INPATIENT APRDRG 1104: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$12,070.25
|
|
Service Code
|
APR-DRG 1104
|
Hospital Charge Code |
APRDRG 1104
|
Min. Negotiated Rate |
$11,495.48 |
Max. Negotiated Rate |
$12,070.25 |
Rate for Payer: BCBS Complete |
$12,070.25
|
Rate for Payer: Mclaren Medicaid |
$11,495.48
|
Rate for Payer: Meridian Medicaid |
$12,070.25
|
Rate for Payer: Priority Health Choice Medicaid |
$11,495.48
|
|
INPATIENT APRDRG 1111: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,406.46
|
|
Service Code
|
APR-DRG 1111
|
Hospital Charge Code |
APRDRG 1111
|
Min. Negotiated Rate |
$3,244.25 |
Max. Negotiated Rate |
$3,406.46 |
Rate for Payer: BCBS Complete |
$3,406.46
|
Rate for Payer: Mclaren Medicaid |
$3,244.25
|
Rate for Payer: Meridian Medicaid |
$3,406.46
|
Rate for Payer: Priority Health Choice Medicaid |
$3,244.25
|
|
INPATIENT APRDRG 1112: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,869.30
|
|
Service Code
|
APR-DRG 1112
|
Hospital Charge Code |
APRDRG 1112
|
Min. Negotiated Rate |
$3,685.05 |
Max. Negotiated Rate |
$3,869.30 |
Rate for Payer: BCBS Complete |
$3,869.30
|
Rate for Payer: Mclaren Medicaid |
$3,685.05
|
Rate for Payer: Meridian Medicaid |
$3,869.30
|
Rate for Payer: Priority Health Choice Medicaid |
$3,685.05
|
|
INPATIENT APRDRG 1113: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,504.71
|
|
Service Code
|
APR-DRG 1113
|
Hospital Charge Code |
APRDRG 1113
|
Min. Negotiated Rate |
$4,290.20 |
Max. Negotiated Rate |
$4,504.71 |
Rate for Payer: BCBS Complete |
$4,504.71
|
Rate for Payer: Mclaren Medicaid |
$4,290.20
|
Rate for Payer: Meridian Medicaid |
$4,504.71
|
Rate for Payer: Priority Health Choice Medicaid |
$4,290.20
|
|
INPATIENT APRDRG 1114: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$9,579.50
|
|
Service Code
|
APR-DRG 1114
|
Hospital Charge Code |
APRDRG 1114
|
Min. Negotiated Rate |
$9,123.33 |
Max. Negotiated Rate |
$9,579.50 |
Rate for Payer: BCBS Complete |
$9,579.50
|
Rate for Payer: Mclaren Medicaid |
$9,123.33
|
Rate for Payer: Meridian Medicaid |
$9,579.50
|
Rate for Payer: Priority Health Choice Medicaid |
$9,123.33
|
|
INPATIENT APRDRG 1131: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,108.72
|
|
Service Code
|
APR-DRG 1131
|
Hospital Charge Code |
APRDRG 1131
|
Min. Negotiated Rate |
$2,008.30 |
Max. Negotiated Rate |
$2,108.72 |
Rate for Payer: BCBS Complete |
$2,108.72
|
Rate for Payer: Mclaren Medicaid |
$2,008.30
|
Rate for Payer: Meridian Medicaid |
$2,108.72
|
Rate for Payer: Priority Health Choice Medicaid |
$2,008.30
|
|
INPATIENT APRDRG 1132: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,682.78
|
|
Service Code
|
APR-DRG 1132
|
Hospital Charge Code |
APRDRG 1132
|
Min. Negotiated Rate |
$2,555.03 |
Max. Negotiated Rate |
$2,682.78 |
Rate for Payer: BCBS Complete |
$2,682.78
|
Rate for Payer: Mclaren Medicaid |
$2,555.03
|
Rate for Payer: Meridian Medicaid |
$2,682.78
|
Rate for Payer: Priority Health Choice Medicaid |
$2,555.03
|
|
INPATIENT APRDRG 1133: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,060.82
|
|
Service Code
|
APR-DRG 1133
|
Hospital Charge Code |
APRDRG 1133
|
Min. Negotiated Rate |
$3,867.45 |
Max. Negotiated Rate |
$4,060.82 |
Rate for Payer: BCBS Complete |
$4,060.82
|
Rate for Payer: Mclaren Medicaid |
$3,867.45
|
Rate for Payer: Meridian Medicaid |
$4,060.82
|
Rate for Payer: Priority Health Choice Medicaid |
$3,867.45
|
|
INPATIENT APRDRG 1134: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$8,010.92
|
|
Service Code
|
APR-DRG 1134
|
Hospital Charge Code |
APRDRG 1134
|
Min. Negotiated Rate |
$7,629.45 |
Max. Negotiated Rate |
$8,010.92 |
Rate for Payer: BCBS Complete |
$8,010.92
|
Rate for Payer: Mclaren Medicaid |
$7,629.45
|
Rate for Payer: Meridian Medicaid |
$8,010.92
|
Rate for Payer: Priority Health Choice Medicaid |
$7,629.45
|
|
INPATIENT APRDRG 1141: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$2,670.81
|
|
Service Code
|
APR-DRG 1141
|
Hospital Charge Code |
APRDRG 1141
|
Min. Negotiated Rate |
$2,543.63 |
Max. Negotiated Rate |
$2,670.81 |
Rate for Payer: BCBS Complete |
$2,670.81
|
Rate for Payer: Mclaren Medicaid |
$2,543.63
|
Rate for Payer: Meridian Medicaid |
$2,670.81
|
Rate for Payer: Priority Health Choice Medicaid |
$2,543.63
|
|
INPATIENT APRDRG 1142: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$2,922.68
|
|
Service Code
|
APR-DRG 1142
|
Hospital Charge Code |
APRDRG 1142
|
Min. Negotiated Rate |
$2,783.50 |
Max. Negotiated Rate |
$2,922.68 |
Rate for Payer: BCBS Complete |
$2,922.68
|
Rate for Payer: Mclaren Medicaid |
$2,783.50
|
Rate for Payer: Meridian Medicaid |
$2,922.68
|
Rate for Payer: Priority Health Choice Medicaid |
$2,783.50
|
|
INPATIENT APRDRG 1143: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$4,894.24
|
|
Service Code
|
APR-DRG 1143
|
Hospital Charge Code |
APRDRG 1143
|
Min. Negotiated Rate |
$4,661.18 |
Max. Negotiated Rate |
$4,894.24 |
Rate for Payer: BCBS Complete |
$4,894.24
|
Rate for Payer: Mclaren Medicaid |
$4,661.18
|
Rate for Payer: Meridian Medicaid |
$4,894.24
|
Rate for Payer: Priority Health Choice Medicaid |
$4,661.18
|
|
INPATIENT APRDRG 1144: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$10,915.64
|
|
Service Code
|
APR-DRG 1144
|
Hospital Charge Code |
APRDRG 1144
|
Min. Negotiated Rate |
$10,395.85 |
Max. Negotiated Rate |
$10,915.64 |
Rate for Payer: BCBS Complete |
$10,915.64
|
Rate for Payer: Mclaren Medicaid |
$10,395.85
|
Rate for Payer: Meridian Medicaid |
$10,915.64
|
Rate for Payer: Priority Health Choice Medicaid |
$10,395.85
|
|
INPATIENT APRDRG 1151: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$3,141.63
|
|
Service Code
|
APR-DRG 1151
|
Hospital Charge Code |
APRDRG 1151
|
Min. Negotiated Rate |
$2,992.03 |
Max. Negotiated Rate |
$3,141.63 |
Rate for Payer: BCBS Complete |
$3,141.63
|
Rate for Payer: Mclaren Medicaid |
$2,992.03
|
Rate for Payer: Meridian Medicaid |
$3,141.63
|
Rate for Payer: Priority Health Choice Medicaid |
$2,992.03
|
|
INPATIENT APRDRG 1152: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$3,863.32
|
|
Service Code
|
APR-DRG 1152
|
Hospital Charge Code |
APRDRG 1152
|
Min. Negotiated Rate |
$3,679.35 |
Max. Negotiated Rate |
$3,863.32 |
Rate for Payer: BCBS Complete |
$3,863.32
|
Rate for Payer: Mclaren Medicaid |
$3,679.35
|
Rate for Payer: Meridian Medicaid |
$3,863.32
|
Rate for Payer: Priority Health Choice Medicaid |
$3,679.35
|
|
INPATIENT APRDRG 1153: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$6,344.10
|
|
Service Code
|
APR-DRG 1153
|
Hospital Charge Code |
APRDRG 1153
|
Min. Negotiated Rate |
$6,042.00 |
Max. Negotiated Rate |
$6,344.10 |
Rate for Payer: BCBS Complete |
$6,344.10
|
Rate for Payer: Mclaren Medicaid |
$6,042.00
|
Rate for Payer: Meridian Medicaid |
$6,344.10
|
Rate for Payer: Priority Health Choice Medicaid |
$6,042.00
|
|
INPATIENT APRDRG 1154: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$9,509.17
|
|
Service Code
|
APR-DRG 1154
|
Hospital Charge Code |
APRDRG 1154
|
Min. Negotiated Rate |
$9,056.35 |
Max. Negotiated Rate |
$9,509.17 |
Rate for Payer: BCBS Complete |
$9,509.17
|
Rate for Payer: Mclaren Medicaid |
$9,056.35
|
Rate for Payer: Meridian Medicaid |
$9,509.17
|
Rate for Payer: Priority Health Choice Medicaid |
$9,056.35
|
|
INPATIENT APRDRG 1201: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$9,380.00
|
|
Service Code
|
APR-DRG 1201
|
Hospital Charge Code |
APRDRG 1201
|
Min. Negotiated Rate |
$8,933.33 |
Max. Negotiated Rate |
$9,380.00 |
Rate for Payer: BCBS Complete |
$9,380.00
|
Rate for Payer: Mclaren Medicaid |
$8,933.33
|
Rate for Payer: Meridian Medicaid |
$9,380.00
|
Rate for Payer: Priority Health Choice Medicaid |
$8,933.33
|
|
INPATIENT APRDRG 1202: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$12,792.44
|
|
Service Code
|
APR-DRG 1202
|
Hospital Charge Code |
APRDRG 1202
|
Min. Negotiated Rate |
$12,183.28 |
Max. Negotiated Rate |
$12,792.44 |
Rate for Payer: BCBS Complete |
$12,792.44
|
Rate for Payer: Mclaren Medicaid |
$12,183.28
|
Rate for Payer: Meridian Medicaid |
$12,792.44
|
Rate for Payer: Priority Health Choice Medicaid |
$12,183.28
|
|
INPATIENT APRDRG 1203: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$18,177.44
|
|
Service Code
|
APR-DRG 1203
|
Hospital Charge Code |
APRDRG 1203
|
Min. Negotiated Rate |
$17,311.85 |
Max. Negotiated Rate |
$18,177.44 |
Rate for Payer: BCBS Complete |
$18,177.44
|
Rate for Payer: Mclaren Medicaid |
$17,311.85
|
Rate for Payer: Meridian Medicaid |
$18,177.44
|
Rate for Payer: Priority Health Choice Medicaid |
$17,311.85
|
|
INPATIENT APRDRG 1204: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$30,676.12
|
|
Service Code
|
APR-DRG 1204
|
Hospital Charge Code |
APRDRG 1204
|
Min. Negotiated Rate |
$29,215.35 |
Max. Negotiated Rate |
$30,676.12 |
Rate for Payer: BCBS Complete |
$30,676.12
|
Rate for Payer: Mclaren Medicaid |
$29,215.35
|
Rate for Payer: Meridian Medicaid |
$30,676.12
|
Rate for Payer: Priority Health Choice Medicaid |
$29,215.35
|
|
INPATIENT APRDRG 1211: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$8,006.93
|
|
Service Code
|
APR-DRG 1211
|
Hospital Charge Code |
APRDRG 1211
|
Min. Negotiated Rate |
$7,625.65 |
Max. Negotiated Rate |
$8,006.93 |
Rate for Payer: BCBS Complete |
$8,006.93
|
Rate for Payer: Mclaren Medicaid |
$7,625.65
|
Rate for Payer: Meridian Medicaid |
$8,006.93
|
Rate for Payer: Priority Health Choice Medicaid |
$7,625.65
|
|
INPATIENT APRDRG 1212: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$10,604.42
|
|
Service Code
|
APR-DRG 1212
|
Hospital Charge Code |
APRDRG 1212
|
Min. Negotiated Rate |
$10,099.45 |
Max. Negotiated Rate |
$10,604.42 |
Rate for Payer: BCBS Complete |
$10,604.42
|
Rate for Payer: Mclaren Medicaid |
$10,099.45
|
Rate for Payer: Meridian Medicaid |
$10,604.42
|
Rate for Payer: Priority Health Choice Medicaid |
$10,099.45
|
|
INPATIENT APRDRG 1213: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$13,398.42
|
|
Service Code
|
APR-DRG 1213
|
Hospital Charge Code |
APRDRG 1213
|
Min. Negotiated Rate |
$12,760.40 |
Max. Negotiated Rate |
$13,398.42 |
Rate for Payer: BCBS Complete |
$13,398.42
|
Rate for Payer: Mclaren Medicaid |
$12,760.40
|
Rate for Payer: Meridian Medicaid |
$13,398.42
|
Rate for Payer: Priority Health Choice Medicaid |
$12,760.40
|
|
INPATIENT APRDRG 1214: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$23,885.64
|
|
Service Code
|
APR-DRG 1214
|
Hospital Charge Code |
APRDRG 1214
|
Min. Negotiated Rate |
$22,748.23 |
Max. Negotiated Rate |
$23,885.64 |
Rate for Payer: BCBS Complete |
$23,885.64
|
Rate for Payer: Mclaren Medicaid |
$22,748.23
|
Rate for Payer: Meridian Medicaid |
$23,885.64
|
Rate for Payer: Priority Health Choice Medicaid |
$22,748.23
|
|