INPATIENT APRDRG 1792: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$17,082.69
|
|
Service Code
|
APR-DRG 1792
|
Hospital Charge Code |
APRDRG 1792
|
Min. Negotiated Rate |
$16,269.23 |
Max. Negotiated Rate |
$17,082.69 |
Rate for Payer: BCBS Complete |
$17,082.69
|
Rate for Payer: Mclaren Medicaid |
$16,269.23
|
Rate for Payer: Meridian Medicaid |
$17,082.69
|
Rate for Payer: Priority Health Choice Medicaid |
$16,269.23
|
|
INPATIENT APRDRG 1793: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$20,958.98
|
|
Service Code
|
APR-DRG 1793
|
Hospital Charge Code |
APRDRG 1793
|
Min. Negotiated Rate |
$19,960.93 |
Max. Negotiated Rate |
$20,958.98 |
Rate for Payer: BCBS Complete |
$20,958.98
|
Rate for Payer: Mclaren Medicaid |
$19,960.93
|
Rate for Payer: Meridian Medicaid |
$20,958.98
|
Rate for Payer: Priority Health Choice Medicaid |
$19,960.93
|
|
INPATIENT APRDRG 1794: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$28,957.93
|
|
Service Code
|
APR-DRG 1794
|
Hospital Charge Code |
APRDRG 1794
|
Min. Negotiated Rate |
$27,578.98 |
Max. Negotiated Rate |
$28,957.93 |
Rate for Payer: BCBS Complete |
$28,957.93
|
Rate for Payer: Mclaren Medicaid |
$27,578.98
|
Rate for Payer: Meridian Medicaid |
$28,957.93
|
Rate for Payer: Priority Health Choice Medicaid |
$27,578.98
|
|
INPATIENT APRDRG 1801: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$6,805.45
|
|
Service Code
|
APR-DRG 1801
|
Hospital Charge Code |
APRDRG 1801
|
Min. Negotiated Rate |
$6,481.38 |
Max. Negotiated Rate |
$6,805.45 |
Rate for Payer: BCBS Complete |
$6,805.45
|
Rate for Payer: Mclaren Medicaid |
$6,481.38
|
Rate for Payer: Meridian Medicaid |
$6,805.45
|
Rate for Payer: Priority Health Choice Medicaid |
$6,481.38
|
|
INPATIENT APRDRG 1802: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$7,761.05
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG 1802
|
Min. Negotiated Rate |
$7,391.48 |
Max. Negotiated Rate |
$7,761.05 |
Rate for Payer: BCBS Complete |
$7,761.05
|
Rate for Payer: Mclaren Medicaid |
$7,391.48
|
Rate for Payer: Meridian Medicaid |
$7,761.05
|
Rate for Payer: Priority Health Choice Medicaid |
$7,391.48
|
|
INPATIENT APRDRG 1803: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$10,672.25
|
|
Service Code
|
APR-DRG 1803
|
Hospital Charge Code |
APRDRG 1803
|
Min. Negotiated Rate |
$10,164.05 |
Max. Negotiated Rate |
$10,672.25 |
Rate for Payer: BCBS Complete |
$10,672.25
|
Rate for Payer: Mclaren Medicaid |
$10,164.05
|
Rate for Payer: Meridian Medicaid |
$10,672.25
|
Rate for Payer: Priority Health Choice Medicaid |
$10,164.05
|
|
INPATIENT APRDRG 1804: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$18,125.08
|
|
Service Code
|
APR-DRG 1804
|
Hospital Charge Code |
APRDRG 1804
|
Min. Negotiated Rate |
$17,261.98 |
Max. Negotiated Rate |
$18,125.08 |
Rate for Payer: BCBS Complete |
$18,125.08
|
Rate for Payer: Mclaren Medicaid |
$17,261.98
|
Rate for Payer: Meridian Medicaid |
$18,125.08
|
Rate for Payer: Priority Health Choice Medicaid |
$17,261.98
|
|
INPATIENT APRDRG 1811: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$7,965.54
|
|
Service Code
|
APR-DRG 1811
|
Hospital Charge Code |
APRDRG 1811
|
Min. Negotiated Rate |
$7,586.23 |
Max. Negotiated Rate |
$7,965.54 |
Rate for Payer: BCBS Complete |
$7,965.54
|
Rate for Payer: Mclaren Medicaid |
$7,586.23
|
Rate for Payer: Meridian Medicaid |
$7,965.54
|
Rate for Payer: Priority Health Choice Medicaid |
$7,586.23
|
|
INPATIENT APRDRG 1812: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$11,573.99
|
|
Service Code
|
APR-DRG 1812
|
Hospital Charge Code |
APRDRG 1812
|
Min. Negotiated Rate |
$11,022.85 |
Max. Negotiated Rate |
$11,573.99 |
Rate for Payer: BCBS Complete |
$11,573.99
|
Rate for Payer: Mclaren Medicaid |
$11,022.85
|
Rate for Payer: Meridian Medicaid |
$11,573.99
|
Rate for Payer: Priority Health Choice Medicaid |
$11,022.85
|
|
INPATIENT APRDRG 1813: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$18,266.72
|
|
Service Code
|
APR-DRG 1813
|
Hospital Charge Code |
APRDRG 1813
|
Min. Negotiated Rate |
$17,396.88 |
Max. Negotiated Rate |
$18,266.72 |
Rate for Payer: BCBS Complete |
$18,266.72
|
Rate for Payer: Mclaren Medicaid |
$17,396.88
|
Rate for Payer: Meridian Medicaid |
$18,266.72
|
Rate for Payer: Priority Health Choice Medicaid |
$17,396.88
|
|
INPATIENT APRDRG 1814: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$28,564.91
|
|
Service Code
|
APR-DRG 1814
|
Hospital Charge Code |
APRDRG 1814
|
Min. Negotiated Rate |
$27,204.68 |
Max. Negotiated Rate |
$28,564.91 |
Rate for Payer: BCBS Complete |
$28,564.91
|
Rate for Payer: Mclaren Medicaid |
$27,204.68
|
Rate for Payer: Meridian Medicaid |
$28,564.91
|
Rate for Payer: Priority Health Choice Medicaid |
$27,204.68
|
|
INPATIENT APRDRG 1821: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$10,681.73
|
|
Service Code
|
APR-DRG 1821
|
Hospital Charge Code |
APRDRG 1821
|
Min. Negotiated Rate |
$10,173.08 |
Max. Negotiated Rate |
$10,681.73 |
Rate for Payer: BCBS Complete |
$10,681.73
|
Rate for Payer: Mclaren Medicaid |
$10,173.08
|
Rate for Payer: Meridian Medicaid |
$10,681.73
|
Rate for Payer: Priority Health Choice Medicaid |
$10,173.08
|
|
INPATIENT APRDRG 1822: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$11,984.47
|
|
Service Code
|
APR-DRG 1822
|
Hospital Charge Code |
APRDRG 1822
|
Min. Negotiated Rate |
$11,413.78 |
Max. Negotiated Rate |
$11,984.47 |
Rate for Payer: BCBS Complete |
$11,984.47
|
Rate for Payer: Mclaren Medicaid |
$11,413.78
|
Rate for Payer: Meridian Medicaid |
$11,984.47
|
Rate for Payer: Priority Health Choice Medicaid |
$11,413.78
|
|
INPATIENT APRDRG 1823: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,679.71
|
|
Service Code
|
APR-DRG 1823
|
Hospital Charge Code |
APRDRG 1823
|
Min. Negotiated Rate |
$13,980.68 |
Max. Negotiated Rate |
$14,679.71 |
Rate for Payer: BCBS Complete |
$14,679.71
|
Rate for Payer: Mclaren Medicaid |
$13,980.68
|
Rate for Payer: Meridian Medicaid |
$14,679.71
|
Rate for Payer: Priority Health Choice Medicaid |
$13,980.68
|
|
INPATIENT APRDRG 1824: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$26,076.15
|
|
Service Code
|
APR-DRG 1824
|
Hospital Charge Code |
APRDRG 1824
|
Min. Negotiated Rate |
$24,834.43 |
Max. Negotiated Rate |
$26,076.15 |
Rate for Payer: BCBS Complete |
$26,076.15
|
Rate for Payer: Mclaren Medicaid |
$24,834.43
|
Rate for Payer: Meridian Medicaid |
$26,076.15
|
Rate for Payer: Priority Health Choice Medicaid |
$24,834.43
|
|
INPATIENT APRDRG 1831: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$16,373.96
|
|
Service Code
|
APR-DRG 1831
|
Hospital Charge Code |
APRDRG 1831
|
Min. Negotiated Rate |
$15,594.25 |
Max. Negotiated Rate |
$16,373.96 |
Rate for Payer: BCBS Complete |
$16,373.96
|
Rate for Payer: Mclaren Medicaid |
$15,594.25
|
Rate for Payer: Meridian Medicaid |
$16,373.96
|
Rate for Payer: Priority Health Choice Medicaid |
$15,594.25
|
|
INPATIENT APRDRG 1832: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$17,170.47
|
|
Service Code
|
APR-DRG 1832
|
Hospital Charge Code |
APRDRG 1832
|
Min. Negotiated Rate |
$16,352.83 |
Max. Negotiated Rate |
$17,170.47 |
Rate for Payer: BCBS Complete |
$17,170.47
|
Rate for Payer: Mclaren Medicaid |
$16,352.83
|
Rate for Payer: Meridian Medicaid |
$17,170.47
|
Rate for Payer: Priority Health Choice Medicaid |
$16,352.83
|
|
INPATIENT APRDRG 1833: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$20,854.73
|
|
Service Code
|
APR-DRG 1833
|
Hospital Charge Code |
APRDRG 1833
|
Min. Negotiated Rate |
$19,861.65 |
Max. Negotiated Rate |
$20,854.73 |
Rate for Payer: BCBS Complete |
$20,854.73
|
Rate for Payer: Mclaren Medicaid |
$19,861.65
|
Rate for Payer: Meridian Medicaid |
$20,854.73
|
Rate for Payer: Priority Health Choice Medicaid |
$19,861.65
|
|
INPATIENT APRDRG 1834: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$31,139.96
|
|
Service Code
|
APR-DRG 1834
|
Hospital Charge Code |
APRDRG 1834
|
Min. Negotiated Rate |
$29,657.10 |
Max. Negotiated Rate |
$31,139.96 |
Rate for Payer: BCBS Complete |
$31,139.96
|
Rate for Payer: Mclaren Medicaid |
$29,657.10
|
Rate for Payer: Meridian Medicaid |
$31,139.96
|
Rate for Payer: Priority Health Choice Medicaid |
$29,657.10
|
|
INPATIENT APRDRG 1901: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$3,585.52
|
|
Service Code
|
APR-DRG 1901
|
Hospital Charge Code |
APRDRG 1901
|
Min. Negotiated Rate |
$3,414.78 |
Max. Negotiated Rate |
$3,585.52 |
Rate for Payer: BCBS Complete |
$3,585.52
|
Rate for Payer: Mclaren Medicaid |
$3,414.78
|
Rate for Payer: Meridian Medicaid |
$3,585.52
|
Rate for Payer: Priority Health Choice Medicaid |
$3,414.78
|
|
INPATIENT APRDRG 1902: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$3,976.04
|
|
Service Code
|
APR-DRG 1902
|
Hospital Charge Code |
APRDRG 1902
|
Min. Negotiated Rate |
$3,786.70 |
Max. Negotiated Rate |
$3,976.04 |
Rate for Payer: BCBS Complete |
$3,976.04
|
Rate for Payer: Mclaren Medicaid |
$3,786.70
|
Rate for Payer: Meridian Medicaid |
$3,976.04
|
Rate for Payer: Priority Health Choice Medicaid |
$3,786.70
|
|
INPATIENT APRDRG 1903: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$5,410.44
|
|
Service Code
|
APR-DRG 1903
|
Hospital Charge Code |
APRDRG 1903
|
Min. Negotiated Rate |
$5,152.80 |
Max. Negotiated Rate |
$5,410.44 |
Rate for Payer: BCBS Complete |
$5,410.44
|
Rate for Payer: Mclaren Medicaid |
$5,152.80
|
Rate for Payer: Meridian Medicaid |
$5,410.44
|
Rate for Payer: Priority Health Choice Medicaid |
$5,152.80
|
|
INPATIENT APRDRG 1904: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$11,438.84
|
|
Service Code
|
APR-DRG 1904
|
Hospital Charge Code |
APRDRG 1904
|
Min. Negotiated Rate |
$10,894.13 |
Max. Negotiated Rate |
$11,438.84 |
Rate for Payer: BCBS Complete |
$11,438.84
|
Rate for Payer: Mclaren Medicaid |
$10,894.13
|
Rate for Payer: Meridian Medicaid |
$11,438.84
|
Rate for Payer: Priority Health Choice Medicaid |
$10,894.13
|
|
INPATIENT APRDRG 1911: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,471.30
|
|
Service Code
|
APR-DRG 1911
|
Hospital Charge Code |
APRDRG 1911
|
Min. Negotiated Rate |
$4,258.38 |
Max. Negotiated Rate |
$4,471.30 |
Rate for Payer: BCBS Complete |
$4,471.30
|
Rate for Payer: Mclaren Medicaid |
$4,258.38
|
Rate for Payer: Meridian Medicaid |
$4,471.30
|
Rate for Payer: Priority Health Choice Medicaid |
$4,258.38
|
|
INPATIENT APRDRG 1912: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,348.60
|
|
Service Code
|
APR-DRG 1912
|
Hospital Charge Code |
APRDRG 1912
|
Min. Negotiated Rate |
$5,093.90 |
Max. Negotiated Rate |
$5,348.60 |
Rate for Payer: BCBS Complete |
$5,348.60
|
Rate for Payer: Mclaren Medicaid |
$5,093.90
|
Rate for Payer: Meridian Medicaid |
$5,348.60
|
Rate for Payer: Priority Health Choice Medicaid |
$5,093.90
|
|