INPATIENT APRDRG 0893: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$21,559.47
|
|
Service Code
|
APR-DRG 0893
|
Hospital Charge Code |
APRDRG 0893
|
Min. Negotiated Rate |
$20,532.83 |
Max. Negotiated Rate |
$21,559.47 |
Rate for Payer: BCBS Complete |
$21,559.47
|
Rate for Payer: Mclaren Medicaid |
$20,532.83
|
Rate for Payer: Meridian Medicaid |
$21,559.47
|
Rate for Payer: Priority Health Choice Medicaid |
$20,532.83
|
|
INPATIENT APRDRG 0894: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$28,610.80
|
|
Service Code
|
APR-DRG 0894
|
Hospital Charge Code |
APRDRG 0894
|
Min. Negotiated Rate |
$27,248.38 |
Max. Negotiated Rate |
$28,610.80 |
Rate for Payer: BCBS Complete |
$28,610.80
|
Rate for Payer: Mclaren Medicaid |
$27,248.38
|
Rate for Payer: Meridian Medicaid |
$28,610.80
|
Rate for Payer: Priority Health Choice Medicaid |
$27,248.38
|
|
INPATIENT APRDRG 0911: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$11,108.16
|
|
Service Code
|
APR-DRG 0911
|
Hospital Charge Code |
APRDRG 0911
|
Min. Negotiated Rate |
$10,579.20 |
Max. Negotiated Rate |
$11,108.16 |
Rate for Payer: BCBS Complete |
$11,108.16
|
Rate for Payer: Mclaren Medicaid |
$10,579.20
|
Rate for Payer: Meridian Medicaid |
$11,108.16
|
Rate for Payer: Priority Health Choice Medicaid |
$10,579.20
|
|
INPATIENT APRDRG 0912: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$23,348.99
|
|
Service Code
|
APR-DRG 0912
|
Hospital Charge Code |
APRDRG 0912
|
Min. Negotiated Rate |
$22,237.13 |
Max. Negotiated Rate |
$23,348.99 |
Rate for Payer: BCBS Complete |
$23,348.99
|
Rate for Payer: Mclaren Medicaid |
$22,237.13
|
Rate for Payer: Meridian Medicaid |
$23,348.99
|
Rate for Payer: Priority Health Choice Medicaid |
$22,237.13
|
|
INPATIENT APRDRG 0913: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$36,312.99
|
|
Service Code
|
APR-DRG 0913
|
Hospital Charge Code |
APRDRG 0913
|
Min. Negotiated Rate |
$34,583.80 |
Max. Negotiated Rate |
$36,312.99 |
Rate for Payer: BCBS Complete |
$36,312.99
|
Rate for Payer: Mclaren Medicaid |
$34,583.80
|
Rate for Payer: Meridian Medicaid |
$36,312.99
|
Rate for Payer: Priority Health Choice Medicaid |
$34,583.80
|
|
INPATIENT APRDRG 0914: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$35,939.92
|
|
Service Code
|
APR-DRG 0914
|
Hospital Charge Code |
APRDRG 0914
|
Min. Negotiated Rate |
$34,228.50 |
Max. Negotiated Rate |
$35,939.92 |
Rate for Payer: BCBS Complete |
$35,939.92
|
Rate for Payer: Mclaren Medicaid |
$34,228.50
|
Rate for Payer: Meridian Medicaid |
$35,939.92
|
Rate for Payer: Priority Health Choice Medicaid |
$34,228.50
|
|
INPATIENT APRDRG 0921: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$9,004.94
|
|
Service Code
|
APR-DRG 0921
|
Hospital Charge Code |
APRDRG 0921
|
Min. Negotiated Rate |
$8,576.13 |
Max. Negotiated Rate |
$9,004.94 |
Rate for Payer: BCBS Complete |
$9,004.94
|
Rate for Payer: Mclaren Medicaid |
$8,576.13
|
Rate for Payer: Meridian Medicaid |
$9,004.94
|
Rate for Payer: Priority Health Choice Medicaid |
$8,576.13
|
|
INPATIENT APRDRG 0922: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$10,605.42
|
|
Service Code
|
APR-DRG 0922
|
Hospital Charge Code |
APRDRG 0922
|
Min. Negotiated Rate |
$10,100.40 |
Max. Negotiated Rate |
$10,605.42 |
Rate for Payer: BCBS Complete |
$10,605.42
|
Rate for Payer: Mclaren Medicaid |
$10,100.40
|
Rate for Payer: Meridian Medicaid |
$10,605.42
|
Rate for Payer: Priority Health Choice Medicaid |
$10,100.40
|
|
INPATIENT APRDRG 0923: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$17,446.78
|
|
Service Code
|
APR-DRG 0923
|
Hospital Charge Code |
APRDRG 0923
|
Min. Negotiated Rate |
$16,615.98 |
Max. Negotiated Rate |
$17,446.78 |
Rate for Payer: BCBS Complete |
$17,446.78
|
Rate for Payer: Mclaren Medicaid |
$16,615.98
|
Rate for Payer: Meridian Medicaid |
$17,446.78
|
Rate for Payer: Priority Health Choice Medicaid |
$16,615.98
|
|
INPATIENT APRDRG 0924: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$33,125.98
|
|
Service Code
|
APR-DRG 0924
|
Hospital Charge Code |
APRDRG 0924
|
Min. Negotiated Rate |
$31,548.55 |
Max. Negotiated Rate |
$33,125.98 |
Rate for Payer: BCBS Complete |
$33,125.98
|
Rate for Payer: Mclaren Medicaid |
$31,548.55
|
Rate for Payer: Meridian Medicaid |
$33,125.98
|
Rate for Payer: Priority Health Choice Medicaid |
$31,548.55
|
|
INPATIENT APRDRG 0951: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$6,817.91
|
|
Service Code
|
APR-DRG 0951
|
Hospital Charge Code |
APRDRG 0951
|
Min. Negotiated Rate |
$6,493.25 |
Max. Negotiated Rate |
$6,817.91 |
Rate for Payer: BCBS Complete |
$6,817.91
|
Rate for Payer: Mclaren Medicaid |
$6,493.25
|
Rate for Payer: Meridian Medicaid |
$6,817.91
|
Rate for Payer: Priority Health Choice Medicaid |
$6,493.25
|
|
INPATIENT APRDRG 0952: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$8,791.47
|
|
Service Code
|
APR-DRG 0952
|
Hospital Charge Code |
APRDRG 0952
|
Min. Negotiated Rate |
$8,372.83 |
Max. Negotiated Rate |
$8,791.47 |
Rate for Payer: BCBS Complete |
$8,791.47
|
Rate for Payer: Mclaren Medicaid |
$8,372.83
|
Rate for Payer: Meridian Medicaid |
$8,791.47
|
Rate for Payer: Priority Health Choice Medicaid |
$8,372.83
|
|
INPATIENT APRDRG 0953: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$10,128.12
|
|
Service Code
|
APR-DRG 0953
|
Hospital Charge Code |
APRDRG 0953
|
Min. Negotiated Rate |
$9,645.83 |
Max. Negotiated Rate |
$10,128.12 |
Rate for Payer: BCBS Complete |
$10,128.12
|
Rate for Payer: Mclaren Medicaid |
$9,645.83
|
Rate for Payer: Meridian Medicaid |
$10,128.12
|
Rate for Payer: Priority Health Choice Medicaid |
$9,645.83
|
|
INPATIENT APRDRG 0954: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$18,987.41
|
|
Service Code
|
APR-DRG 0954
|
Hospital Charge Code |
APRDRG 0954
|
Min. Negotiated Rate |
$18,083.25 |
Max. Negotiated Rate |
$18,987.41 |
Rate for Payer: BCBS Complete |
$18,987.41
|
Rate for Payer: Mclaren Medicaid |
$18,083.25
|
Rate for Payer: Meridian Medicaid |
$18,987.41
|
Rate for Payer: Priority Health Choice Medicaid |
$18,083.25
|
|
INPATIENT APRDRG 0971: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$4,463.81
|
|
Service Code
|
APR-DRG 0971
|
Hospital Charge Code |
APRDRG 0971
|
Min. Negotiated Rate |
$4,251.25 |
Max. Negotiated Rate |
$4,463.81 |
Rate for Payer: BCBS Complete |
$4,463.81
|
Rate for Payer: Mclaren Medicaid |
$4,251.25
|
Rate for Payer: Meridian Medicaid |
$4,463.81
|
Rate for Payer: Priority Health Choice Medicaid |
$4,251.25
|
|
INPATIENT APRDRG 0972: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$5,989.99
|
|
Service Code
|
APR-DRG 0972
|
Hospital Charge Code |
APRDRG 0972
|
Min. Negotiated Rate |
$5,704.75 |
Max. Negotiated Rate |
$5,989.99 |
Rate for Payer: BCBS Complete |
$5,989.99
|
Rate for Payer: Mclaren Medicaid |
$5,704.75
|
Rate for Payer: Meridian Medicaid |
$5,989.99
|
Rate for Payer: Priority Health Choice Medicaid |
$5,704.75
|
|
INPATIENT APRDRG 0973: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$8,892.71
|
|
Service Code
|
APR-DRG 0973
|
Hospital Charge Code |
APRDRG 0973
|
Min. Negotiated Rate |
$8,469.25 |
Max. Negotiated Rate |
$8,892.71 |
Rate for Payer: BCBS Complete |
$8,892.71
|
Rate for Payer: Mclaren Medicaid |
$8,469.25
|
Rate for Payer: Meridian Medicaid |
$8,892.71
|
Rate for Payer: Priority Health Choice Medicaid |
$8,469.25
|
|
INPATIENT APRDRG 0974: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$15,499.16
|
|
Service Code
|
APR-DRG 0974
|
Hospital Charge Code |
APRDRG 0974
|
Min. Negotiated Rate |
$14,761.10 |
Max. Negotiated Rate |
$15,499.16 |
Rate for Payer: BCBS Complete |
$15,499.16
|
Rate for Payer: Mclaren Medicaid |
$14,761.10
|
Rate for Payer: Meridian Medicaid |
$15,499.16
|
Rate for Payer: Priority Health Choice Medicaid |
$14,761.10
|
|
INPATIENT APRDRG 0981: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$5,519.67
|
|
Service Code
|
APR-DRG 0981
|
Hospital Charge Code |
APRDRG 0981
|
Min. Negotiated Rate |
$5,256.83 |
Max. Negotiated Rate |
$5,519.67 |
Rate for Payer: BCBS Complete |
$5,519.67
|
Rate for Payer: Mclaren Medicaid |
$5,256.83
|
Rate for Payer: Meridian Medicaid |
$5,519.67
|
Rate for Payer: Priority Health Choice Medicaid |
$5,256.83
|
|
INPATIENT APRDRG 0982: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$7,859.30
|
|
Service Code
|
APR-DRG 0982
|
Hospital Charge Code |
APRDRG 0982
|
Min. Negotiated Rate |
$7,485.05 |
Max. Negotiated Rate |
$7,859.30 |
Rate for Payer: BCBS Complete |
$7,859.30
|
Rate for Payer: Mclaren Medicaid |
$7,485.05
|
Rate for Payer: Meridian Medicaid |
$7,859.30
|
Rate for Payer: Priority Health Choice Medicaid |
$7,485.05
|
|
INPATIENT APRDRG 0983: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$12,624.36
|
|
Service Code
|
APR-DRG 0983
|
Hospital Charge Code |
APRDRG 0983
|
Min. Negotiated Rate |
$12,023.20 |
Max. Negotiated Rate |
$12,624.36 |
Rate for Payer: BCBS Complete |
$12,624.36
|
Rate for Payer: Mclaren Medicaid |
$12,023.20
|
Rate for Payer: Meridian Medicaid |
$12,624.36
|
Rate for Payer: Priority Health Choice Medicaid |
$12,023.20
|
|
INPATIENT APRDRG 0984: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$18,775.45
|
|
Service Code
|
APR-DRG 0984
|
Hospital Charge Code |
APRDRG 0984
|
Min. Negotiated Rate |
$17,881.38 |
Max. Negotiated Rate |
$18,775.45 |
Rate for Payer: BCBS Complete |
$18,775.45
|
Rate for Payer: Mclaren Medicaid |
$17,881.38
|
Rate for Payer: Meridian Medicaid |
$18,775.45
|
Rate for Payer: Priority Health Choice Medicaid |
$17,881.38
|
|
INPATIENT APRDRG 1101: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$4,354.09
|
|
Service Code
|
APR-DRG 1101
|
Hospital Charge Code |
APRDRG 1101
|
Min. Negotiated Rate |
$4,146.75 |
Max. Negotiated Rate |
$4,354.09 |
Rate for Payer: BCBS Complete |
$4,354.09
|
Rate for Payer: Mclaren Medicaid |
$4,146.75
|
Rate for Payer: Meridian Medicaid |
$4,354.09
|
Rate for Payer: Priority Health Choice Medicaid |
$4,146.75
|
|
INPATIENT APRDRG 1102: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,053.84
|
|
Service Code
|
APR-DRG 1102
|
Hospital Charge Code |
APRDRG 1102
|
Min. Negotiated Rate |
$4,813.18 |
Max. Negotiated Rate |
$5,053.84 |
Rate for Payer: BCBS Complete |
$5,053.84
|
Rate for Payer: Mclaren Medicaid |
$4,813.18
|
Rate for Payer: Meridian Medicaid |
$5,053.84
|
Rate for Payer: Priority Health Choice Medicaid |
$4,813.18
|
|
INPATIENT APRDRG 1103: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$8,688.22
|
|
Service Code
|
APR-DRG 1103
|
Hospital Charge Code |
APRDRG 1103
|
Min. Negotiated Rate |
$8,274.50 |
Max. Negotiated Rate |
$8,688.22 |
Rate for Payer: BCBS Complete |
$8,688.22
|
Rate for Payer: Mclaren Medicaid |
$8,274.50
|
Rate for Payer: Meridian Medicaid |
$8,688.22
|
Rate for Payer: Priority Health Choice Medicaid |
$8,274.50
|
|