BCBS Complete |
$9,106.18
|
Rate for Payer: Mclaren Medicaid |
$8,672.55
|
Rate for Payer: Meridian Medicaid |
$9,106.18
|
Rate for Payer: Priority Health Choice Medicaid |
$8,672.55
|
|
INPATIENT APRDRG 0554: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$13,581.96
|
|
Service Code
|
APR-DRG 0554
|
Hospital Charge Code |
APRDRG 0554
|
Min. Negotiated Rate |
$12,935.20 |
Max. Negotiated Rate |
$13,581.96 |
Rate for Payer: BCBS Complete |
$13,581.96
|
Rate for Payer: Mclaren Medicaid |
$12,935.20
|
Rate for Payer: Meridian Medicaid |
$13,581.96
|
Rate for Payer: Priority Health Choice Medicaid |
$12,935.20
|
|
INPATIENT APRDRG 0561: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$3,819.93
|
|
Service Code
|
APR-DRG 0561
|
Hospital Charge Code |
APRDRG 0561
|
Min. Negotiated Rate |
$3,638.03 |
Max. Negotiated Rate |
$3,819.93 |
Rate for Payer: BCBS Complete |
$3,819.93
|
Rate for Payer: Mclaren Medicaid |
$3,638.03
|
Rate for Payer: Meridian Medicaid |
$3,819.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,638.03
|
|