INPATIENT APRDRG 1423: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$5,780.51
|
|
Service Code
|
APR-DRG 1423
|
Hospital Charge Code |
APRDRG 1423
|
Min. Negotiated Rate |
$5,505.25 |
Max. Negotiated Rate |
$5,780.51 |
Rate for Payer: BCBS Complete |
$5,780.51
|
Rate for Payer: Mclaren Medicaid |
$5,505.25
|
Rate for Payer: Meridian Medicaid |
$5,780.51
|
Rate for Payer: Priority Health Choice Medicaid |
$5,505.25
|
|
INPATIENT APRDRG 1424: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$9,358.05
|
|
Service Code
|
APR-DRG 1424
|
Hospital Charge Code |
APRDRG 1424
|
Min. Negotiated Rate |
$8,912.43 |
Max. Negotiated Rate |
$9,358.05 |
Rate for Payer: BCBS Complete |
$9,358.05
|
Rate for Payer: Mclaren Medicaid |
$8,912.43
|
Rate for Payer: Meridian Medicaid |
$9,358.05
|
Rate for Payer: Priority Health Choice Medicaid |
$8,912.43
|
|
INPATIENT APRDRG 1431: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$3,147.62
|
|
Service Code
|
APR-DRG 1431
|
Hospital Charge Code |
APRDRG 1431
|
Min. Negotiated Rate |
$2,997.73 |
Max. Negotiated Rate |
$3,147.62 |
Rate for Payer: BCBS Complete |
$3,147.62
|
Rate for Payer: Mclaren Medicaid |
$2,997.73
|
Rate for Payer: Meridian Medicaid |
$3,147.62
|
Rate for Payer: Priority Health Choice Medicaid |
$2,997.73
|
|
INPATIENT APRDRG 1432: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,625.91
|
|
Service Code
|
APR-DRG 1432
|
Hospital Charge Code |
APRDRG 1432
|
Min. Negotiated Rate |
$4,405.63 |
Max. Negotiated Rate |
$4,625.91 |
Rate for Payer: BCBS Complete |
$4,625.91
|
Rate for Payer: Mclaren Medicaid |
$4,405.63
|
Rate for Payer: Meridian Medicaid |
$4,625.91
|
Rate for Payer: Priority Health Choice Medicaid |
$4,405.63
|
|
INPATIENT APRDRG 1433: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,527.64
|
|
Service Code
|
APR-DRG 1433
|
Hospital Charge Code |
APRDRG 1433
|
Min. Negotiated Rate |
$6,216.80 |
Max. Negotiated Rate |
$6,527.64 |
Rate for Payer: BCBS Complete |
$6,527.64
|
Rate for Payer: Mclaren Medicaid |
$6,216.80
|
Rate for Payer: Meridian Medicaid |
$6,527.64
|
Rate for Payer: Priority Health Choice Medicaid |
$6,216.80
|
|
INPATIENT APRDRG 1434: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$9,340.59
|
|
Service Code
|
APR-DRG 1434
|
Hospital Charge Code |
APRDRG 1434
|
Min. Negotiated Rate |
$8,895.80 |
Max. Negotiated Rate |
$9,340.59 |
Rate for Payer: BCBS Complete |
$9,340.59
|
Rate for Payer: Mclaren Medicaid |
$8,895.80
|
Rate for Payer: Meridian Medicaid |
$9,340.59
|
Rate for Payer: Priority Health Choice Medicaid |
$8,895.80
|
|
INPATIENT APRDRG 1441: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$2,759.59
|
|
Service Code
|
APR-DRG 1441
|
Hospital Charge Code |
APRDRG 1441
|
Min. Negotiated Rate |
$2,628.18 |
Max. Negotiated Rate |
$2,759.59 |
Rate for Payer: BCBS Complete |
$2,759.59
|
Rate for Payer: Mclaren Medicaid |
$2,628.18
|
Rate for Payer: Meridian Medicaid |
$2,759.59
|
Rate for Payer: Priority Health Choice Medicaid |
$2,628.18
|
|
INPATIENT APRDRG 1442: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,218.43
|
|
Service Code
|
APR-DRG 1442
|
Hospital Charge Code |
APRDRG 1442
|
Min. Negotiated Rate |
$4,017.55 |
Max. Negotiated Rate |
$4,218.43 |
Rate for Payer: BCBS Complete |
$4,218.43
|
Rate for Payer: Mclaren Medicaid |
$4,017.55
|
Rate for Payer: Meridian Medicaid |
$4,218.43
|
Rate for Payer: Priority Health Choice Medicaid |
$4,017.55
|
|
INPATIENT APRDRG 1443: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,022.90
|
|
Service Code
|
APR-DRG 1443
|
Hospital Charge Code |
APRDRG 1443
|
Min. Negotiated Rate |
$5,736.10 |
Max. Negotiated Rate |
$6,022.90 |
Rate for Payer: BCBS Complete |
$6,022.90
|
Rate for Payer: Mclaren Medicaid |
$5,736.10
|
Rate for Payer: Meridian Medicaid |
$6,022.90
|
Rate for Payer: Priority Health Choice Medicaid |
$5,736.10
|
|
INPATIENT APRDRG 1444: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$9,656.30
|
|
Service Code
|
APR-DRG 1444
|
Hospital Charge Code |
APRDRG 1444
|
Min. Negotiated Rate |
$9,196.48 |
Max. Negotiated Rate |
$9,656.30 |
Rate for Payer: BCBS Complete |
$9,656.30
|
Rate for Payer: Mclaren Medicaid |
$9,196.48
|
Rate for Payer: Meridian Medicaid |
$9,656.30
|
Rate for Payer: Priority Health Choice Medicaid |
$9,196.48
|
|
INPATIENT APRDRG 1451: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$2,854.84
|
|
Service Code
|
APR-DRG 1451
|
Hospital Charge Code |
APRDRG 1451
|
Min. Negotiated Rate |
$2,718.90 |
Max. Negotiated Rate |
$2,854.84 |
Rate for Payer: BCBS Complete |
$2,854.84
|
Rate for Payer: Mclaren Medicaid |
$2,718.90
|
Rate for Payer: Meridian Medicaid |
$2,854.84
|
Rate for Payer: Priority Health Choice Medicaid |
$2,718.90
|
|
INPATIENT APRDRG 1452: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,546.62
|
|
Service Code
|
APR-DRG 1452
|
Hospital Charge Code |
APRDRG 1452
|
Min. Negotiated Rate |
$3,377.73 |
Max. Negotiated Rate |
$3,546.62 |
Rate for Payer: BCBS Complete |
$3,546.62
|
Rate for Payer: Mclaren Medicaid |
$3,377.73
|
Rate for Payer: Meridian Medicaid |
$3,546.62
|
Rate for Payer: Priority Health Choice Medicaid |
$3,377.73
|
|
INPATIENT APRDRG 1453: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,623.41
|
|
Service Code
|
APR-DRG 1453
|
Hospital Charge Code |
APRDRG 1453
|
Min. Negotiated Rate |
$4,403.25 |
Max. Negotiated Rate |
$4,623.41 |
Rate for Payer: BCBS Complete |
$4,623.41
|
Rate for Payer: Mclaren Medicaid |
$4,403.25
|
Rate for Payer: Meridian Medicaid |
$4,623.41
|
Rate for Payer: Priority Health Choice Medicaid |
$4,403.25
|
|
INPATIENT APRDRG 1454: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$8,320.65
|
|
Service Code
|
APR-DRG 1454
|
Hospital Charge Code |
APRDRG 1454
|
Min. Negotiated Rate |
$7,924.43 |
Max. Negotiated Rate |
$8,320.65 |
Rate for Payer: BCBS Complete |
$8,320.65
|
Rate for Payer: Mclaren Medicaid |
$7,924.43
|
Rate for Payer: Meridian Medicaid |
$8,320.65
|
Rate for Payer: Priority Health Choice Medicaid |
$7,924.43
|
|
INPATIENT APRDRG 1601: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$22,451.73
|
|
Service Code
|
APR-DRG 1601
|
Hospital Charge Code |
APRDRG 1601
|
Min. Negotiated Rate |
$21,382.60 |
Max. Negotiated Rate |
$22,451.73 |
Rate for Payer: BCBS Complete |
$22,451.73
|
Rate for Payer: Mclaren Medicaid |
$21,382.60
|
Rate for Payer: Meridian Medicaid |
$22,451.73
|
Rate for Payer: Priority Health Choice Medicaid |
$21,382.60
|
|
INPATIENT APRDRG 1602: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$28,633.24
|
|
Service Code
|
APR-DRG 1602
|
Hospital Charge Code |
APRDRG 1602
|
Min. Negotiated Rate |
$27,269.75 |
Max. Negotiated Rate |
$28,633.24 |
Rate for Payer: BCBS Complete |
$28,633.24
|
Rate for Payer: Mclaren Medicaid |
$27,269.75
|
Rate for Payer: Meridian Medicaid |
$28,633.24
|
Rate for Payer: Priority Health Choice Medicaid |
$27,269.75
|
|
INPATIENT APRDRG 1603: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$43,291.01
|
|
Service Code
|
APR-DRG 1603
|
Hospital Charge Code |
APRDRG 1603
|
Min. Negotiated Rate |
$41,229.53 |
Max. Negotiated Rate |
$43,291.01 |
Rate for Payer: BCBS Complete |
$43,291.01
|
Rate for Payer: Mclaren Medicaid |
$41,229.53
|
Rate for Payer: Meridian Medicaid |
$43,291.01
|
Rate for Payer: Priority Health Choice Medicaid |
$41,229.53
|
|
INPATIENT APRDRG 1604: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$83,179.04
|
|
Service Code
|
APR-DRG 1604
|
Hospital Charge Code |
APRDRG 1604
|
Min. Negotiated Rate |
$79,218.13 |
Max. Negotiated Rate |
$83,179.04 |
Rate for Payer: BCBS Complete |
$83,179.04
|
Rate for Payer: Mclaren Medicaid |
$79,218.13
|
Rate for Payer: Meridian Medicaid |
$83,179.04
|
Rate for Payer: Priority Health Choice Medicaid |
$79,218.13
|
|
INPATIENT APRDRG 1611: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$62,206.60
|
|
Service Code
|
APR-DRG 1611
|
Hospital Charge Code |
APRDRG 1611
|
Min. Negotiated Rate |
$59,244.38 |
Max. Negotiated Rate |
$62,206.60 |
Rate for Payer: BCBS Complete |
$62,206.60
|
Rate for Payer: Mclaren Medicaid |
$59,244.38
|
Rate for Payer: Meridian Medicaid |
$62,206.60
|
Rate for Payer: Priority Health Choice Medicaid |
$59,244.38
|
|
INPATIENT APRDRG 1612: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$75,056.39
|
|
Service Code
|
APR-DRG 1612
|
Hospital Charge Code |
APRDRG 1612
|
Min. Negotiated Rate |
$71,482.28 |
Max. Negotiated Rate |
$75,056.39 |
Rate for Payer: BCBS Complete |
$75,056.39
|
Rate for Payer: Mclaren Medicaid |
$71,482.28
|
Rate for Payer: Meridian Medicaid |
$75,056.39
|
Rate for Payer: Priority Health Choice Medicaid |
$71,482.28
|
|
INPATIENT APRDRG 1613: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$78,188.04
|
|
Service Code
|
APR-DRG 1613
|
Hospital Charge Code |
APRDRG 1613
|
Min. Negotiated Rate |
$74,464.80 |
Max. Negotiated Rate |
$78,188.04 |
Rate for Payer: BCBS Complete |
$78,188.04
|
Rate for Payer: Mclaren Medicaid |
$74,464.80
|
Rate for Payer: Meridian Medicaid |
$78,188.04
|
Rate for Payer: Priority Health Choice Medicaid |
$74,464.80
|
|
INPATIENT APRDRG 1614: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$150,389.59
|
|
Service Code
|
APR-DRG 1614
|
Hospital Charge Code |
APRDRG 1614
|
Min. Negotiated Rate |
$143,228.18 |
Max. Negotiated Rate |
$150,389.59 |
Rate for Payer: BCBS Complete |
$150,389.59
|
Rate for Payer: Mclaren Medicaid |
$143,228.18
|
Rate for Payer: Meridian Medicaid |
$150,389.59
|
Rate for Payer: Priority Health Choice Medicaid |
$143,228.18
|
|
INPATIENT APRDRG 1621: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$23,722.54
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG 1621
|
Min. Negotiated Rate |
$22,592.90 |
Max. Negotiated Rate |
$23,722.54 |
Rate for Payer: BCBS Complete |
$23,722.54
|
Rate for Payer: Mclaren Medicaid |
$22,592.90
|
Rate for Payer: Meridian Medicaid |
$23,722.54
|
Rate for Payer: Priority Health Choice Medicaid |
$22,592.90
|
|
INPATIENT APRDRG 1622: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$27,639.73
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG 1622
|
Min. Negotiated Rate |
$26,323.55 |
Max. Negotiated Rate |
$27,639.73 |
Rate for Payer: BCBS Complete |
$27,639.73
|
Rate for Payer: Mclaren Medicaid |
$26,323.55
|
Rate for Payer: Meridian Medicaid |
$27,639.73
|
Rate for Payer: Priority Health Choice Medicaid |
$26,323.55
|
|
INPATIENT APRDRG 1623: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$33,822.74
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG 1623
|
Min. Negotiated Rate |
$32,212.13 |
Max. Negotiated Rate |
$33,822.74 |
Rate for Payer: BCBS Complete |
$33,822.74
|
Rate for Payer: Mclaren Medicaid |
$32,212.13
|
Rate for Payer: Meridian Medicaid |
$33,822.74
|
Rate for Payer: Priority Health Choice Medicaid |
$32,212.13
|
|