INPATIENT APRDRG 1362: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,882.76
|
|
Service Code
|
APR-DRG 1362
|
Hospital Charge Code |
APRDRG 1362
|
Min. Negotiated Rate |
$5,602.63 |
Max. Negotiated Rate |
$5,882.76 |
Rate for Payer: BCBS Complete |
$5,882.76
|
Rate for Payer: Mclaren Medicaid |
$5,602.63
|
Rate for Payer: Meridian Medicaid |
$5,882.76
|
Rate for Payer: Priority Health Choice Medicaid |
$5,602.63
|
|
INPATIENT APRDRG 1363: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$7,524.65
|
|
Service Code
|
APR-DRG 1363
|
Hospital Charge Code |
APRDRG 1363
|
Min. Negotiated Rate |
$7,166.33 |
Max. Negotiated Rate |
$7,524.65 |
Rate for Payer: BCBS Complete |
$7,524.65
|
Rate for Payer: Mclaren Medicaid |
$7,166.33
|
Rate for Payer: Meridian Medicaid |
$7,524.65
|
Rate for Payer: Priority Health Choice Medicaid |
$7,166.33
|
|
INPATIENT APRDRG 1364: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$10,922.13
|
|
Service Code
|
APR-DRG 1364
|
Hospital Charge Code |
APRDRG 1364
|
Min. Negotiated Rate |
$10,402.03 |
Max. Negotiated Rate |
$10,922.13 |
Rate for Payer: BCBS Complete |
$10,922.13
|
Rate for Payer: Mclaren Medicaid |
$10,402.03
|
Rate for Payer: Meridian Medicaid |
$10,922.13
|
Rate for Payer: Priority Health Choice Medicaid |
$10,402.03
|
|
INPATIENT APRDRG 1371: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$2,305.22
|
|
Service Code
|
APR-DRG 1371
|
Hospital Charge Code |
APRDRG 1371
|
Min. Negotiated Rate |
$2,195.45 |
Max. Negotiated Rate |
$2,305.22 |
Rate for Payer: BCBS Complete |
$2,305.22
|
Rate for Payer: Mclaren Medicaid |
$2,195.45
|
Rate for Payer: Meridian Medicaid |
$2,305.22
|
Rate for Payer: Priority Health Choice Medicaid |
$2,195.45
|
|
INPATIENT APRDRG 1372: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$4,214.44
|
|
Service Code
|
APR-DRG 1372
|
Hospital Charge Code |
APRDRG 1372
|
Min. Negotiated Rate |
$4,013.75 |
Max. Negotiated Rate |
$4,214.44 |
Rate for Payer: BCBS Complete |
$4,214.44
|
Rate for Payer: Mclaren Medicaid |
$4,013.75
|
Rate for Payer: Meridian Medicaid |
$4,214.44
|
Rate for Payer: Priority Health Choice Medicaid |
$4,013.75
|
|
INPATIENT APRDRG 1373: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$5,472.79
|
|
Service Code
|
APR-DRG 1373
|
Hospital Charge Code |
APRDRG 1373
|
Min. Negotiated Rate |
$5,212.18 |
Max. Negotiated Rate |
$5,472.79 |
Rate for Payer: BCBS Complete |
$5,472.79
|
Rate for Payer: Mclaren Medicaid |
$5,212.18
|
Rate for Payer: Meridian Medicaid |
$5,472.79
|
Rate for Payer: Priority Health Choice Medicaid |
$5,212.18
|
|
INPATIENT APRDRG 1374: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$9,654.80
|
|
Service Code
|
APR-DRG 1374
|
Hospital Charge Code |
APRDRG 1374
|
Min. Negotiated Rate |
$9,195.05 |
Max. Negotiated Rate |
$9,654.80 |
Rate for Payer: BCBS Complete |
$9,654.80
|
Rate for Payer: Mclaren Medicaid |
$9,195.05
|
Rate for Payer: Meridian Medicaid |
$9,654.80
|
Rate for Payer: Priority Health Choice Medicaid |
$9,195.05
|
|
INPATIENT APRDRG 1381: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$2,721.68
|
|
Service Code
|
APR-DRG 1381
|
Hospital Charge Code |
APRDRG 1381
|
Min. Negotiated Rate |
$2,592.08 |
Max. Negotiated Rate |
$2,721.68 |
Rate for Payer: BCBS Complete |
$2,721.68
|
Rate for Payer: Mclaren Medicaid |
$2,592.08
|
Rate for Payer: Meridian Medicaid |
$2,721.68
|
Rate for Payer: Priority Health Choice Medicaid |
$2,592.08
|
|
INPATIENT APRDRG 1382: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$3,414.44
|
|
Service Code
|
APR-DRG 1382
|
Hospital Charge Code |
APRDRG 1382
|
Min. Negotiated Rate |
$3,251.85 |
Max. Negotiated Rate |
$3,414.44 |
Rate for Payer: BCBS Complete |
$3,414.44
|
Rate for Payer: Mclaren Medicaid |
$3,251.85
|
Rate for Payer: Meridian Medicaid |
$3,414.44
|
Rate for Payer: Priority Health Choice Medicaid |
$3,251.85
|
|
INPATIENT APRDRG 1383: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$4,867.80
|
|
Service Code
|
APR-DRG 1383
|
Hospital Charge Code |
APRDRG 1383
|
Min. Negotiated Rate |
$4,636.00 |
Max. Negotiated Rate |
$4,867.80 |
Rate for Payer: BCBS Complete |
$4,867.80
|
Rate for Payer: Mclaren Medicaid |
$4,636.00
|
Rate for Payer: Meridian Medicaid |
$4,867.80
|
Rate for Payer: Priority Health Choice Medicaid |
$4,636.00
|
|
INPATIENT APRDRG 1384: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$8,250.32
|
|
Service Code
|
APR-DRG 1384
|
Hospital Charge Code |
APRDRG 1384
|
Min. Negotiated Rate |
$7,857.45 |
Max. Negotiated Rate |
$8,250.32 |
Rate for Payer: BCBS Complete |
$8,250.32
|
Rate for Payer: Mclaren Medicaid |
$7,857.45
|
Rate for Payer: Meridian Medicaid |
$8,250.32
|
Rate for Payer: Priority Health Choice Medicaid |
$7,857.45
|
|
INPATIENT APRDRG 1391: OTHER PNEUMONIA
|
Facility
|
IP
|
$2,629.41
|
|
Service Code
|
APR-DRG 1391
|
Hospital Charge Code |
APRDRG 1391
|
Min. Negotiated Rate |
$2,504.20 |
Max. Negotiated Rate |
$2,629.41 |
Rate for Payer: BCBS Complete |
$2,629.41
|
Rate for Payer: Mclaren Medicaid |
$2,504.20
|
Rate for Payer: Meridian Medicaid |
$2,629.41
|
Rate for Payer: Priority Health Choice Medicaid |
$2,504.20
|
|
INPATIENT APRDRG 1392: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,293.74
|
|
Service Code
|
APR-DRG 1392
|
Hospital Charge Code |
APRDRG 1392
|
Min. Negotiated Rate |
$3,136.90 |
Max. Negotiated Rate |
$3,293.74 |
Rate for Payer: BCBS Complete |
$3,293.74
|
Rate for Payer: Mclaren Medicaid |
$3,136.90
|
Rate for Payer: Meridian Medicaid |
$3,293.74
|
Rate for Payer: Priority Health Choice Medicaid |
$3,136.90
|
|
INPATIENT APRDRG 1393: OTHER PNEUMONIA
|
Facility
|
IP
|
$5,058.32
|
|
Service Code
|
APR-DRG 1393
|
Hospital Charge Code |
APRDRG 1393
|
Min. Negotiated Rate |
$4,817.45 |
Max. Negotiated Rate |
$5,058.32 |
Rate for Payer: BCBS Complete |
$5,058.32
|
Rate for Payer: Mclaren Medicaid |
$4,817.45
|
Rate for Payer: Meridian Medicaid |
$5,058.32
|
Rate for Payer: Priority Health Choice Medicaid |
$4,817.45
|
|
INPATIENT APRDRG 1394: OTHER PNEUMONIA
|
Facility
|
IP
|
$7,863.29
|
|
Service Code
|
APR-DRG 1394
|
Hospital Charge Code |
APRDRG 1394
|
Min. Negotiated Rate |
$7,488.85 |
Max. Negotiated Rate |
$7,863.29 |
Rate for Payer: BCBS Complete |
$7,863.29
|
Rate for Payer: Mclaren Medicaid |
$7,488.85
|
Rate for Payer: Meridian Medicaid |
$7,863.29
|
Rate for Payer: Priority Health Choice Medicaid |
$7,488.85
|
|
INPATIENT APRDRG 1401: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,209.46
|
|
Service Code
|
APR-DRG 1401
|
Hospital Charge Code |
APRDRG 1401
|
Min. Negotiated Rate |
$3,056.63 |
Max. Negotiated Rate |
$3,209.46 |
Rate for Payer: BCBS Complete |
$3,209.46
|
Rate for Payer: Mclaren Medicaid |
$3,056.63
|
Rate for Payer: Meridian Medicaid |
$3,209.46
|
Rate for Payer: Priority Health Choice Medicaid |
$3,056.63
|
|
INPATIENT APRDRG 1402: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,823.92
|
|
Service Code
|
APR-DRG 1402
|
Hospital Charge Code |
APRDRG 1402
|
Min. Negotiated Rate |
$3,641.83 |
Max. Negotiated Rate |
$3,823.92 |
Rate for Payer: BCBS Complete |
$3,823.92
|
Rate for Payer: Mclaren Medicaid |
$3,641.83
|
Rate for Payer: Meridian Medicaid |
$3,823.92
|
Rate for Payer: Priority Health Choice Medicaid |
$3,641.83
|
|
INPATIENT APRDRG 1403: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,458.82
|
|
Service Code
|
APR-DRG 1403
|
Hospital Charge Code |
APRDRG 1403
|
Min. Negotiated Rate |
$4,246.50 |
Max. Negotiated Rate |
$4,458.82 |
Rate for Payer: BCBS Complete |
$4,458.82
|
Rate for Payer: Mclaren Medicaid |
$4,246.50
|
Rate for Payer: Meridian Medicaid |
$4,458.82
|
Rate for Payer: Priority Health Choice Medicaid |
$4,246.50
|
|
INPATIENT APRDRG 1404: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$7,750.08
|
|
Service Code
|
APR-DRG 1404
|
Hospital Charge Code |
APRDRG 1404
|
Min. Negotiated Rate |
$7,381.03 |
Max. Negotiated Rate |
$7,750.08 |
Rate for Payer: BCBS Complete |
$7,750.08
|
Rate for Payer: Mclaren Medicaid |
$7,381.03
|
Rate for Payer: Meridian Medicaid |
$7,750.08
|
Rate for Payer: Priority Health Choice Medicaid |
$7,381.03
|
|
INPATIENT APRDRG 1411: ASTHMA
|
Facility
|
IP
|
$2,934.64
|
|
Service Code
|
APR-DRG 1411
|
Hospital Charge Code |
APRDRG 1411
|
Min. Negotiated Rate |
$2,794.90 |
Max. Negotiated Rate |
$2,934.64 |
Rate for Payer: BCBS Complete |
$2,934.64
|
Rate for Payer: Mclaren Medicaid |
$2,794.90
|
Rate for Payer: Meridian Medicaid |
$2,934.64
|
Rate for Payer: Priority Health Choice Medicaid |
$2,794.90
|
|
INPATIENT APRDRG 1412: ASTHMA
|
Facility
|
IP
|
$3,733.64
|
|
Service Code
|
APR-DRG 1412
|
Hospital Charge Code |
APRDRG 1412
|
Min. Negotiated Rate |
$3,555.85 |
Max. Negotiated Rate |
$3,733.64 |
Rate for Payer: BCBS Complete |
$3,733.64
|
Rate for Payer: Mclaren Medicaid |
$3,555.85
|
Rate for Payer: Meridian Medicaid |
$3,733.64
|
Rate for Payer: Priority Health Choice Medicaid |
$3,555.85
|
|
INPATIENT APRDRG 1413: ASTHMA
|
Facility
|
IP
|
$3,948.61
|
|
Service Code
|
APR-DRG 1413
|
Hospital Charge Code |
APRDRG 1413
|
Min. Negotiated Rate |
$3,760.58 |
Max. Negotiated Rate |
$3,948.61 |
Rate for Payer: BCBS Complete |
$3,948.61
|
Rate for Payer: Mclaren Medicaid |
$3,760.58
|
Rate for Payer: Meridian Medicaid |
$3,948.61
|
Rate for Payer: Priority Health Choice Medicaid |
$3,760.58
|
|
INPATIENT APRDRG 1414: ASTHMA
|
Facility
|
IP
|
$8,747.58
|
|
Service Code
|
APR-DRG 1414
|
Hospital Charge Code |
APRDRG 1414
|
Min. Negotiated Rate |
$8,331.03 |
Max. Negotiated Rate |
$8,747.58 |
Rate for Payer: BCBS Complete |
$8,747.58
|
Rate for Payer: Mclaren Medicaid |
$8,331.03
|
Rate for Payer: Meridian Medicaid |
$8,747.58
|
Rate for Payer: Priority Health Choice Medicaid |
$8,331.03
|
|
INPATIENT APRDRG 1421: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,043.88
|
|
Service Code
|
APR-DRG 1421
|
Hospital Charge Code |
APRDRG 1421
|
Min. Negotiated Rate |
$2,898.93 |
Max. Negotiated Rate |
$3,043.88 |
Rate for Payer: BCBS Complete |
$3,043.88
|
Rate for Payer: Mclaren Medicaid |
$2,898.93
|
Rate for Payer: Meridian Medicaid |
$3,043.88
|
Rate for Payer: Priority Health Choice Medicaid |
$2,898.93
|
|
INPATIENT APRDRG 1422: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,204.97
|
|
Service Code
|
APR-DRG 1422
|
Hospital Charge Code |
APRDRG 1422
|
Min. Negotiated Rate |
$4,004.73 |
Max. Negotiated Rate |
$4,204.97 |
Rate for Payer: BCBS Complete |
$4,204.97
|
Rate for Payer: Mclaren Medicaid |
$4,004.73
|
Rate for Payer: Meridian Medicaid |
$4,204.97
|
Rate for Payer: Priority Health Choice Medicaid |
$4,004.73
|
|