INPATIENT APRDRG 1711: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,134.61
|
|
Service Code
|
APR-DRG 1711
|
Hospital Charge Code |
APRDRG 1711
|
Min. Negotiated Rate |
$8,699.63 |
Max. Negotiated Rate |
$9,134.61 |
Rate for Payer: BCBS Complete |
$9,134.61
|
Rate for Payer: Mclaren Medicaid |
$8,699.63
|
Rate for Payer: Meridian Medicaid |
$9,134.61
|
Rate for Payer: Priority Health Choice Medicaid |
$8,699.63
|
|
INPATIENT APRDRG 1712: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$10,848.81
|
|
Service Code
|
APR-DRG 1712
|
Hospital Charge Code |
APRDRG 1712
|
Min. Negotiated Rate |
$10,332.20 |
Max. Negotiated Rate |
$10,848.81 |
Rate for Payer: BCBS Complete |
$10,848.81
|
Rate for Payer: Mclaren Medicaid |
$10,332.20
|
Rate for Payer: Meridian Medicaid |
$10,848.81
|
Rate for Payer: Priority Health Choice Medicaid |
$10,332.20
|
|
INPATIENT APRDRG 1713: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$14,668.74
|
|
Service Code
|
APR-DRG 1713
|
Hospital Charge Code |
APRDRG 1713
|
Min. Negotiated Rate |
$13,970.23 |
Max. Negotiated Rate |
$14,668.74 |
Rate for Payer: BCBS Complete |
$14,668.74
|
Rate for Payer: Mclaren Medicaid |
$13,970.23
|
Rate for Payer: Meridian Medicaid |
$14,668.74
|
Rate for Payer: Priority Health Choice Medicaid |
$13,970.23
|
|
INPATIENT APRDRG 1714: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$21,418.82
|
|
Service Code
|
APR-DRG 1714
|
Hospital Charge Code |
APRDRG 1714
|
Min. Negotiated Rate |
$20,398.88 |
Max. Negotiated Rate |
$21,418.82 |
Rate for Payer: BCBS Complete |
$21,418.82
|
Rate for Payer: Mclaren Medicaid |
$20,398.88
|
Rate for Payer: Meridian Medicaid |
$21,418.82
|
Rate for Payer: Priority Health Choice Medicaid |
$20,398.88
|
|
INPATIENT APRDRG 1741: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$9,774.50
|
|
Service Code
|
APR-DRG 1741
|
Hospital Charge Code |
APRDRG 1741
|
Min. Negotiated Rate |
$9,309.05 |
Max. Negotiated Rate |
$9,774.50 |
Rate for Payer: BCBS Complete |
$9,774.50
|
Rate for Payer: Mclaren Medicaid |
$9,309.05
|
Rate for Payer: Meridian Medicaid |
$9,774.50
|
Rate for Payer: Priority Health Choice Medicaid |
$9,309.05
|
|
INPATIENT APRDRG 1742: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$10,649.81
|
|
Service Code
|
APR-DRG 1742
|
Hospital Charge Code |
APRDRG 1742
|
Min. Negotiated Rate |
$10,142.68 |
Max. Negotiated Rate |
$10,649.81 |
Rate for Payer: BCBS Complete |
$10,649.81
|
Rate for Payer: Mclaren Medicaid |
$10,142.68
|
Rate for Payer: Meridian Medicaid |
$10,649.81
|
Rate for Payer: Priority Health Choice Medicaid |
$10,142.68
|
|
INPATIENT APRDRG 1743: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$12,953.04
|
|
Service Code
|
APR-DRG 1743
|
Hospital Charge Code |
APRDRG 1743
|
Min. Negotiated Rate |
$12,336.23 |
Max. Negotiated Rate |
$12,953.04 |
Rate for Payer: BCBS Complete |
$12,953.04
|
Rate for Payer: Mclaren Medicaid |
$12,336.23
|
Rate for Payer: Meridian Medicaid |
$12,953.04
|
Rate for Payer: Priority Health Choice Medicaid |
$12,336.23
|
|
INPATIENT APRDRG 1744: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$19,595.89
|
|
Service Code
|
APR-DRG 1744
|
Hospital Charge Code |
APRDRG 1744
|
Min. Negotiated Rate |
$18,662.75 |
Max. Negotiated Rate |
$19,595.89 |
Rate for Payer: BCBS Complete |
$19,595.89
|
Rate for Payer: Mclaren Medicaid |
$18,662.75
|
Rate for Payer: Meridian Medicaid |
$19,595.89
|
Rate for Payer: Priority Health Choice Medicaid |
$18,662.75
|
|
INPATIENT APRDRG 1751: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$8,714.66
|
|
Service Code
|
APR-DRG 1751
|
Hospital Charge Code |
APRDRG 1751
|
Min. Negotiated Rate |
$8,299.68 |
Max. Negotiated Rate |
$8,714.66 |
Rate for Payer: BCBS Complete |
$8,714.66
|
Rate for Payer: Mclaren Medicaid |
$8,299.68
|
Rate for Payer: Meridian Medicaid |
$8,714.66
|
Rate for Payer: Priority Health Choice Medicaid |
$8,299.68
|
|
INPATIENT APRDRG 1752: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$9,787.47
|
|
Service Code
|
APR-DRG 1752
|
Hospital Charge Code |
APRDRG 1752
|
Min. Negotiated Rate |
$9,321.40 |
Max. Negotiated Rate |
$9,787.47 |
Rate for Payer: BCBS Complete |
$9,787.47
|
Rate for Payer: Mclaren Medicaid |
$9,321.40
|
Rate for Payer: Meridian Medicaid |
$9,787.47
|
Rate for Payer: Priority Health Choice Medicaid |
$9,321.40
|
|
INPATIENT APRDRG 1753: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$12,921.12
|
|
Service Code
|
APR-DRG 1753
|
Hospital Charge Code |
APRDRG 1753
|
Min. Negotiated Rate |
$12,305.83 |
Max. Negotiated Rate |
$12,921.12 |
Rate for Payer: BCBS Complete |
$12,921.12
|
Rate for Payer: Mclaren Medicaid |
$12,305.83
|
Rate for Payer: Meridian Medicaid |
$12,921.12
|
Rate for Payer: Priority Health Choice Medicaid |
$12,305.83
|
|
INPATIENT APRDRG 1754: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$21,925.05
|
|
Service Code
|
APR-DRG 1754
|
Hospital Charge Code |
APRDRG 1754
|
Min. Negotiated Rate |
$20,881.00 |
Max. Negotiated Rate |
$21,925.05 |
Rate for Payer: BCBS Complete |
$21,925.05
|
Rate for Payer: Mclaren Medicaid |
$20,881.00
|
Rate for Payer: Meridian Medicaid |
$21,925.05
|
Rate for Payer: Priority Health Choice Medicaid |
$20,881.00
|
|
INPATIENT APRDRG 1761: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$8,752.57
|
|
Service Code
|
APR-DRG 1761
|
Hospital Charge Code |
APRDRG 1761
|
Min. Negotiated Rate |
$8,335.78 |
Max. Negotiated Rate |
$8,752.57 |
Rate for Payer: BCBS Complete |
$8,752.57
|
Rate for Payer: Mclaren Medicaid |
$8,335.78
|
Rate for Payer: Meridian Medicaid |
$8,752.57
|
Rate for Payer: Priority Health Choice Medicaid |
$8,335.78
|
|
INPATIENT APRDRG 1762: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$16,773.96
|
|
Service Code
|
APR-DRG 1762
|
Hospital Charge Code |
APRDRG 1762
|
Min. Negotiated Rate |
$15,975.20 |
Max. Negotiated Rate |
$16,773.96 |
Rate for Payer: BCBS Complete |
$16,773.96
|
Rate for Payer: Mclaren Medicaid |
$15,975.20
|
Rate for Payer: Meridian Medicaid |
$16,773.96
|
Rate for Payer: Priority Health Choice Medicaid |
$15,975.20
|
|
INPATIENT APRDRG 1763: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$23,109.08
|
|
Service Code
|
APR-DRG 1763
|
Hospital Charge Code |
APRDRG 1763
|
Min. Negotiated Rate |
$22,008.65 |
Max. Negotiated Rate |
$23,109.08 |
Rate for Payer: BCBS Complete |
$23,109.08
|
Rate for Payer: Mclaren Medicaid |
$22,008.65
|
Rate for Payer: Meridian Medicaid |
$23,109.08
|
Rate for Payer: Priority Health Choice Medicaid |
$22,008.65
|
|
INPATIENT APRDRG 1764: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$40,759.84
|
|
Service Code
|
APR-DRG 1764
|
Hospital Charge Code |
APRDRG 1764
|
Min. Negotiated Rate |
$38,818.90 |
Max. Negotiated Rate |
$40,759.84 |
Rate for Payer: BCBS Complete |
$40,759.84
|
Rate for Payer: Mclaren Medicaid |
$38,818.90
|
Rate for Payer: Meridian Medicaid |
$40,759.84
|
Rate for Payer: Priority Health Choice Medicaid |
$38,818.90
|
|
INPATIENT APRDRG 1771: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$7,673.27
|
|
Service Code
|
APR-DRG 1771
|
Hospital Charge Code |
APRDRG 1771
|
Min. Negotiated Rate |
$7,307.88 |
Max. Negotiated Rate |
$7,673.27 |
Rate for Payer: BCBS Complete |
$7,673.27
|
Rate for Payer: Mclaren Medicaid |
$7,307.88
|
Rate for Payer: Meridian Medicaid |
$7,673.27
|
Rate for Payer: Priority Health Choice Medicaid |
$7,307.88
|
|
INPATIENT APRDRG 1772: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$9,922.13
|
|
Service Code
|
APR-DRG 1772
|
Hospital Charge Code |
APRDRG 1772
|
Min. Negotiated Rate |
$9,449.65 |
Max. Negotiated Rate |
$9,922.13 |
Rate for Payer: BCBS Complete |
$9,922.13
|
Rate for Payer: Mclaren Medicaid |
$9,449.65
|
Rate for Payer: Meridian Medicaid |
$9,922.13
|
Rate for Payer: Priority Health Choice Medicaid |
$9,449.65
|
|
INPATIENT APRDRG 1773: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$16,341.04
|
|
Service Code
|
APR-DRG 1773
|
Hospital Charge Code |
APRDRG 1773
|
Min. Negotiated Rate |
$15,562.90 |
Max. Negotiated Rate |
$16,341.04 |
Rate for Payer: BCBS Complete |
$16,341.04
|
Rate for Payer: Mclaren Medicaid |
$15,562.90
|
Rate for Payer: Meridian Medicaid |
$16,341.04
|
Rate for Payer: Priority Health Choice Medicaid |
$15,562.90
|
|
INPATIENT APRDRG 1774: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$18,618.34
|
|
Service Code
|
APR-DRG 1774
|
Hospital Charge Code |
APRDRG 1774
|
Min. Negotiated Rate |
$17,731.75 |
Max. Negotiated Rate |
$18,618.34 |
Rate for Payer: BCBS Complete |
$18,618.34
|
Rate for Payer: Mclaren Medicaid |
$17,731.75
|
Rate for Payer: Meridian Medicaid |
$18,618.34
|
Rate for Payer: Priority Health Choice Medicaid |
$17,731.75
|
|
INPATIENT APRDRG 1781: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$21,465.20
|
|
Service Code
|
APR-DRG 1781
|
Hospital Charge Code |
APRDRG 1781
|
Min. Negotiated Rate |
$20,443.05 |
Max. Negotiated Rate |
$21,465.20 |
Rate for Payer: BCBS Complete |
$21,465.20
|
Rate for Payer: Mclaren Medicaid |
$20,443.05
|
Rate for Payer: Meridian Medicaid |
$21,465.20
|
Rate for Payer: Priority Health Choice Medicaid |
$20,443.05
|
|
INPATIENT APRDRG 1782: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$25,301.59
|
|
Service Code
|
APR-DRG 1782
|
Hospital Charge Code |
APRDRG 1782
|
Min. Negotiated Rate |
$24,096.75 |
Max. Negotiated Rate |
$25,301.59 |
Rate for Payer: BCBS Complete |
$25,301.59
|
Rate for Payer: Mclaren Medicaid |
$24,096.75
|
Rate for Payer: Meridian Medicaid |
$25,301.59
|
Rate for Payer: Priority Health Choice Medicaid |
$24,096.75
|
|
INPATIENT APRDRG 1783: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$26,319.54
|
|
Service Code
|
APR-DRG 1783
|
Hospital Charge Code |
APRDRG 1783
|
Min. Negotiated Rate |
$25,066.23 |
Max. Negotiated Rate |
$26,319.54 |
Rate for Payer: BCBS Complete |
$26,319.54
|
Rate for Payer: Mclaren Medicaid |
$25,066.23
|
Rate for Payer: Meridian Medicaid |
$26,319.54
|
Rate for Payer: Priority Health Choice Medicaid |
$25,066.23
|
|
INPATIENT APRDRG 1784: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$35,731.95
|
|
Service Code
|
APR-DRG 1784
|
Hospital Charge Code |
APRDRG 1784
|
Min. Negotiated Rate |
$34,030.43 |
Max. Negotiated Rate |
$35,731.95 |
Rate for Payer: BCBS Complete |
$35,731.95
|
Rate for Payer: Mclaren Medicaid |
$34,030.43
|
Rate for Payer: Meridian Medicaid |
$35,731.95
|
Rate for Payer: Priority Health Choice Medicaid |
$34,030.43
|
|
INPATIENT APRDRG 1791: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$15,011.38
|
|
Service Code
|
APR-DRG 1791
|
Hospital Charge Code |
APRDRG 1791
|
Min. Negotiated Rate |
$14,296.55 |
Max. Negotiated Rate |
$15,011.38 |
Rate for Payer: BCBS Complete |
$15,011.38
|
Rate for Payer: Mclaren Medicaid |
$14,296.55
|
Rate for Payer: Meridian Medicaid |
$15,011.38
|
Rate for Payer: Priority Health Choice Medicaid |
$14,296.55
|
|