INPATIENT APRDRG 1624: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$49,541.34
|
|
Service Code
|
APR-DRG 1624
|
Hospital Charge Code |
APRDRG 1624
|
Min. Negotiated Rate |
$47,182.23 |
Max. Negotiated Rate |
$49,541.34 |
Rate for Payer: BCBS Complete |
$49,541.34
|
Rate for Payer: Mclaren Medicaid |
$47,182.23
|
Rate for Payer: Meridian Medicaid |
$49,541.34
|
Rate for Payer: Priority Health Choice Medicaid |
$47,182.23
|
|
INPATIENT APRDRG 1631: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$19,647.26
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG 1631
|
Min. Negotiated Rate |
$18,711.68 |
Max. Negotiated Rate |
$19,647.26 |
Rate for Payer: BCBS Complete |
$19,647.26
|
Rate for Payer: Mclaren Medicaid |
$18,711.68
|
Rate for Payer: Meridian Medicaid |
$19,647.26
|
Rate for Payer: Priority Health Choice Medicaid |
$18,711.68
|
|
INPATIENT APRDRG 1632: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$20,448.26
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG 1632
|
Min. Negotiated Rate |
$19,474.53 |
Max. Negotiated Rate |
$20,448.26 |
Rate for Payer: BCBS Complete |
$20,448.26
|
Rate for Payer: Mclaren Medicaid |
$19,474.53
|
Rate for Payer: Meridian Medicaid |
$20,448.26
|
Rate for Payer: Priority Health Choice Medicaid |
$19,474.53
|
|
INPATIENT APRDRG 1633: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$26,983.37
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG 1633
|
Min. Negotiated Rate |
$25,698.45 |
Max. Negotiated Rate |
$26,983.37 |
Rate for Payer: BCBS Complete |
$26,983.37
|
Rate for Payer: Mclaren Medicaid |
$25,698.45
|
Rate for Payer: Meridian Medicaid |
$26,983.37
|
Rate for Payer: Priority Health Choice Medicaid |
$25,698.45
|
|
INPATIENT APRDRG 1634: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$44,991.74
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG 1634
|
Min. Negotiated Rate |
$42,849.28 |
Max. Negotiated Rate |
$44,991.74 |
Rate for Payer: BCBS Complete |
$44,991.74
|
Rate for Payer: Mclaren Medicaid |
$42,849.28
|
Rate for Payer: Meridian Medicaid |
$44,991.74
|
Rate for Payer: Priority Health Choice Medicaid |
$42,849.28
|
|
INPATIENT APRDRG 1651: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$19,367.46
|
|
Service Code
|
APR-DRG 1651
|
Hospital Charge Code |
APRDRG 1651
|
Min. Negotiated Rate |
$18,445.20 |
Max. Negotiated Rate |
$19,367.46 |
Rate for Payer: BCBS Complete |
$19,367.46
|
Rate for Payer: Mclaren Medicaid |
$18,445.20
|
Rate for Payer: Meridian Medicaid |
$19,367.46
|
Rate for Payer: Priority Health Choice Medicaid |
$18,445.20
|
|
INPATIENT APRDRG 1652: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$21,917.07
|
|
Service Code
|
APR-DRG 1652
|
Hospital Charge Code |
APRDRG 1652
|
Min. Negotiated Rate |
$20,873.40 |
Max. Negotiated Rate |
$21,917.07 |
Rate for Payer: BCBS Complete |
$21,917.07
|
Rate for Payer: Mclaren Medicaid |
$20,873.40
|
Rate for Payer: Meridian Medicaid |
$21,917.07
|
Rate for Payer: Priority Health Choice Medicaid |
$20,873.40
|
|
INPATIENT APRDRG 1653: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$27,250.21
|
|
Service Code
|
APR-DRG 1653
|
Hospital Charge Code |
APRDRG 1653
|
Min. Negotiated Rate |
$25,952.58 |
Max. Negotiated Rate |
$27,250.21 |
Rate for Payer: BCBS Complete |
$27,250.21
|
Rate for Payer: Mclaren Medicaid |
$25,952.58
|
Rate for Payer: Meridian Medicaid |
$27,250.21
|
Rate for Payer: Priority Health Choice Medicaid |
$25,952.58
|
|
INPATIENT APRDRG 1654: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$33,705.52
|
|
Service Code
|
APR-DRG 1654
|
Hospital Charge Code |
APRDRG 1654
|
Min. Negotiated Rate |
$32,100.50 |
Max. Negotiated Rate |
$33,705.52 |
Rate for Payer: BCBS Complete |
$33,705.52
|
Rate for Payer: Mclaren Medicaid |
$32,100.50
|
Rate for Payer: Meridian Medicaid |
$33,705.52
|
Rate for Payer: Priority Health Choice Medicaid |
$32,100.50
|
|
INPATIENT APRDRG 1661: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$15,429.83
|
|
Service Code
|
APR-DRG 1661
|
Hospital Charge Code |
APRDRG 1661
|
Min. Negotiated Rate |
$14,695.08 |
Max. Negotiated Rate |
$15,429.83 |
Rate for Payer: BCBS Complete |
$15,429.83
|
Rate for Payer: Mclaren Medicaid |
$14,695.08
|
Rate for Payer: Meridian Medicaid |
$15,429.83
|
Rate for Payer: Priority Health Choice Medicaid |
$14,695.08
|
|
INPATIENT APRDRG 1662: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$18,358.99
|
|
Service Code
|
APR-DRG 1662
|
Hospital Charge Code |
APRDRG 1662
|
Min. Negotiated Rate |
$17,484.75 |
Max. Negotiated Rate |
$18,358.99 |
Rate for Payer: BCBS Complete |
$18,358.99
|
Rate for Payer: Mclaren Medicaid |
$17,484.75
|
Rate for Payer: Meridian Medicaid |
$18,358.99
|
Rate for Payer: Priority Health Choice Medicaid |
$17,484.75
|
|
INPATIENT APRDRG 1663: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$19,700.62
|
|
Service Code
|
APR-DRG 1663
|
Hospital Charge Code |
APRDRG 1663
|
Min. Negotiated Rate |
$18,762.50 |
Max. Negotiated Rate |
$19,700.62 |
Rate for Payer: BCBS Complete |
$19,700.62
|
Rate for Payer: Mclaren Medicaid |
$18,762.50
|
Rate for Payer: Meridian Medicaid |
$19,700.62
|
Rate for Payer: Priority Health Choice Medicaid |
$18,762.50
|
|
INPATIENT APRDRG 1664: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$33,906.02
|
|
Service Code
|
APR-DRG 1664
|
Hospital Charge Code |
APRDRG 1664
|
Min. Negotiated Rate |
$32,291.45 |
Max. Negotiated Rate |
$33,906.02 |
Rate for Payer: BCBS Complete |
$33,906.02
|
Rate for Payer: Mclaren Medicaid |
$32,291.45
|
Rate for Payer: Meridian Medicaid |
$33,906.02
|
Rate for Payer: Priority Health Choice Medicaid |
$32,291.45
|
|
INPATIENT APRDRG 1671: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$11,788.96
|
|
Service Code
|
APR-DRG 1671
|
Hospital Charge Code |
APRDRG 1671
|
Min. Negotiated Rate |
$11,227.58 |
Max. Negotiated Rate |
$11,788.96 |
Rate for Payer: BCBS Complete |
$11,788.96
|
Rate for Payer: Mclaren Medicaid |
$11,227.58
|
Rate for Payer: Meridian Medicaid |
$11,788.96
|
Rate for Payer: Priority Health Choice Medicaid |
$11,227.58
|
|
INPATIENT APRDRG 1672: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,609.89
|
|
Service Code
|
APR-DRG 1672
|
Hospital Charge Code |
APRDRG 1672
|
Min. Negotiated Rate |
$12,961.80 |
Max. Negotiated Rate |
$13,609.89 |
Rate for Payer: BCBS Complete |
$13,609.89
|
Rate for Payer: Mclaren Medicaid |
$12,961.80
|
Rate for Payer: Meridian Medicaid |
$13,609.89
|
Rate for Payer: Priority Health Choice Medicaid |
$12,961.80
|
|
INPATIENT APRDRG 1673: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$22,926.54
|
|
Service Code
|
APR-DRG 1673
|
Hospital Charge Code |
APRDRG 1673
|
Min. Negotiated Rate |
$21,834.80 |
Max. Negotiated Rate |
$22,926.54 |
Rate for Payer: BCBS Complete |
$22,926.54
|
Rate for Payer: Mclaren Medicaid |
$21,834.80
|
Rate for Payer: Meridian Medicaid |
$22,926.54
|
Rate for Payer: Priority Health Choice Medicaid |
$21,834.80
|
|
INPATIENT APRDRG 1674: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$46,150.34
|
|
Service Code
|
APR-DRG 1674
|
Hospital Charge Code |
APRDRG 1674
|
Min. Negotiated Rate |
$43,952.70 |
Max. Negotiated Rate |
$46,150.34 |
Rate for Payer: BCBS Complete |
$46,150.34
|
Rate for Payer: Mclaren Medicaid |
$43,952.70
|
Rate for Payer: Meridian Medicaid |
$46,150.34
|
Rate for Payer: Priority Health Choice Medicaid |
$43,952.70
|
|
INPATIENT APRDRG 1691: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,871.22
|
|
Service Code
|
APR-DRG 1691
|
Hospital Charge Code |
APRDRG 1691
|
Min. Negotiated Rate |
$15,115.45 |
Max. Negotiated Rate |
$15,871.22 |
Rate for Payer: BCBS Complete |
$15,871.22
|
Rate for Payer: Mclaren Medicaid |
$15,115.45
|
Rate for Payer: Meridian Medicaid |
$15,871.22
|
Rate for Payer: Priority Health Choice Medicaid |
$15,115.45
|
|
INPATIENT APRDRG 1692: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,702.15
|
|
Service Code
|
APR-DRG 1692
|
Hospital Charge Code |
APRDRG 1692
|
Min. Negotiated Rate |
$14,954.43 |
Max. Negotiated Rate |
$15,702.15 |
Rate for Payer: BCBS Complete |
$15,702.15
|
Rate for Payer: Mclaren Medicaid |
$14,954.43
|
Rate for Payer: Meridian Medicaid |
$15,702.15
|
Rate for Payer: Priority Health Choice Medicaid |
$14,954.43
|
|
INPATIENT APRDRG 1693: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$22,175.42
|
|
Service Code
|
APR-DRG 1693
|
Hospital Charge Code |
APRDRG 1693
|
Min. Negotiated Rate |
$21,119.45 |
Max. Negotiated Rate |
$22,175.42 |
Rate for Payer: BCBS Complete |
$22,175.42
|
Rate for Payer: Mclaren Medicaid |
$21,119.45
|
Rate for Payer: Meridian Medicaid |
$22,175.42
|
Rate for Payer: Priority Health Choice Medicaid |
$21,119.45
|
|
INPATIENT APRDRG 1694: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$30,715.52
|
|
Service Code
|
APR-DRG 1694
|
Hospital Charge Code |
APRDRG 1694
|
Min. Negotiated Rate |
$29,252.88 |
Max. Negotiated Rate |
$30,715.52 |
Rate for Payer: BCBS Complete |
$30,715.52
|
Rate for Payer: Mclaren Medicaid |
$29,252.88
|
Rate for Payer: Meridian Medicaid |
$30,715.52
|
Rate for Payer: Priority Health Choice Medicaid |
$29,252.88
|
|
INPATIENT APRDRG 1701: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$10,917.64
|
|
Service Code
|
APR-DRG 1701
|
Hospital Charge Code |
APRDRG 1701
|
Min. Negotiated Rate |
$10,397.75 |
Max. Negotiated Rate |
$10,917.64 |
Rate for Payer: BCBS Complete |
$10,917.64
|
Rate for Payer: Mclaren Medicaid |
$10,397.75
|
Rate for Payer: Meridian Medicaid |
$10,917.64
|
Rate for Payer: Priority Health Choice Medicaid |
$10,397.75
|
|
INPATIENT APRDRG 1702: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$13,589.94
|
|
Service Code
|
APR-DRG 1702
|
Hospital Charge Code |
APRDRG 1702
|
Min. Negotiated Rate |
$12,942.80 |
Max. Negotiated Rate |
$13,589.94 |
Rate for Payer: BCBS Complete |
$13,589.94
|
Rate for Payer: Mclaren Medicaid |
$12,942.80
|
Rate for Payer: Meridian Medicaid |
$13,589.94
|
Rate for Payer: Priority Health Choice Medicaid |
$12,942.80
|
|
INPATIENT APRDRG 1703: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$19,773.44
|
|
Service Code
|
APR-DRG 1703
|
Hospital Charge Code |
APRDRG 1703
|
Min. Negotiated Rate |
$18,831.85 |
Max. Negotiated Rate |
$19,773.44 |
Rate for Payer: BCBS Complete |
$19,773.44
|
Rate for Payer: Mclaren Medicaid |
$18,831.85
|
Rate for Payer: Meridian Medicaid |
$19,773.44
|
Rate for Payer: Priority Health Choice Medicaid |
$18,831.85
|
|
INPATIENT APRDRG 1704: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$27,948.95
|
|
Service Code
|
APR-DRG 1704
|
Hospital Charge Code |
APRDRG 1704
|
Min. Negotiated Rate |
$26,618.05 |
Max. Negotiated Rate |
$27,948.95 |
Rate for Payer: BCBS Complete |
$27,948.95
|
Rate for Payer: Mclaren Medicaid |
$26,618.05
|
Rate for Payer: Meridian Medicaid |
$27,948.95
|
Rate for Payer: Priority Health Choice Medicaid |
$26,618.05
|
|