INPATIENT APRDRG 1301: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$14,853.77
|
|
Service Code
|
APR-DRG 1301
|
Hospital Charge Code |
APRDRG 1301
|
Min. Negotiated Rate |
$14,146.45 |
Max. Negotiated Rate |
$14,853.77 |
Rate for Payer: BCBS Complete |
$14,853.77
|
Rate for Payer: Mclaren Medicaid |
$14,146.45
|
Rate for Payer: Meridian Medicaid |
$14,853.77
|
Rate for Payer: Priority Health Choice Medicaid |
$14,146.45
|
|
INPATIENT APRDRG 1302: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$16,599.40
|
|
Service Code
|
APR-DRG 1302
|
Hospital Charge Code |
APRDRG 1302
|
Min. Negotiated Rate |
$15,808.95 |
Max. Negotiated Rate |
$16,599.40 |
Rate for Payer: BCBS Complete |
$16,599.40
|
Rate for Payer: Mclaren Medicaid |
$15,808.95
|
Rate for Payer: Meridian Medicaid |
$16,599.40
|
Rate for Payer: Priority Health Choice Medicaid |
$15,808.95
|
|
INPATIENT APRDRG 1303: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$21,568.94
|
|
Service Code
|
APR-DRG 1303
|
Hospital Charge Code |
APRDRG 1303
|
Min. Negotiated Rate |
$20,541.85 |
Max. Negotiated Rate |
$21,568.94 |
Rate for Payer: BCBS Complete |
$21,568.94
|
Rate for Payer: Mclaren Medicaid |
$20,541.85
|
Rate for Payer: Meridian Medicaid |
$21,568.94
|
Rate for Payer: Priority Health Choice Medicaid |
$20,541.85
|
|
INPATIENT APRDRG 1304: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$23,908.08
|
|
Service Code
|
APR-DRG 1304
|
Hospital Charge Code |
APRDRG 1304
|
Min. Negotiated Rate |
$22,769.60 |
Max. Negotiated Rate |
$23,908.08 |
Rate for Payer: BCBS Complete |
$23,908.08
|
Rate for Payer: Mclaren Medicaid |
$22,769.60
|
Rate for Payer: Meridian Medicaid |
$23,908.08
|
Rate for Payer: Priority Health Choice Medicaid |
$22,769.60
|
|
INPATIENT APRDRG 1311: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$8,536.60
|
|
Service Code
|
APR-DRG 1311
|
Hospital Charge Code |
APRDRG 1311
|
Min. Negotiated Rate |
$8,130.10 |
Max. Negotiated Rate |
$8,536.60 |
Rate for Payer: BCBS Complete |
$8,536.60
|
Rate for Payer: Mclaren Medicaid |
$8,130.10
|
Rate for Payer: Meridian Medicaid |
$8,536.60
|
Rate for Payer: Priority Health Choice Medicaid |
$8,130.10
|
|
INPATIENT APRDRG 1312: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$10,819.39
|
|
Service Code
|
APR-DRG 1312
|
Hospital Charge Code |
APRDRG 1312
|
Min. Negotiated Rate |
$10,304.18 |
Max. Negotiated Rate |
$10,819.39 |
Rate for Payer: BCBS Complete |
$10,819.39
|
Rate for Payer: Mclaren Medicaid |
$10,304.18
|
Rate for Payer: Meridian Medicaid |
$10,819.39
|
Rate for Payer: Priority Health Choice Medicaid |
$10,304.18
|
|
INPATIENT APRDRG 1313: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$14,225.85
|
|
Service Code
|
APR-DRG 1313
|
Hospital Charge Code |
APRDRG 1313
|
Min. Negotiated Rate |
$13,548.43 |
Max. Negotiated Rate |
$14,225.85 |
Rate for Payer: BCBS Complete |
$14,225.85
|
Rate for Payer: Mclaren Medicaid |
$13,548.43
|
Rate for Payer: Meridian Medicaid |
$14,225.85
|
Rate for Payer: Priority Health Choice Medicaid |
$13,548.43
|
|
INPATIENT APRDRG 1314: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$16,718.10
|
|
Service Code
|
APR-DRG 1314
|
Hospital Charge Code |
APRDRG 1314
|
Min. Negotiated Rate |
$15,922.00 |
Max. Negotiated Rate |
$16,718.10 |
Rate for Payer: BCBS Complete |
$16,718.10
|
Rate for Payer: Mclaren Medicaid |
$15,922.00
|
Rate for Payer: Meridian Medicaid |
$16,718.10
|
Rate for Payer: Priority Health Choice Medicaid |
$15,922.00
|
|
INPATIENT APRDRG 1321: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,567.07
|
|
Service Code
|
APR-DRG 1321
|
Hospital Charge Code |
APRDRG 1321
|
Min. Negotiated Rate |
$2,444.83 |
Max. Negotiated Rate |
$2,567.07 |
Rate for Payer: BCBS Complete |
$2,567.07
|
Rate for Payer: Mclaren Medicaid |
$2,444.83
|
Rate for Payer: Meridian Medicaid |
$2,567.07
|
Rate for Payer: Priority Health Choice Medicaid |
$2,444.83
|
|
INPATIENT APRDRG 1322: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$3,697.73
|
|
Service Code
|
APR-DRG 1322
|
Hospital Charge Code |
APRDRG 1322
|
Min. Negotiated Rate |
$3,521.65 |
Max. Negotiated Rate |
$3,697.73 |
Rate for Payer: BCBS Complete |
$3,697.73
|
Rate for Payer: Mclaren Medicaid |
$3,521.65
|
Rate for Payer: Meridian Medicaid |
$3,697.73
|
Rate for Payer: Priority Health Choice Medicaid |
$3,521.65
|
|
INPATIENT APRDRG 1323: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$6,917.17
|
|
Service Code
|
APR-DRG 1323
|
Hospital Charge Code |
APRDRG 1323
|
Min. Negotiated Rate |
$6,587.78 |
Max. Negotiated Rate |
$6,917.17 |
Rate for Payer: BCBS Complete |
$6,917.17
|
Rate for Payer: Mclaren Medicaid |
$6,587.78
|
Rate for Payer: Meridian Medicaid |
$6,917.17
|
Rate for Payer: Priority Health Choice Medicaid |
$6,587.78
|
|
INPATIENT APRDRG 1324: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$8,266.79
|
|
Service Code
|
APR-DRG 1324
|
Hospital Charge Code |
APRDRG 1324
|
Min. Negotiated Rate |
$7,873.13 |
Max. Negotiated Rate |
$8,266.79 |
Rate for Payer: BCBS Complete |
$8,266.79
|
Rate for Payer: Mclaren Medicaid |
$7,873.13
|
Rate for Payer: Meridian Medicaid |
$8,266.79
|
Rate for Payer: Priority Health Choice Medicaid |
$7,873.13
|
|
INPATIENT APRDRG 1331: RESPIRATORY FAILURE
|
Facility
|
IP
|
$2,346.12
|
|
Service Code
|
APR-DRG 1331
|
Hospital Charge Code |
APRDRG 1331
|
Min. Negotiated Rate |
$2,234.40 |
Max. Negotiated Rate |
$2,346.12 |
Rate for Payer: BCBS Complete |
$2,346.12
|
Rate for Payer: Mclaren Medicaid |
$2,234.40
|
Rate for Payer: Meridian Medicaid |
$2,346.12
|
Rate for Payer: Priority Health Choice Medicaid |
$2,234.40
|
|
INPATIENT APRDRG 1332: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,119.68
|
|
Service Code
|
APR-DRG 1332
|
Hospital Charge Code |
APRDRG 1332
|
Min. Negotiated Rate |
$3,923.50 |
Max. Negotiated Rate |
$4,119.68 |
Rate for Payer: BCBS Complete |
$4,119.68
|
Rate for Payer: Mclaren Medicaid |
$3,923.50
|
Rate for Payer: Meridian Medicaid |
$4,119.68
|
Rate for Payer: Priority Health Choice Medicaid |
$3,923.50
|
|
INPATIENT APRDRG 1333: RESPIRATORY FAILURE
|
Facility
|
IP
|
$6,261.31
|
|
Service Code
|
APR-DRG 1333
|
Hospital Charge Code |
APRDRG 1333
|
Min. Negotiated Rate |
$5,963.15 |
Max. Negotiated Rate |
$6,261.31 |
Rate for Payer: BCBS Complete |
$6,261.31
|
Rate for Payer: Mclaren Medicaid |
$5,963.15
|
Rate for Payer: Meridian Medicaid |
$6,261.31
|
Rate for Payer: Priority Health Choice Medicaid |
$5,963.15
|
|
INPATIENT APRDRG 1334: RESPIRATORY FAILURE
|
Facility
|
IP
|
$10,016.90
|
|
Service Code
|
APR-DRG 1334
|
Hospital Charge Code |
APRDRG 1334
|
Min. Negotiated Rate |
$9,539.90 |
Max. Negotiated Rate |
$10,016.90 |
Rate for Payer: BCBS Complete |
$10,016.90
|
Rate for Payer: Mclaren Medicaid |
$9,539.90
|
Rate for Payer: Meridian Medicaid |
$10,016.90
|
Rate for Payer: Priority Health Choice Medicaid |
$9,539.90
|
|
INPATIENT APRDRG 1341: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,065.32
|
|
Service Code
|
APR-DRG 1341
|
Hospital Charge Code |
APRDRG 1341
|
Min. Negotiated Rate |
$2,919.35 |
Max. Negotiated Rate |
$3,065.32 |
Rate for Payer: BCBS Complete |
$3,065.32
|
Rate for Payer: Mclaren Medicaid |
$2,919.35
|
Rate for Payer: Meridian Medicaid |
$3,065.32
|
Rate for Payer: Priority Health Choice Medicaid |
$2,919.35
|
|
INPATIENT APRDRG 1342: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,809.96
|
|
Service Code
|
APR-DRG 1342
|
Hospital Charge Code |
APRDRG 1342
|
Min. Negotiated Rate |
$3,628.53 |
Max. Negotiated Rate |
$3,809.96 |
Rate for Payer: BCBS Complete |
$3,809.96
|
Rate for Payer: Mclaren Medicaid |
$3,628.53
|
Rate for Payer: Meridian Medicaid |
$3,809.96
|
Rate for Payer: Priority Health Choice Medicaid |
$3,628.53
|
|
INPATIENT APRDRG 1343: PULMONARY EMBOLISM
|
Facility
|
IP
|
$5,867.80
|
|
Service Code
|
APR-DRG 1343
|
Hospital Charge Code |
APRDRG 1343
|
Min. Negotiated Rate |
$5,588.38 |
Max. Negotiated Rate |
$5,867.80 |
Rate for Payer: BCBS Complete |
$5,867.80
|
Rate for Payer: Mclaren Medicaid |
$5,588.38
|
Rate for Payer: Meridian Medicaid |
$5,867.80
|
Rate for Payer: Priority Health Choice Medicaid |
$5,588.38
|
|
INPATIENT APRDRG 1344: PULMONARY EMBOLISM
|
Facility
|
IP
|
$9,166.03
|
|
Service Code
|
APR-DRG 1344
|
Hospital Charge Code |
APRDRG 1344
|
Min. Negotiated Rate |
$8,729.55 |
Max. Negotiated Rate |
$9,166.03 |
Rate for Payer: BCBS Complete |
$9,166.03
|
Rate for Payer: Mclaren Medicaid |
$8,729.55
|
Rate for Payer: Meridian Medicaid |
$9,166.03
|
Rate for Payer: Priority Health Choice Medicaid |
$8,729.55
|
|
INPATIENT APRDRG 1351: MAJOR CHEST & RESPIRAZORY TRAUMA
|
Facility
|
IP
|
$4,299.22
|
|
Service Code
|
APR-DRG 1351
|
Hospital Charge Code |
APRDRG 1351
|
Min. Negotiated Rate |
$4,094.50 |
Max. Negotiated Rate |
$4,299.22 |
Rate for Payer: BCBS Complete |
$4,299.22
|
Rate for Payer: Mclaren Medicaid |
$4,094.50
|
Rate for Payer: Meridian Medicaid |
$4,299.22
|
Rate for Payer: Priority Health Choice Medicaid |
$4,094.50
|
|
INPATIENT APRDRG 1352: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,792.99
|
|
Service Code
|
APR-DRG 1352
|
Hospital Charge Code |
APRDRG 1352
|
Min. Negotiated Rate |
$4,564.75 |
Max. Negotiated Rate |
$4,792.99 |
Rate for Payer: BCBS Complete |
$4,792.99
|
Rate for Payer: Mclaren Medicaid |
$4,564.75
|
Rate for Payer: Meridian Medicaid |
$4,792.99
|
Rate for Payer: Priority Health Choice Medicaid |
$4,564.75
|
|
INPATIENT APRDRG 1353: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$6,607.94
|
|
Service Code
|
APR-DRG 1353
|
Hospital Charge Code |
APRDRG 1353
|
Min. Negotiated Rate |
$6,293.28 |
Max. Negotiated Rate |
$6,607.94 |
Rate for Payer: BCBS Complete |
$6,607.94
|
Rate for Payer: Mclaren Medicaid |
$6,293.28
|
Rate for Payer: Meridian Medicaid |
$6,607.94
|
Rate for Payer: Priority Health Choice Medicaid |
$6,293.28
|
|
INPATIENT APRDRG 1354: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$10,363.53
|
|
Service Code
|
APR-DRG 1354
|
Hospital Charge Code |
APRDRG 1354
|
Min. Negotiated Rate |
$9,870.03 |
Max. Negotiated Rate |
$10,363.53 |
Rate for Payer: BCBS Complete |
$10,363.53
|
Rate for Payer: Mclaren Medicaid |
$9,870.03
|
Rate for Payer: Meridian Medicaid |
$10,363.53
|
Rate for Payer: Priority Health Choice Medicaid |
$9,870.03
|
|
INPATIENT APRDRG 1361: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$4,757.58
|
|
Service Code
|
APR-DRG 1361
|
Hospital Charge Code |
APRDRG 1361
|
Min. Negotiated Rate |
$4,531.03 |
Max. Negotiated Rate |
$4,757.58 |
Rate for Payer: BCBS Complete |
$4,757.58
|
Rate for Payer: Mclaren Medicaid |
$4,531.03
|
Rate for Payer: Meridian Medicaid |
$4,757.58
|
Rate for Payer: Priority Health Choice Medicaid |
$4,531.03
|
|