INPATIENT APRDRG 0562: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$4,423.42
|
|
Service Code
|
APR-DRG 0562
|
Hospital Charge Code |
APRDRG 0562
|
Min. Negotiated Rate |
$4,212.78 |
Max. Negotiated Rate |
$4,423.42 |
Rate for Payer: BCBS Complete |
$4,423.42
|
Rate for Payer: Mclaren Medicaid |
$4,212.78
|
Rate for Payer: Meridian Medicaid |
$4,423.42
|
Rate for Payer: Priority Health Choice Medicaid |
$4,212.78
|
|
INPATIENT APRDRG 0563: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$7,797.96
|
|
Service Code
|
APR-DRG 0563
|
Hospital Charge Code |
APRDRG 0563
|
Min. Negotiated Rate |
$7,426.63 |
Max. Negotiated Rate |
$7,797.96 |
Rate for Payer: BCBS Complete |
$7,797.96
|
Rate for Payer: Mclaren Medicaid |
$7,426.63
|
Rate for Payer: Meridian Medicaid |
$7,797.96
|
Rate for Payer: Priority Health Choice Medicaid |
$7,426.63
|
|
INPATIENT APRDRG 0564: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$8,439.35
|
|
Service Code
|
APR-DRG 0564
|
Hospital Charge Code |
APRDRG 0564
|
Min. Negotiated Rate |
$8,037.48 |
Max. Negotiated Rate |
$8,439.35 |
Rate for Payer: BCBS Complete |
$8,439.35
|
Rate for Payer: Mclaren Medicaid |
$8,037.48
|
Rate for Payer: Meridian Medicaid |
$8,439.35
|
Rate for Payer: Priority Health Choice Medicaid |
$8,037.48
|
|
INPATIENT APRDRG 0571: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$2,820.44
|
|
Service Code
|
APR-DRG 0571
|
Hospital Charge Code |
APRDRG 0571
|
Min. Negotiated Rate |
$2,686.13 |
Max. Negotiated Rate |
$2,820.44 |
Rate for Payer: BCBS Complete |
$2,820.44
|
Rate for Payer: Mclaren Medicaid |
$2,686.13
|
Rate for Payer: Meridian Medicaid |
$2,820.44
|
Rate for Payer: Priority Health Choice Medicaid |
$2,686.13
|
|
INPATIENT APRDRG 0572: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$4,517.68
|
|
Service Code
|
APR-DRG 0572
|
Hospital Charge Code |
APRDRG 0572
|
Min. Negotiated Rate |
$4,302.55 |
Max. Negotiated Rate |
$4,517.68 |
Rate for Payer: BCBS Complete |
$4,517.68
|
Rate for Payer: Mclaren Medicaid |
$4,302.55
|
Rate for Payer: Meridian Medicaid |
$4,517.68
|
Rate for Payer: Priority Health Choice Medicaid |
$4,302.55
|
|
INPATIENT APRDRG 0573: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$6,184.01
|
|
Service Code
|
APR-DRG 0573
|
Hospital Charge Code |
APRDRG 0573
|
Min. Negotiated Rate |
$5,889.53 |
Max. Negotiated Rate |
$6,184.01 |
Rate for Payer: BCBS Complete |
$6,184.01
|
Rate for Payer: Mclaren Medicaid |
$5,889.53
|
Rate for Payer: Meridian Medicaid |
$6,184.01
|
Rate for Payer: Priority Health Choice Medicaid |
$5,889.53
|
|
INPATIENT APRDRG 0574: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$9,835.35
|
|
Service Code
|
APR-DRG 0574
|
Hospital Charge Code |
APRDRG 0574
|
Min. Negotiated Rate |
$9,367.00 |
Max. Negotiated Rate |
$9,835.35 |
Rate for Payer: BCBS Complete |
$9,835.35
|
Rate for Payer: Mclaren Medicaid |
$9,367.00
|
Rate for Payer: Meridian Medicaid |
$9,835.35
|
Rate for Payer: Priority Health Choice Medicaid |
$9,367.00
|
|
INPATIENT APRDRG 0581: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,053.84
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG 0581
|
Min. Negotiated Rate |
$3,860.80 |
Max. Negotiated Rate |
$4,053.84 |
Rate for Payer: BCBS Complete |
$4,053.84
|
Rate for Payer: Mclaren Medicaid |
$3,860.80
|
Rate for Payer: Meridian Medicaid |
$4,053.84
|
Rate for Payer: Priority Health Choice Medicaid |
$3,860.80
|
|
INPATIENT APRDRG 0582: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$5,431.39
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG 0582
|
Min. Negotiated Rate |
$5,172.75 |
Max. Negotiated Rate |
$5,431.39 |
Rate for Payer: BCBS Complete |
$5,431.39
|
Rate for Payer: Mclaren Medicaid |
$5,172.75
|
Rate for Payer: Meridian Medicaid |
$5,431.39
|
Rate for Payer: Priority Health Choice Medicaid |
$5,172.75
|
|
INPATIENT APRDRG 0583: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,984.00
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG 0583
|
Min. Negotiated Rate |
$6,651.43 |
Max. Negotiated Rate |
$6,984.00 |
Rate for Payer: BCBS Complete |
$6,984.00
|
Rate for Payer: Mclaren Medicaid |
$6,651.43
|
Rate for Payer: Meridian Medicaid |
$6,984.00
|
Rate for Payer: Priority Health Choice Medicaid |
$6,651.43
|
|
INPATIENT APRDRG 0584: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,007.92
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG 0584
|
Min. Negotiated Rate |
$9,531.35 |
Max. Negotiated Rate |
$10,007.92 |
Rate for Payer: BCBS Complete |
$10,007.92
|
Rate for Payer: Mclaren Medicaid |
$9,531.35
|
Rate for Payer: Meridian Medicaid |
$10,007.92
|
Rate for Payer: Priority Health Choice Medicaid |
$9,531.35
|
|
INPATIENT APRDRG 0591: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,046.36
|
|
Service Code
|
APR-DRG 0591
|
Hospital Charge Code |
APRDRG 0591
|
Min. Negotiated Rate |
$3,853.68 |
Max. Negotiated Rate |
$4,046.36 |
Rate for Payer: BCBS Complete |
$4,046.36
|
Rate for Payer: Mclaren Medicaid |
$3,853.68
|
Rate for Payer: Meridian Medicaid |
$4,046.36
|
Rate for Payer: Priority Health Choice Medicaid |
$3,853.68
|
|
INPATIENT APRDRG 0592: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$5,935.12
|
|
Service Code
|
APR-DRG 0592
|
Hospital Charge Code |
APRDRG 0592
|
Min. Negotiated Rate |
$5,652.50 |
Max. Negotiated Rate |
$5,935.12 |
Rate for Payer: BCBS Complete |
$5,935.12
|
Rate for Payer: Mclaren Medicaid |
$5,652.50
|
Rate for Payer: Meridian Medicaid |
$5,935.12
|
Rate for Payer: Priority Health Choice Medicaid |
$5,652.50
|
|
INPATIENT APRDRG 0593: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$9,100.70
|
|
Service Code
|
APR-DRG 0593
|
Hospital Charge Code |
APRDRG 0593
|
Min. Negotiated Rate |
$8,667.33 |
Max. Negotiated Rate |
$9,100.70 |
Rate for Payer: BCBS Complete |
$9,100.70
|
Rate for Payer: Mclaren Medicaid |
$8,667.33
|
Rate for Payer: Meridian Medicaid |
$9,100.70
|
Rate for Payer: Priority Health Choice Medicaid |
$8,667.33
|
|
INPATIENT APRDRG 0594: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$12,301.67
|
|
Service Code
|
APR-DRG 0594
|
Hospital Charge Code |
APRDRG 0594
|
Min. Negotiated Rate |
$11,715.88 |
Max. Negotiated Rate |
$12,301.67 |
Rate for Payer: BCBS Complete |
$12,301.67
|
Rate for Payer: Mclaren Medicaid |
$11,715.88
|
Rate for Payer: Meridian Medicaid |
$12,301.67
|
Rate for Payer: Priority Health Choice Medicaid |
$11,715.88
|
|
INPATIENT APRDRG 0731: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$6,986.00
|
|
Service Code
|
APR-DRG 0731
|
Hospital Charge Code |
APRDRG 0731
|
Min. Negotiated Rate |
$6,653.33 |
Max. Negotiated Rate |
$6,986.00 |
Rate for Payer: BCBS Complete |
$6,986.00
|
Rate for Payer: Mclaren Medicaid |
$6,653.33
|
Rate for Payer: Meridian Medicaid |
$6,986.00
|
Rate for Payer: Priority Health Choice Medicaid |
$6,653.33
|
|
INPATIENT APRDRG 0732: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$7,710.68
|
|
Service Code
|
APR-DRG 0732
|
Hospital Charge Code |
APRDRG 0732
|
Min. Negotiated Rate |
$7,343.50 |
Max. Negotiated Rate |
$7,710.68 |
Rate for Payer: BCBS Complete |
$7,710.68
|
Rate for Payer: Mclaren Medicaid |
$7,343.50
|
Rate for Payer: Meridian Medicaid |
$7,710.68
|
Rate for Payer: Priority Health Choice Medicaid |
$7,343.50
|
|
INPATIENT APRDRG 0733: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$11,723.62
|
|
Service Code
|
APR-DRG 0733
|
Hospital Charge Code |
APRDRG 0733
|
Min. Negotiated Rate |
$11,165.35 |
Max. Negotiated Rate |
$11,723.62 |
Rate for Payer: BCBS Complete |
$11,723.62
|
Rate for Payer: Mclaren Medicaid |
$11,165.35
|
Rate for Payer: Meridian Medicaid |
$11,723.62
|
Rate for Payer: Priority Health Choice Medicaid |
$11,165.35
|
|
INPATIENT APRDRG 0734: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$20,674.69
|
|
Service Code
|
APR-DRG 0734
|
Hospital Charge Code |
APRDRG 0734
|
Min. Negotiated Rate |
$19,690.18 |
Max. Negotiated Rate |
$20,674.69 |
Rate for Payer: BCBS Complete |
$20,674.69
|
Rate for Payer: Mclaren Medicaid |
$19,690.18
|
Rate for Payer: Meridian Medicaid |
$20,674.69
|
Rate for Payer: Priority Health Choice Medicaid |
$19,690.18
|
|
INPATIENT APRDRG 0821: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$2,988.02
|
|
Service Code
|
APR-DRG 0821
|
Hospital Charge Code |
APRDRG 0821
|
Min. Negotiated Rate |
$2,845.73 |
Max. Negotiated Rate |
$2,988.02 |
Rate for Payer: BCBS Complete |
$2,988.02
|
Rate for Payer: Mclaren Medicaid |
$2,845.73
|
Rate for Payer: Meridian Medicaid |
$2,988.02
|
Rate for Payer: Priority Health Choice Medicaid |
$2,845.73
|
|
INPATIENT APRDRG 0822: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$4,545.11
|
|
Service Code
|
APR-DRG 0822
|
Hospital Charge Code |
APRDRG 0822
|
Min. Negotiated Rate |
$4,328.68 |
Max. Negotiated Rate |
$4,545.11 |
Rate for Payer: BCBS Complete |
$4,545.11
|
Rate for Payer: Mclaren Medicaid |
$4,328.68
|
Rate for Payer: Meridian Medicaid |
$4,545.11
|
Rate for Payer: Priority Health Choice Medicaid |
$4,328.68
|
|
INPATIENT APRDRG 0823: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$8,708.18
|
|
Service Code
|
APR-DRG 0823
|
Hospital Charge Code |
APRDRG 0823
|
Min. Negotiated Rate |
$8,293.50 |
Max. Negotiated Rate |
$8,708.18 |
Rate for Payer: BCBS Complete |
$8,708.18
|
Rate for Payer: Mclaren Medicaid |
$8,293.50
|
Rate for Payer: Meridian Medicaid |
$8,708.18
|
Rate for Payer: Priority Health Choice Medicaid |
$8,293.50
|
|
INPATIENT APRDRG 0824: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$14,611.88
|
|
Service Code
|
APR-DRG 0824
|
Hospital Charge Code |
APRDRG 0824
|
Min. Negotiated Rate |
$13,916.08 |
Max. Negotiated Rate |
$14,611.88 |
Rate for Payer: BCBS Complete |
$14,611.88
|
Rate for Payer: Mclaren Medicaid |
$13,916.08
|
Rate for Payer: Meridian Medicaid |
$14,611.88
|
Rate for Payer: Priority Health Choice Medicaid |
$13,916.08
|
|
INPATIENT APRDRG 0891: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$10,806.92
|
|
Service Code
|
APR-DRG 0891
|
Hospital Charge Code |
APRDRG 0891
|
Min. Negotiated Rate |
$10,292.30 |
Max. Negotiated Rate |
$10,806.92 |
Rate for Payer: BCBS Complete |
$10,806.92
|
Rate for Payer: Mclaren Medicaid |
$10,292.30
|
Rate for Payer: Meridian Medicaid |
$10,806.92
|
Rate for Payer: Priority Health Choice Medicaid |
$10,292.30
|
|
INPATIENT APRDRG 0892: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$14,913.13
|
|
Service Code
|
APR-DRG 0892
|
Hospital Charge Code |
APRDRG 0892
|
Min. Negotiated Rate |
$14,202.98 |
Max. Negotiated Rate |
$14,913.13 |
Rate for Payer: BCBS Complete |
$14,913.13
|
Rate for Payer: Mclaren Medicaid |
$14,202.98
|
Rate for Payer: Meridian Medicaid |
$14,913.13
|
Rate for Payer: Priority Health Choice Medicaid |
$14,202.98
|
|